Individual provider Active NPI

Anne Lauren Daniel

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1043987746
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1046249 Issued in TX
Practice address
6001 Siltstone LN Apt 1113
Fort Worth, TX 76137-8024
Phone
(505) 907-8284
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1046249 TX Primary

Addresses

Primary practice location

6001 Siltstone LN Apt 1113
Fort Worth, TX 76137-8024

Mailing address

6001 Siltstone LN Apt 1113
Fort Worth, TX 76137-8024
Phone (505) 907-8284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831002027 TX Practitioner - Nurse Practitioner 4981088598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1046249TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theresa D. Stretch MD, PA CurrentSince Jun 21, 2022 Accepting new patients

Locations

1806 W Pleasant Ridge Rd
Arlington, TX 76015
Phone (817) 635-6363

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAEBBA/Endpoint/HAEBBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1043987746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 SILTSTONE LN APT 1113",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761378024",
            "telephone_number": "505-907-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 SILTSTONE LN APT 1113",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761378024",
            "telephone_number": "505-907-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "ANNE LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1046249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.