Individual provider Active NPI

Marcquisha Keita, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1053196691
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1098513 Issued in TX
Practice address
600 W 6TH St Ste 400
Fort Worth, TX 76102-2849
Phone
(214) 516-7850
Fax
(817) 260-0083
NPI assigned
Aug 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1098513 TX Primary

Addresses

Primary practice location

600 W 6TH St Ste 400
Fort Worth, TX 76102-2849

Mailing address

600 W 6TH St Ste 400
Fort Worth, TX 76102-2849
Phone (214) 516-7850

Other practice location 1

1310 NW John Jones Dr
Burleson, TX 76028-8040
Phone (214) 516-7850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1098513TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luxe Wellness & IV Hydration, PLLC Family Current Accepting new patients
Kashif Anwar, M.D.,P.a. Past Accepting new patients

Locations

1310 NW John Jones Dr
Burleson, TX 76028
Phone (817) 297-1297

600 W 6th St
Ste 400
Fort Worth, TX 76102
Phone (214) 516-7850

Organizations & group practices 2

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": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1053196691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 6TH ST STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022849",
            "telephone_number": "214-516-7850",
            "fax_number": "817-260-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 6TH ST STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022849",
            "telephone_number": "214-516-7850",
            "fax_number": "817-260-0083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 NW John Jones Dr",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760288040",
            "country_code": "US",
            "telephone_number": "214-516-7850",
            "fax_number": "817-260-0083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITA",
        "first_name": "MARCQUISHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1098513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.