Patricia Bagwell Phelps, MSN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

513015 Issued in TX

Practice address

5701 Bryant Irvin Rd
Suite 304
Fort Worth, TX 76132-4029

Phone

(817) 361-5037

Fax

(817) 361-5031

NPI assigned

Jun 12, 2006

Last updated

Sep 15, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

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

• Health Texas Provider Network-Family Practice of North Texas LLP

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1114919172
  NPD (past)
• Healthtexas Provider Network

  dba Symmetry Anesthesia

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD (past)
• Healthtexas Provider Network

  • Family Medicine Physician
  • Colleyville, TX
  • NPI 1235135906
  NPD (past)
• Kaner Medical Group PA

  • Internal Medicine Physician
  • Bedford, TX
  • NPI 1639169295
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1053353235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BRYANT IRVIN RD",
            "address_2": "SUITE 304",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324029",
            "telephone_number": "817-361-5037",
            "fax_number": "817-361-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BRYANT IRVIN RD",
            "address_2": "SUITE 304",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324029",
            "telephone_number": "817-361-5037",
            "fax_number": "817-361-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "PATRICIA",
        "middle_name": "BAGWELL",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "513015",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "513015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8N9358",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155963502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phase Reversal LLC
• Dakota B Phelps, LCSW
• David R Phelps, MD
• Erica Phelps
• Madeline Phelps
• Roslyn Phenix, PHD LCPC
• Pheomany Vandy D.C., PLLC
• Phil 413 Transport Care
• Anne V Philip, MD
• Charlene Philip

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.