Individual provider Active NPI

Rahwa Fisshatsion Demas

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1063219202
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1189540 Issued in TX
Practice address
8050 Meadow Rd
Dallas, TX 75231-3406
Phone
(469) 232-6500
NPI assigned
Feb 26, 2025
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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 1189540 TX Primary

Addresses

Primary practice location

8050 Meadow Rd
Dallas, TX 75231-3406

Mailing address

7308 Willow Wood St
Rowlett, TX 75089-1304
Phone (714) 609-1941

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
I20250617001220 TX Practitioner - Nurse Practitioner 9133630130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desoto Healthcare Clinic LLCGroup PAC ID 1153719414, 11 clinicians

Practice addresses (Care Compare)

860 Hebron Pkwy
Suite 704
Lewisville, TX 75057-5145
Phone (214) 777-2703

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desoto Healthcare Clinic LLC Family Medicine CurrentSince May 2, 2025 Accepting new patients
Brainwaves Neurology PLLC CurrentSince Jun 1, 2025 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jun 1, 2025 Accepting new patients
Gifted Hands Housecall Inc CurrentSince Jul 1, 2025 Accepting new patients
Happy Bridge Primary Care & Home Health PLLC Family PastSince Nov 6, 2025 Accepting new patients

Locations

1221 W Airport Fwy
Ste 209
Irving, TX 75062
Phone (214) 455-5028

860 Hebron Pkwy
Ste 704
Lewisville, TX 75057
Phone (214) 777-2703

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1063219202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7308 WILLOW WOOD ST",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750891304",
            "telephone_number": "714-609-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 MEADOW RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313406",
            "telephone_number": "469-232-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAS",
        "first_name": "RAHWA",
        "middle_name": "FISSHATSION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1189540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.