Active NPI
Andrew Sadousky, MS, FNP-C
- Family Nurse Practitioner
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP127302
- Practice address
- 250 Miron Dr
Southlake, TX 76092-7852 - Phone
- (817) 328-3000
- NPI assigned
- Jun 11, 2015
- Last updated
- Oct 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP127302 | TX | Primary |
Addresses
Primary practice location
250 Miron Dr
Southlake, TX 76092-7852
Mailing address
2630 Villa Di Lago
Unit 3
Grand Prairie, TX 75054-6622
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Southlake, TX 76092
Phone (817) 328-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP127302 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Open Wound Care PLLC | Family | Current | Accepting new patients |
| Verdure Health Services | Current | Accepting new patients | |
| Global Open Wound Care Services LLC | Family | Current | Accepting new patients |
Locations
8270 Woodland Center Blvd
Ste 121
Tampa, FL 33614
Phone (817) 328-3000
5900 Balcones Dr
Ste 100
Austin, TX 78731
105 Decker Ct
Ste 140
Irving, TX 75062
Phone (210) 201-4546
250 Miron Dr
Southlake, TX 76092
Phone (817) 328-3000
521 W Southlake Blvd
Ste 150
Southlake, TX 76092
Phone (817) 328-3000
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
- Southlake, TX
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- Irving, TX
- NPI 1801495940
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Irving, TX
- NPI 1679510499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1063893378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 VILLA DI LAGO",
"address_2": "UNIT 3",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750546622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 MIRON DR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760927852",
"telephone_number": "817-328-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADOUSKY",
"first_name": "ANDREW",
"credential": "MS, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-11",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP127302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.