Active NPI
Patricia Rose Dark, APRN, FNP-BC
- Family Nurse Practitioner
- The Woodlands, TX
National Provider Identifier
1073004792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP137600
- Practice address
- 1640 Lake Woodlands Dr Ste E
The Woodlands, TX 77380-3277 - Phone
- (281) 367-0010
- NPI assigned
- May 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP137600 | TX | Primary |
| Emergency Registered Nurse | 163WE0003X | 957032 | TX |
Addresses
Primary practice location
1640 Lake Woodlands Dr Ste E
The Woodlands, TX 77380-3277
Mailing address
17015 N Saba
Splendora, TX 77372-1409
Phone (302) 747-6080
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181020000076 | TX | Practitioner - Nurse Practitioner | 8325391303 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 957032 | TX | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Urgent Care PA | Current | Accepting new patients | |
| Texas Children'S Physician Group | Past | Accepting new patients |
Locations
1640 Lake Woodlands Dr
Ste E
The Woodlands, TX 77380
Phone (281) 367-0010
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": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585872000000",
"number": "1073004792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17015 N SABA",
"city": "SPLENDORA",
"state": "TX",
"postal_code": "773721409",
"telephone_number": "302-747-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 LAKE WOODLANDS DR STE E",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773803277",
"telephone_number": "281-367-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARK",
"first_name": "PATRICIA",
"middle_name": "ROSE",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-29",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP137600",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "TX",
"license": "957032",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.