Individual provider Active NPI

Patricia Rose Dark, APRN, FNP-BC

  • Family Nurse Practitioner
  • The Woodlands, TX
National Provider Identifier
1073004792
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137600 Issued in TX
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

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
957032TXMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Urgent Care PA CurrentSince Mar 1, 2020 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

Verify at the official NPI Registry.