Individual provider Active NPI

Theresa N. Peters, FNP

  • Nurse Practitioner
  • Garland, TX
National Provider Identifier
1073070355
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP140677 Issued in TX
Practice address
2241 Peggy LN Ste E
Garland, TX 75042-5709
Phone
(469) 758-7874
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP140677 TX Primary

Addresses

Primary practice location

2241 Peggy LN Ste E
Garland, TX 75042-5709

Mailing address

1737 E Frankford Rd Apt 1504
Carrollton, TX 75007-5631

Other practice location 1

209 N Bonnie Brae St Ste 300
Denton, TX 76201-3749
Phone (469) 758-7874

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
I20190617001408 TX Practitioner - Nurse Practitioner 1355674854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Palliative Services PAGroup PAC ID 1951750355, 26 clinicians

Practice addresses (Care Compare)

16633 Dallas Pkwy
Suite 425
Addison, TX 75001-6816
Phone (469) 365-2225

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Palliative Services PA CurrentSince Jul 8, 2024 Accepting new patients
Claire E Brenner MD PA CurrentSince Jun 22, 2019 Accepting new patients
Texas Palliative Services PA CurrentSince Jul 8, 2024 Accepting new patients
Canopusmd, PLLC CurrentSince Mar 1, 2019 Accepting new patients
Texas Palliative Services PA PastSince Jul 21, 2024 Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

16633 Dallas Pkwy
Ste 425
Addison, TX 75001
Phone (469) 365-2225

2241 Peggy Ln
Ste E
Garland, TX 75042
Phone (972) 276-6191

3516 NE Stallings Dr
Ste B
Nacogdoches, TX 75965
Phone (936) 585-6140

8277 Belleview Dr
Ste 275
Plano, TX 75024
Phone (469) 365-2225

5055 W Park Blvd
Ste 400
Plano, TX 75093
Phone (901) 826-7075

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1073070355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 E FRANKFORD RD APT 1504",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 PEGGY LN STE E",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425709",
            "telephone_number": "469-758-7874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 N Bonnie Brae St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762013749",
            "country_code": "US",
            "telephone_number": "469-758-7874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "THERESA",
        "middle_name": "N.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.