Theresa Danielle Englutt, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1066568 Issued in TX

Practice address

5012 S US Highway 75 Ste 200
Denison, TX 75020-4610

Phone

(903) 465-5012

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Pulmonary Critical Care and Sleep Medicine, PAGroup PAC ID 4183870728, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texoma Medical Center Hospital, Denison, TX, CCN 450324
• Baylor Scott and White Surgical Hospital at Sherma Hospital, Sherman, TX, CCN 670076
• TMC- Bonham Hospital Hospital, Bonham, TX, CCN 451370
• North Texas Medical Center Hospital, Gainesville, TX, CCN 450090
• Carrus Specialty Hospital Long-term care hospital, Sherman, TX, CCN 452041

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHADAD/Endpoint/CHADAD
• FHIR API: https://fhir4.healow.com/fhir/r4/GCFCCA

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.

• Premier Pulmonary Critical Care and Sleep Medicine, PA

  • Pulmonary Disease Physician
  • Denison, TX
  • NPI 1740557909
  Medicare reassignment Care Compare group NPD
• Dermatology Associates of Denison PLLC

  • Specialist
  • Denison, TX
  • NPI 1699111476
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fannin County Hospital Authority

  • Critical Access Hospital
  • Bonham, TX
  • NPI 1760417646
  Care Compare affiliation
• Gainesville Community Hospital, Inc.

  • General Acute Care Hospital
  • Gainesville, TX
  • NPI 1972071991
  Care Compare affiliation
• Heritage Park Surgical Hospital LLC

  • General Acute Care Hospital
  • Sherman, TX
  • NPI 1235510090
  Care Compare affiliation
• Texoma Hospital Partners, LLC

  • Long Term Care Hospital
  • Sherman, TX
  • NPI 1205006038

  Long-term care hospital

  Care Compare affiliation
• Uhs of Texoma, Inc

  • General Acute Care Hospital
  • Denison, TX
  • NPI 1851390967
  Care Compare affiliation

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1083355911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 RIDGEWAY DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923211",
            "telephone_number": "903-436-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 200",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204610",
            "telephone_number": "903-465-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLUTT",
        "first_name": "THERESA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1066568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EcWorks",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5012 S US Highway 75 Ste 200",
            "city": "Denison",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750204610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kyle Edwards
• Stephanie Edwards, FNP
• Azar Ehsan, M.D.
• Hesham Mohamed Elgouhari, M.D.
• Katherine L Ellis, MD
• Enterprise Pediatric Center of Denison LLC
• Enterprise Pediatric Center of Denison LLC
• Tiffany Estes
• Exbury Garden Assisted Living Community LLC
• Exceptionalcare, Inc.

• Nurse Practitioner in Denison, TX
• Providers in Denison, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.

Verify at the official NPI Registry.