Active NPI
Heather Lynn Autry, D.O.
- Family Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N953
- Practice address
- 1500 S Main St
Fort Worth, TX 76104-4917 - Phone
- (817) 702-3431
- NPI assigned
- Jul 15, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 51402 | CO | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 51402 | CO | |
| Family Medicine Physician | 207Q00000X | N953 | TX | Primary |
Addresses
Primary practice location
1500 S Main St
Fort Worth, TX 76104-4917
Mailing address
PO Box 732973
Dallas, TX 75391-2973
Phone (817) 702-3431
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64771202 | Medicaid | CO | |
| COA107693 | Other | CO | MEDICARE PTAN |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Texas HSC, College of Osteopathic Med, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 S Main St
Suite 1600
Fort Worth, TX 76104-7611
Phone (817) 702-9701
1350 S Main St FL
1 Healing Wings/Infectious Disease
Fort Worth, TX 76104-7611
Phone (817) 702-3701
1500 S Main St
Fort Worth, TX 76104-4917
1500 S Main St FL
1 Urgent Care Center
Fort Worth, TX 76104-4917
Phone (817) 702-1451
1741 E Bardin Rd
Arlington, TX 76018-4836
Phone (817) 702-8470
4701 Bryant Irvin Rd N
Fort Worth, TX 76107-7627
Phone (817) 702-7400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.38 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N953 | TX | MD | Family Medicine Physician |
| 51402 | CO | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| Uchealth Pikes Peak Regional Hospital | Past | Accepting new patients |
Locations
1741 E Bardin Rd
Arlington, TX 76018
Phone (817) 702-4987
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450
Interoperability endpoints
- heather.autry@corhio.medicity.net
- hautry@yourcarecommunity.org
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
- Critical Access Hospital
- Woodland Park, CO
- NPI 1275703910
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba JPS Health Network
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464998400000",
"number": "1093979395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 732973",
"city": "DALLAS",
"state": "TX",
"postal_code": "753912973",
"telephone_number": "817-702-3431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044917",
"telephone_number": "817-702-3431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUTRY",
"first_name": "HEATHER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2016-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "51402",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CO",
"license": "51402",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64771202",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "COA107693",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Authentic Counseling and Coaching Center, LLC
- Autistic Treatment Center Inc (Autism Treatment Center)
- Autistic Treatment Center, Inc. (Autism Treatment Center)
- Auto Injury Pros
- Alex Nelson Autry, D.O.
- James Autry
- Amanda Avalos, APRN, CPNP-PC
- Ingrid Avent, LVN
- Amanda Averbeck, M.S., LMFT-ASSOCIATE
- Aurora Marie Averill, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2016; 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.