NPIMap

Organization Active NPI

Texas Heart Hospital of the Southwest LLP

  • Nurse Practitioner
  • Plano, TX
National Provider Identifier
1104164755
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
TEXAS HEART HOSPITAL OF THE SOUTHWEST LLP
Practice address
1100 Allied Dr
Plano, TX 75093-5348
Phone
(469) 814-3278
Fax
(469) 814-4361
NPI assigned
Jan 16, 2013
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
TEXAS HEART HOSPITAL OF THE SOUTHWEST LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Bryan Z Nichols
Title
Vice President of Finance
Phone
(469) 814-3506

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU Primary
Clinical Nurse Specialist 364S00000X NU

Addresses

Primary practice location

1100 Allied Dr
Plano, TX 75093-5348

Mailing address

1100 Allied Dr
Plano, TX 75093-5348
Phone (469) 814-3278

Other names 1

  • TEXAS HEART HOSPITAL HOUSE PROVIDERS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130517000141 TX Part B Supplier - Clinic/Group Practice 0840298303 Receives reassigned benefits from 81 practitioners
1 other NPI on this enrollment
Practice locations: McKinney, TX; Plano, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Texas Heart Hospital of the

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baylor Scott & White the Heart Hospital - DallasDallas, TX, CCN 450851 Hospital Operational/Managerial Control Feb 1, 2025
Baylor Scott & White the Heart Hospital RehabilitationDenton, TX, CCN 67T347 Hospital Operational/Managerial Control Nov 1, 2024
Baylor Scott & White the Heart Hospital - CorinthDenton, TX, CCN 670347 Hospital Operational/Managerial Control Nov 1, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 91

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1104164755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ALLIED DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935348",
            "telephone_number": "469-814-3278",
            "fax_number": "469-814-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ALLIED DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935348",
            "telephone_number": "469-814-3278",
            "fax_number": "469-814-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEART HOSPITAL OF THE SOUTHWEST LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS HEART HOSPITAL OF THE SOUTHWEST LLP",
        "enumeration_date": "2013-01-16",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "469-814-3506"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEXAS HEART HOSPITAL HOUSE PROVIDERS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "TEXAS HEART HOSPITAL HOUSE PROVIDERS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.