Individual provider Active NPI

Tricia Lashun Kelly-Hawkins, MSN, APRN, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1114607660
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1116825 Issued in TX
Practice address
120 Hidalgo LN
Arlington, TX 76014-3128
Phone
(817) 228-9700
NPI assigned
Jul 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1116825 TX Primary

Addresses

Primary practice location

120 Hidalgo LN
Arlington, TX 76014-3128

Mailing address

120 Hidalgo LN
Arlington, TX 76014-3128
Phone (817) 228-9700

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
I20240223003191 TX Practitioner - Nurse Practitioner 2163867698 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Mar 1, 2024 Accepting new patients
Texas Health Physicians Group CurrentSince Mar 1, 2024 Accepting new patients
Strategic Medical Group TX PLLC PastSince Feb 4, 2024 Accepting new patients

Locations

3920 W Wheatland Rd
Ste 152
Dallas, TX 75237
Phone (214) 467-0432

4400 Oak Park Ln
Ft Worth, TX 76109
Phone (817) 207-9600

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

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": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1114607660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HIDALGO LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143128",
            "telephone_number": "817-228-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HIDALGO LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143128",
            "telephone_number": "817-228-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY-HAWKINS",
        "first_name": "TRICIA",
        "middle_name": "LASHUN",
        "credential": "MSN, APRN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1116825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.