Organization Active NPI

Tarrant County Public Health Dept.

  • Public Health or Welfare Agency
  • Ft Worth, TX
National Provider Identifier
1124323191
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
74925 Issued in TX
Legal business name
TARRANT COUNTY PUBLIC HEALTH DEPT.
Practice address
1101 S Main St
#1600
Ft Worth, TX 76104-4802
Phone
(817) 321-4934
Fax
(817) 321-4920
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Anita Kaye Ellenberger, LVN
Title
LVN
Phone
(817) 321-4934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 74925 TX Primary

Addresses

Primary practice location

1101 S Main St
#1600
Ft Worth, TX 76104-4802

Mailing address

1101 S Main St
#1600
Ft Worth, TX 76104-4802
Phone (817) 321-4934

National Provider Directory

National Provider Directory

Locations

1101 S Main St
#1600
Ft Worth, TX 76104
Phone (817) 321-4900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1124323191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S MAIN ST",
            "address_2": "#1600",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761044802",
            "telephone_number": "817-321-4934",
            "fax_number": "817-321-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S MAIN ST",
            "address_2": "#1600",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761044802",
            "telephone_number": "817-321-4934",
            "fax_number": "817-321-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRANT COUNTY PUBLIC HEALTH DEPT.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "ELLENBERGER",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "LVN",
        "authorized_official_telephone_number": "817-321-4934",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TX",
            "license": "74925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.