Individual provider Active NPI

Casie Laine Coon, FNP

  • Family Nurse Practitioner
  • Ft Worth, TX
National Provider Identifier
1124688817
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06190263 Issued in TX
Practice address
7510 N Beach St
Ft Worth, TX 76137-1505
Phone
(817) 498-1818
Fax
(817) 581-3761
NPI assigned
Jun 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06190263 TX Primary

Addresses

Primary practice location

7510 N Beach St
Ft Worth, TX 76137-1505

Mailing address

135 Daisey LN
Justin, TX 76247-5808
Phone (903) 275-4458

Other practice location 1

1501 N Elm St
Denton, TX 76201-3021
Phone (940) 387-0019

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
I20200506002600 TX Practitioner - Nurse Practitioner 2466883459 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06190263TXMDFamily Nurse Practitioner

Organizations & group practices 1

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": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1124688817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 DAISEY LN",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762475808",
            "telephone_number": "903-275-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 N BEACH ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761371505",
            "telephone_number": "817-498-1818",
            "fax_number": "817-581-3761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762013021",
            "country_code": "US",
            "telephone_number": "940-387-0019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COON",
        "first_name": "CASIE",
        "middle_name": "LAINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-16",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F06190263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

Verify at the official NPI Registry.