Individual provider Active NPI

Sandia Venord

  • Primary Care Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1124783642
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1038831 Issued in TX
Practice address
5313 Vestia Dr
Fort Worth, TX 76244-6720
Phone
(407) 924-7718
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1038831 TX
Primary Care Nurse Practitioner 363LP2300X 1038831 TX Primary

Addresses

Primary practice location

5313 Vestia Dr
Fort Worth, TX 76244-6720

Mailing address

5313 Vestia Dr
Fort Worth, TX 76244-6720
Phone (407) 924-7718

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
I20220126002853 TX Practitioner - Nurse Practitioner 5496147365 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthconnection Integrative Medicine PLLCGroup PAC ID 7618325648, 2 clinicians

Practice addresses (Care Compare)

1301 N Beach St
Fort Worth, TX 76111-6613
Phone (817) 831-3388

451 Keller Pkwy
Keller, TX 76248-2302
Phone (817) 337-2584

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthconnection Integrative Medicine PLLC CurrentSince Jul 25, 2024 Accepting new patients
Healthy Body Integrative Medicine CurrentSince May 25, 2022 Accepting new patients
Texas Physicians Specialized Medicine PLLC Current Accepting new patients
Texas Physicians Specialized Medicine PLLC CurrentSince Feb 3, 2025 Accepting new patients
Advanced Medical of North Texas PLLC CurrentSince Dec 1, 2021 Accepting new patients
Healthy Body Chiropractic PLLC PastSince May 25, 2022 Accepting new patients

Locations

5500 North Tarrant Pkwy
Ste 108
Fort Worth, TX 76244
Phone (817) 605-9500

1301 N Beach St
Ft Worth, TX 76111
Phone (817) 831-3388

451 Keller Pkwy
Keller, TX 76248
Phone (817) 337-2584

2400 Highway 287 N
Ste 104
Mansfield, TX 76063
Phone (817) 539-0044

Organizations & group practices 6

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1124783642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5313 VESTIA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446720",
            "telephone_number": "407-924-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5313 VESTIA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446720",
            "telephone_number": "407-924-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENORD",
        "first_name": "SANDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1038831",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1038831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.