Individual provider Active NPI

Fiona Giretta Atitso, M.D.

  • Family Medicine Physician
  • Willow Park, TX
National Provider Identifier
1134549702
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R1696 Issued in TX
Practice address
101 Crown Pointe Blvd Ste 200
Willow Park, TX 76087-1191
Phone
(817) 599-7661
Fax
(817) 599-8408
NPI assigned
Apr 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R1696 TX Primary

Addresses

Primary practice location

101 Crown Pointe Blvd Ste 200
Willow Park, TX 76087-1191

Mailing address

101 Crown Pointe Blvd Ste 200
Willow Park, TX 76087-1191
Phone (817) 599-7661

Other practice location 1

2005 Fort Worth Hwy Ste 200
Weatherford, TX 76086-4781
Phone (817) 599-7661

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fatitso1186814@Direct.TexasHealth.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170726001010 TX Practitioner - Family Practice 5597984872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R1696TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Texas Health Physicians Group CurrentSince Jul 1, 2017 Accepting new patients
Texas Health Physicians Group Current Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

2005 Fort Worth Hwy
Ste 200
Weatherford, TX 76086
Phone (817) 598-5620

101 Crown Pointe Blvd
Ste 200
Willow Park, TX 76087
Phone (817) 599-7661

101 Crown Pointe Blvd
Ste 340
Willow Park, TX 76087
Phone (844) 994-7223

Interoperability endpoints

  • Direct secure messaging: fatitso1186814@direct.texashealth.org

Organizations & group practices 3

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": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134549702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CROWN POINTE BLVD STE 200",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760871191",
            "telephone_number": "817-599-7661",
            "fax_number": "817-599-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CROWN POINTE BLVD STE 200",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760871191",
            "telephone_number": "817-599-7661",
            "fax_number": "817-599-8408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Fort Worth Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760864781",
            "country_code": "US",
            "telephone_number": "817-599-7661",
            "fax_number": "817-599-8408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATITSO",
        "first_name": "FIONA",
        "middle_name": "GIRETTA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R1696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fatitso1186814@Direct.TexasHealth.org",
            "affiliation": "N",
            "address_1": "101 Crown Pointe Blvd Ste 200",
            "city": "Willow Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760871191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willow Park, TX

Sources for this page

Verify at the official NPI Registry.