Active NPI
Fiona Giretta Atitso, M.D.
- Family Medicine Physician
- Willow Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R1696
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R1696 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Family Medicine | Current | Accepting new patients |
| Texas Health Physicians Group | Current | 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
- 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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
Family Medicine, TX
-
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.