Organization Active NPI

Hot Shot Medical Group, LLC

  • Community Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1144948688
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
Legal business name
HOT SHOT MEDICAL GROUP, LLC
Practice address
20 Oakridge LN
Fort Worth, TX 76134-1048
Phone
(682) 283-8704
Fax
(817) 294-9677
NPI assigned
Aug 19, 2022
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Vera StriderNPI 1861200958
Title
Owner/ Ceo
Phone
(682) 283-8704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU
Non-emergency Medical Transport (VAN) 343900000X NU
Private Vehicle 347C00000X NU
Medical Physician Assistant 363AM0700X NU
Community Health Nurse Practitioner 363LC1500X NU Primary
Prevention Professional 405300000X NU

Addresses

Primary practice location

20 Oakridge LN
Fort Worth, TX 76134-1048

Mailing address

PO Box 60390
Fort Worth, TX 76115-6390
Phone (682) 283-8704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250109001680 TX Part B Supplier - Clinic/Group Practice 2264960913 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1144948688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60390",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761156390",
            "telephone_number": "682-283-8704",
            "fax_number": "682-418-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OAKRIDGE LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761341048",
            "telephone_number": "682-283-8704",
            "fax_number": "817-294-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOT SHOT MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "STRIDER",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "682-283-8704"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.