Individual provider Active NPI

Christina Coleman

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1144991811
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1054418 Issued in TX
Practice address
3641 W Northwest Hwy Ste 160
Dallas, TX 75220-5936
Phone
(214) 292-6099
Fax
(972) 685-6575
NPI assigned
Sep 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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 1054418 TX Primary

Addresses

Primary practice location

3641 W Northwest Hwy Ste 160
Dallas, TX 75220-5936

Mailing address

1048 Sublime Dr
Heath, TX 75126-1069
Phone (214) 289-2368

Other practice location 1

3560 E Park Blvd
Plano, TX 75074-3111
Phone (972) 424-0579

Other practice location 2

3166 S State Highway 161 Ste 170
Grand Prairie, TX 75052-7720
Phone (972) 212-6668

Other names 1

  • Christina Horn Former name

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
I20241105000760 TX Practitioner - Nurse Practitioner 8628501210 Reassigns benefits to 1 organization

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
Q Day Walk in Clinic and Spa LLCGroup PAC ID 7012333289, 4 clinicians

Practice addresses (Care Compare)

3560 E Park Blvd
Plano, TX 75074-3111
Phone (972) 424-0579

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1054418TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Q Day Walk in Clinic and Spa, LLC CurrentSince Sep 1, 2024 Accepting new patients
Little Spurs Pediatric Urgent Care, PLLC PastSince Nov 20, 2022 Accepting new patients

Locations

3560 E Park Blvd
Plano, TX 75074
Phone (972) 424-0579

Organizations & group practices 2

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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1144991811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 SUBLIME DR",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "751261069",
            "telephone_number": "214-289-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 W NORTHWEST HWY STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752205936",
            "telephone_number": "214-292-6099",
            "fax_number": "972-685-6575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3560 E Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750743111",
            "country_code": "US",
            "telephone_number": "972-424-0579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3166 S State Highway 161 Ste 170",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750527720",
            "country_code": "US",
            "telephone_number": "972-212-6668",
            "fax_number": "469-660-3011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1054418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "HORN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.