Individual provider Active NPI

Liezl Mae Chavit Demiar, NP

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1164905170
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139448 Issued in TX
Practice address
501 Rita LN Ste 113
Arlington, TX 76014-2010
Phone
(817) 468-9200
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 862607 TX
Family Nurse Practitioner 363LF0000X AP139448 TX Primary

Addresses

Primary practice location

501 Rita LN Ste 113
Arlington, TX 76014-2010

Mailing address

501 Rita LN Ste 113
Arlington, TX 76014-2010
Phone (817) 468-9200

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
I20220614002637 TX Practitioner - Nurse Practitioner 8527305341 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
862607TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Israel a Hartman M D P a CurrentSince Jun 30, 2022 Accepting new patients
DMT Endocrinology PA Past Accepting new patients

Locations

3101 S Center St
Ste 151
Arlington, TX 76014
Phone (817) 466-1200

501 Rita Ln
Ste 113
Arlington, TX 76014
Phone (817) 468-9200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16579/brand/1/csg/1/fhir/r4
  • Direct secure messaging: liezl.demiar.1@16579.direct.athenahealth.com

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": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1164905170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 RITA LN STE 113",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142010",
            "telephone_number": "817-468-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 RITA LN STE 113",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142010",
            "telephone_number": "817-468-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMIAR",
        "first_name": "LIEZL MAE",
        "middle_name": "CHAVIT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "862607",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.