Individual provider Active NPI

Queen Arasah, FNP

  • Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1164960217
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP130844 Issued in TX
Practice address
7244 Cedro
Grand Prairie, TX 75054-0104
Phone
(214) 641-1304
NPI assigned
Feb 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 661919 TX
Nurse Practitioner 363L00000X AP130844 TX Primary

Addresses

Primary practice location

7244 Cedro
Grand Prairie, TX 75054-0104

Mailing address

7244 Cedro
14
Grand Prairie, TX 75054-0104
Phone (214) 641-1304

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
I20240312003935 TX Practitioner - Nurse Practitioner 6103262159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DFW Medical Home PLLCGroup PAC ID 8921223843, 4 clinicians

Practice addresses (Care Compare)

2925 Skyway Circle N
Texas Physician House Calls PLLC
Irving, TX 75038-3510
Phone (972) 675-7313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
661919TXMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Medical Home PLLC CurrentSince Jan 22, 2024 Accepting new patients

Locations

2925 Skyway Cir N
Irving, TX 75038
Phone (972) 247-3060

2925 Skyway Cir N
#P
Irving, TX 75038
Phone (972) 675-7313

Organizations & group practices 1

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": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1164960217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7244 CEDRO",
            "address_2": "14",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540104",
            "telephone_number": "214-641-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7244 CEDRO",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540104",
            "telephone_number": "214-641-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARASAH",
        "first_name": "QUEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "661919",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP130844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.