Individual provider Active NPI

Maxine Zarbinian

  • Physician Assistant
  • Grapevine, TX
National Provider Identifier
1174022248
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11746 Issued in TX
Practice address
1900 Enchanted Way Ste 100
Grapevine, TX 76051-1022
Phone
(817) 421-1066
NPI assigned
Feb 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11746 TX Primary

Addresses

Primary practice location

1900 Enchanted Way Ste 100
Grapevine, TX 76051-1022

Mailing address

3225 Turtle Creek Blvd Apt 814B
Dallas, TX 75219-5464
Phone (972) 900-0347

Other identifiers 1

IdentifierTypeStateIssuer
PA11746OtherPA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11746TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hippomed Wellness Clinics Limited Company CurrentSince Apr 1, 2021 Accepting new patients
Vital House Calls, LLC CurrentSince Jan 15, 2019 Accepting new patients
Gracious Minds Counseling and Supervision Inc. PastSince Sep 20, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABIGCA/Endpoint/ABIGCA

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.

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1174022248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 TURTLE CREEK BLVD APT 814B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195464",
            "telephone_number": "972-900-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ENCHANTED WAY STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511022",
            "telephone_number": "817-421-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARBINIAN",
        "first_name": "MAXINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA11746",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.