Individual provider Active NPI

Antoinette Arendale, NP-C

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1174924088
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126090 Issued in TX
Practice address
5345 N President George Bush Hwy
Garland, TX 75040-2767
Phone
(469) 800-2100
NPI assigned
Sep 10, 2014
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 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 AP126090 TX Primary

Addresses

Primary practice location

5345 N President George Bush Hwy
Garland, TX 75040-2767

Mailing address

5345 N President George Bush Hwy
Garland, TX 75040-2767
Phone (469) 800-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aarendale222399@direct.sw.org

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
I20141211001464 TX Practitioner - Nurse Practitioner 6204158769 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
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

9101 N Central Expy
Dallas, TX 75231-5947

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP126090TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Oct 20, 2014 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 20, 2014 Accepting new patients

Locations

3417 Gaston Ave
Ste 1000
Dallas, TX 75246
Phone (469) 800-9000

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648

5345 N President George Bush Hwy
Garland, TX 75040
Phone (972) 495-5888

Interoperability endpoints

  • Direct secure messaging: aarendale222399@direct.sw.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1174924088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 N PRESIDENT GEORGE BUSH HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402767",
            "telephone_number": "469-800-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 N PRESIDENT GEORGE BUSH HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402767",
            "telephone_number": "469-800-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENDALE",
        "first_name": "ANTOINETTE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aarendale222399@direct.sw.org",
            "affiliation": "N",
            "address_1": "3417 Gaston Ave Ste 1000",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752462037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.