Active NPI
Andrea Marie Glatz, APRN
- Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP136479
- Practice address
- 2221 8TH Ave
Fort Worth, TX 76110-1812 - Phone
- (817) 336-5060
- Fax
- (817) 336-1744
- NPI assigned
- Apr 18, 2018
- Last updated
- Mar 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP136479 | TX | Primary |
Addresses
Primary practice location
2221 8TH Ave
Fort Worth, TX 76110-1812
Mailing address
2221 8TH Ave
Fort Worth, TX 76110-1812
Phone (817) 336-5060
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2025 Fort Worth Hwy
Suite 200
Weatherford, TX 76086-4777
Phone (817) 336-5060
919 Travis Ave
Fort Worth, TX 76104-3137
Phone (817) 810-0700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dialysis Associates | Current | Accepting new patients |
Locations
2221 8th Ave
Fort Worth, TX 76110
919 Travis Ave
Fort Worth, TX 76104
Phone (817) 810-0700
950 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 912-9600
Interoperability endpoints
- aglatz28975@direct.acumenmd.com
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, 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": "1524009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1184111809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 8TH AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101812",
"telephone_number": "817-336-5060",
"fax_number": "817-336-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 8TH AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101812",
"telephone_number": "817-336-5060",
"fax_number": "817-336-1744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLATZ",
"first_name": "ANDREA",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-18",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP136479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.