Individual provider Active NPI

Katherine Leona Rushing, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1184261091
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13216 Issued in TX
Practice address
3455 Locke Ave Ste 315
Fort Worth, TX 76107-5747
Phone
(817) 336-1189
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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 PA13216 TX Primary

Addresses

Primary practice location

3455 Locke Ave Ste 315
Fort Worth, TX 76107-5747

Mailing address

900 Jerome St Ste 400
Fort Worth, TX 76104-3942
Phone (817) 732-6060

Other names 1

  • Katherine Leona Fields Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krushing1540247@Direct.TexasHealth.org Health Information Exchange (HIE)

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
I20200211000892 TX Practitioner - Physician Assistant 5496181448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

1320 Hemphill St
Suite 300
Fort Worth, TX 76104-4716
Phone (817) 336-1189

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 684-2708

251 Westpark Way
Suite 212
Euless, TX 76040-3707
Phone (214) 570-2319

321 Westpark Way
Suite 306
Euless, TX 76040-3902
Phone (817) 250-7395

6116 Lake Worth Blvd
Suite 100
Lake Worth, TX 76135-3703
Phone (817) 984-3260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA13216TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Feb 1, 2020 Accepting new patients
Radiology Associates of North Texas PA PastSince Dec 1, 2019 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

321 Westpark Way
Ste 306
Euless, TX 76040
Phone (817) 250-7395

900 Jerome St
Ste 400
Fort Worth, TX 76104
Phone (817) 332-6092

1320 Hemphill St
Ste 300
Fort Worth, TX 76104
Phone (817) 336-1189

3455 Locke Ave
Ste 315
Fort Worth, TX 76107
Phone (817) 336-1189

Interoperability endpoints

  • Direct secure messaging: krushing1540247@direct.texashealth.org

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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1184261091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JEROME ST STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043942",
            "telephone_number": "817-732-6060",
            "fax_number": "817-731-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LOCKE AVE STE 315",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075747",
            "telephone_number": "817-336-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHING",
        "first_name": "KATHERINE",
        "middle_name": "LEONA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krushing1540247@Direct.TexasHealth.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3455 Locke Ave Ste 315",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761075747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "FIELDS",
            "middle_name": "LEONA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.