Individual provider Active NPI

Hazel Togonon Violan, NP

  • Gerontology Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1184355034
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1022376 Issued in TX
Practice address
6010 W Amarillo Blvd
Amarillo, TX 79106-1990
Phone
(806) 355-9703
NPI assigned
Jun 21, 2022
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1022376 TX
Gerontology Nurse Practitioner 363LG0600X 1022376 TX Primary

Addresses

Primary practice location

6010 W Amarillo Blvd
Amarillo, TX 79106-1990

Mailing address

5040 S Coulter St Apt 1208
Amarillo, TX 79119-5431
Phone (806) 392-6505

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
I20221201002527 TX Practitioner - Nurse Practitioner 9638547284 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Med Visit Management LLCGroup PAC ID 1557723137, 3 clinicians

Practice addresses (Care Compare)

5068 W Plano Pkwy
Suite 295a
Plano, TX 75093-4408
Phone (469) 999-5949

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1022376TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Physician House Calls LLC CurrentSince Jan 11, 2023 Accepting new patients
Questcare Hospitalists PLLC CurrentSince Oct 2, 2022 Accepting new patients
Mobile Med Visit Management LLC CurrentSince May 17, 2023 Accepting new patients

Locations

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

5068 W Plano Pkwy
Ste 295A
Plano, TX 75093
Phone (469) 999-5949

5068 W Plano Pkwy
Ste 295C
Plano, TX 75093
Phone (972) 666-0786

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, 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": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1184355034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 S COULTER ST APT 1208",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791195431",
            "telephone_number": "806-392-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 W AMARILLO BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061990",
            "telephone_number": "806-355-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLAN",
        "first_name": "HAZEL",
        "middle_name": "TOGONON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1022376",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1022376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.