Individual provider Active NPI

Manaury Alvaradoponce, FNP

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1184475212
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1156073 Issued in TX
Practice address
2725 Matlock Rd
Arlington, TX 76015-2529
Phone
(817) 417-4027
NPI assigned
Mar 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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 1156073 TX Primary

Addresses

Primary practice location

2725 Matlock Rd
Arlington, TX 76015-2529

Mailing address

2725 Matlock Rd
Arlington, TX 76015-2529
Phone (817) 417-4027

Other practice location 1

3215 Omega Dr
Arlington, TX 76014-2006
Phone (817) 466-7400

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
I20240529001485 TX Practitioner - Nurse Practitioner 2668814187 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Practice Associates, PLLC CurrentSince May 1, 2024 Accepting new patients

Locations

301 Highlander Blvd
Ste 121
Arlington, TX 76018
Phone (817) 332-7600

200 Pecan Crk
Southlake, TX 76092
Phone (817) 468-7200

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1184475212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152529",
            "telephone_number": "817-417-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152529",
            "telephone_number": "817-417-4027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3215 Omega Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760142006",
            "country_code": "US",
            "telephone_number": "817-466-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVARADOPONCE",
        "first_name": "MANAURY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1156073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.