Active NPI
Edak Akan, FNP
- Family Nurse Practitioner
- Odessa, TX
National Provider Identifier
1194288332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP139792
- Practice address
- 6030 W University Blvd
Odessa, TX 79764-8530 - Phone
- (432) 640-6600
- Fax
- (432) 640-4791
- NPI assigned
- Apr 12, 2019
- Last updated
- Feb 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP139792 | TX | Primary |
Addresses
Primary practice location
6030 W University Blvd
Odessa, TX 79764-8530
Mailing address
6030 W University Blvd
Odessa, TX 79764-8530
Phone (432) 640-6600
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Ector County Hospital District | Single Specialty | Past | Accepting new patients |
Locations
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
Organizations & group practices 4
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.
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Irving, TX
- NPI 1679510499
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Irving, TX
- NPI 1326667536
-
dba MCH Urgent Care
- Urgent Care Clinic/Center
- Odessa, TX
- NPI 1366680555
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1194288332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6030 W UNIVERSITY BLVD",
"city": "ODESSA",
"state": "TX",
"postal_code": "797648530",
"telephone_number": "432-640-6600",
"fax_number": "432-640-4791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6030 W UNIVERSITY BLVD",
"city": "ODESSA",
"state": "TX",
"postal_code": "797648530",
"telephone_number": "432-640-6600",
"fax_number": "432-640-4791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKAN",
"first_name": "EDAK",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-12",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP139792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.