Individual provider Active NPI

Janae Simpson

  • Registered Nurse
  • Fort Worth, TX
National Provider Identifier
1194306076
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1147879 Issued in TX
Practice address
4801 Brentwood Stair Rd
Fort Worth, TX 76103-1729
Phone
(817) 207-8700
Fax
(817) 207-8778
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 351097 TX
Registered Nurse 163W00000X 1147879 TX Primary

Addresses

Primary practice location

4801 Brentwood Stair Rd
Fort Worth, TX 76103-1729

Mailing address

4801 Brentwood Stair Rd
Fort Worth, TX 76103-1729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1147879TXMDRegistered Nurse
351097TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medmark Treatment Centers of Texas, Inc. PastSince Apr 1, 2021 Accepting new patients
Medmark Treatment Centers of Texas, Inc. PastSince Apr 1, 2021 Accepting new patients
Texas Treatment Services LLC Past Accepting new patients
Texas Treatment Services LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1194306076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 BRENTWOOD STAIR RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 BRENTWOOD STAIR RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031729",
            "telephone_number": "817-207-8700",
            "fax_number": "817-207-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JANAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "351097",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1147879",
            "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 Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.