Active NPI
Anna E Vasquez, LCPO
- Prosthetist
- Fort Worth, TX
National Provider Identifier
1194958595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 32
- Practice address
- 1401 W Magnolia Ave
Fort Worth, TX 76104-4250 - Phone
- (817) 923-2101
- NPI assigned
- Sep 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 32 | TX | |
| Prosthetist | 224P00000X | 32 | TX | Primary |
Addresses
Primary practice location
1401 W Magnolia Ave
Fort Worth, TX 76104-4250
Mailing address
1401 W Magnolia Ave
Fort Worth, TX 76104-4250
Phone (817) 923-2101
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32 | TX | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1194958595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 W MAGNOLIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044250",
"telephone_number": "817-923-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W MAGNOLIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044250",
"telephone_number": "817-923-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "ANNA",
"middle_name": "E",
"credential": "LCPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-01",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "TX",
"license": "32",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TX",
"license": "32",
"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 Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.