Individual provider Active NPI

Chandni Anil Bhakta, MSN, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Irving, TX
National Provider Identifier
1205699220
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1018060 Issued in TX
Practice address
3501 N Macarthur Blvd Ste 450
Irving, TX 75062-3651
Phone
(972) 786-0330
NPI assigned
Feb 1, 2024
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1018060 TX Primary

Addresses

Primary practice location

3501 N Macarthur Blvd Ste 450
Irving, TX 75062-3651

Mailing address

805 W Avenue D
Lovington, NM 88260-4647

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
I20240220001635 TX Practitioner - Nurse Practitioner 7214371046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1018060TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Macarthur Medical Center, PLLC Pediatrics CurrentSince Oct 20, 2019 Accepting new patients
Macarthur Medical Center, PLLC CurrentSince Feb 1, 2024 Accepting new patients
Cristina V. Valdez, MD PA PastSince Feb 1, 2024 Accepting new patients

Locations

3501 N MacArthur Blvd
Ste 400
Irving, TX 75062
Phone (972) 594-0100

3501 N MacArthur Blvd
Ste 450
Irving, TX 75062
Phone (972) 594-0100

3501 N MacArthur Blvd
Ste 500
Irving, TX 75062
Phone (972) 786-0330

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": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1205699220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W AVENUE D",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882604647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD STE 450",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623651",
            "telephone_number": "972-786-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "CHANDNI",
        "middle_name": "ANIL",
        "credential": "MSN, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1018060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.