Individual provider Active NPI

Nahid Rezaee-Anzabi, ANP

  • Adult Health Nurse Practitioner
  • North Richland Hills, TX
National Provider Identifier
1215344924
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP125548 Issued in TX
Practice address
4375 Booth Calloway Rd Ste 400
North Richland Hills, TX 76180-8365
Phone
(817) 284-3915
Fax
(844) 292-1464
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP125548 TX Primary

Addresses

Primary practice location

4375 Booth Calloway Rd Ste 400
North Richland Hills, TX 76180-8365

Mailing address

4375 Booth Calloway Rd Ste 400
North Richland Hills, TX 76180-8365
Phone (817) 284-3915

Other identifiers 1

IdentifierTypeStateIssuer
344494501MedicaidTX

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
I20150217000181 TX Practitioner - Nurse Practitioner 0547585465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartplace PLLCGroup PAC ID 2769386473, 90 clinicians

Practice addresses (Care Compare)

4375 Booth Calloway Rd
Suite 400
N Richland Hills, TX 76180-8365
Phone (817) 284-3915

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
75.09
Promoting interoperability
100
Improvement activities
40
Cost
79.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartplace, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Heartplace, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Fort Worth Heart, P.a. CurrentSince Jan 17, 2017 Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003

1900 Mistletoe Blvd
Ft Worth, TX 76104

1900 Mistletoe Blvd
Ste 100
Ft Worth, TX 76104
Phone 8173381300236

2800 E Broad St
Ste 318
Mansfield, TX 76063
Phone (214) 946-9898

4375 Booth Calloway Rd
Ste 400
North Richlnd Hls, TX 76180
Phone (817) 284-3915

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4
  • Direct secure messaging: nahid.rezaeeanzabi@ushv.eclinicaldirectplus.com
  • Direct secure messaging: nahid.rezaee-anzabi.1@14273.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1215344924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD STE 400",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808365",
            "telephone_number": "817-284-3915",
            "fax_number": "844-292-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD STE 400",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808365",
            "telephone_number": "817-284-3915",
            "fax_number": "844-292-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAEE-ANZABI",
        "first_name": "NAHID",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP125548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344494501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.