Individual provider Active NPI

Punam Malani, FNP

  • Nurse Practitioner
  • Plano, TX
National Provider Identifier
1215541768
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1003505 Issued in TX
Practice address
5085 W Park Blvd Ste 200
Plano, TX 75093-2000
Phone
(972) 665-8484
NPI assigned
Sep 2, 2020
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1003505 TX Primary

Addresses

Primary practice location

5085 W Park Blvd Ste 200
Plano, TX 75093-2000

Mailing address

5085 W Park Blvd Ste 200
Plano, TX 75093-2000
Phone (972) 665-8484

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
I20210406002069 TX Practitioner - Nurse Practitioner 8820405012 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rescuemd PLLC CurrentSince Mar 1, 2021 Accepting new patients
Cortica Developmental Therapies PA PastSince Sep 21, 2025 Accepting new patients
Cortica Healthcare Inc Past Accepting new patients
Cortica ABA Therapies PA PastSince Sep 21, 2025 Accepting new patients

Locations

997 Raintree Cir
Ste 130
Allen, TX 75013
Phone (877) 660-0749

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4
  • Direct secure messaging: punam.malani.1@14973.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1215541768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 W PARK BLVD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932000",
            "telephone_number": "972-665-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 W PARK BLVD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932000",
            "telephone_number": "972-665-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALANI",
        "first_name": "PUNAM",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1003505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.