Individual provider Active NPI

Carol N Atuma

  • Women's Health Nurse Practitioner
  • Forney, TX
National Provider Identifier
1225705841
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1049434 Issued in TX
Practice address
2032 Dripping Springs Dr
Forney, TX 75126-5138
Phone
(469) 471-1554
NPI assigned
Aug 23, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1049434 TX Primary

Addresses

Primary practice location

2032 Dripping Springs Dr
Forney, TX 75126-5138

Mailing address

2032 Dripping Springs Dr
Forney, TX 75126-5138
Phone (469) 471-1554

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
I20220907000923 TX Practitioner - Nurse Practitioner 0042404303 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Women's Health CurrentSince Jul 27, 2022 Accepting new patients
Dallas County Hospital District Women's Health CurrentSince Jul 27, 2022 Accepting new patients
Dallas County Hospital District Women's Health Current Accepting new patients
Smartcare Health Services Inc PastSince May 7, 2010 Accepting new patients

Locations

9202 Elam Rd
Dallas, TX 75217
Phone (214) 266-1500

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Interoperability endpoints

  • Direct secure messaging: catuma115749@direct.phhs.org

Organizations & group practices 5

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1225705841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 DRIPPING SPRINGS DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751265138",
            "telephone_number": "469-471-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 DRIPPING SPRINGS DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751265138",
            "telephone_number": "469-471-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATUMA",
        "first_name": "CAROL",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1049434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

Verify at the official NPI Registry.