NPIMap

Individual provider Active NPI

Anna M. Small, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1235172321
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP113251 Issued in TX
Practice address
3920 W Wheatland Rd Ste 152
Dallas, TX 75237
Phone
(214) 467-0432
Fax
(214) 467-0635
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP113251 TX Primary

Addresses

Primary practice location

3920 W Wheatland Rd Ste 152
Dallas, TX 75237

Mailing address

3920 W Wheatland Rd Ste 152
Dallas, TX 75237-3404
Phone (214) 467-0432

Other identifiers 2

IdentifierTypeStateIssuer
185019001MedicaidTX
8Y0260OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070129000810 TX Practitioner - Nurse Practitioner 3870594120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

410 Pinson Rd
Forney, TX 75126-9766
Phone (972) 564-9380

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Apr 1, 2018 Accepting new patients
Texas Health Physicians Group CurrentSince Apr 1, 2018 Accepting new patients
Allied Anesthesia & Pain Management Consultants, LLP PastSince Apr 18, 2010 Accepting new patients
Rapimed, LLC Past Accepting new patients
Texas Health Physicians Group Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

3920 W Wheatland Rd
Ste 152
Dallas, TX 75237
Phone (214) 467-0432

757 E US Highway 80
Ste 180
Forney, TX 75126
Phone (469) 602-5283

410 Pinson Rd
Forney, TX 75126
Phone (214) 467-7048

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: asmall1163173@direct.texashealth.org
  • Direct secure messaging: anna.small.p64@direct.tenet.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1235172321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 W WHEATLAND RD STE 152",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373404",
            "telephone_number": "214-467-0432",
            "fax_number": "214-467-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W WHEATLAND RD STE 152",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "214-467-0432",
            "fax_number": "214-467-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "ANNA",
        "middle_name": "M.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP113251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185019001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8Y0260",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.