Active NPI
Vanessa L Avrutis, ARNP
- Family Nurse Practitioner
- Denton, TX
National Provider Identifier
1235217514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 743107
- Practice address
- 3301 Unicorn Lake Boulevard
Denton, TX 76210-0102 - Phone
- (940) 383-1578
- Fax
- (940) 382-0333
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 743107 | TX | Primary |
Addresses
Primary practice location
3301 Unicorn Lake Boulevard
Denton, TX 76210-0102
Mailing address
3301 Unicorn Lake Boulevard
Denton, TX 76210-0102
Phone (940) 383-1578
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 743107 | Other | TX | FNP |
| 302866600 | Medicaid | FL | |
| 330495801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426809600000",
"number": "1235217514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 UNICORN LAKE BOULEVARD",
"city": "DENTON",
"state": "TX",
"postal_code": "762100102",
"telephone_number": "940-383-1578",
"fax_number": "940-382-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 UNICORN LAKE BOULEVARD",
"city": "DENTON",
"state": "TX",
"postal_code": "762100102",
"telephone_number": "940-383-1578",
"fax_number": "940-382-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVRUTIS",
"first_name": "VANESSA",
"middle_name": "L",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2015-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "743107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNP",
"identifier": "743107",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302866600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330495801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.