Active NPI
Frances Kay Pruitt, CNA
- Nurse's Aide
- Cresson, TX
National Provider Identifier
1235600487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NA8460583
- Practice address
- 119 Woodstream CT
Cresson, TX 76035-5681 - Phone
- (817) 296-3877
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- No
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA8460583 | TX | MD | Nurse's Aide |
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA8460583 | TX | Primary |
Addresses
Primary practice location
119 Woodstream CT
Cresson, TX 76035-5681
Mailing address
301 Shady Grove Dr Apt C
Granbury, TX 76049-7590
Phone (817) 559-4769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5GR5-V62-CV40 | Other | TX | PART A AND PART B MEDICARE |
NPI Registry JSON
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1235600487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 SHADY GROVE DR APT C",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760497590",
"telephone_number": "817-559-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 WOODSTREAM CT",
"city": "CRESSON",
"state": "TX",
"postal_code": "760355681",
"telephone_number": "817-296-3877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "FRANCES",
"middle_name": "KAY",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "TX",
"license": "NA8460583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PART A AND PART B MEDICARE",
"identifier": "5GR5-V62-CV40",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cresson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.