Khairunissa H Meghani, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F05230207 Issued in TX

Practice address

2570 FM 407 Ste 160
Highland Village, TX 75077-3055

Phone

(469) 688-8802

NPI assigned

Jun 26, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Revive Med Partners, LLCGroup PAC ID 7618419920, 12 clinicians

University of Texas Southwestern Medical Center at DallasGroup PAC ID 0648188250, 3,156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Revive Med Partners, LLC

  dba Revive Primary Care & Med Spa

  • Internal Medicine Physician
  • Highland Village, TX
  • NPI 1669237798

  Family

  Medicare reassignment Care Compare group NPD
• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment Care Compare group
• Revive Med Partners I LLC

  • Family Medicine Physician
  • Highland Village, TX
  • NPI 1881400323
  Medicare reassignment NPD

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

• University of Texas Southwestern Medical Center at Dallas

  dba UT Southwestern University Hospital

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1285798918
  Care Compare affiliation

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1235815002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 FM 407 STE 160",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 FM 407 STE 160",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773055",
            "telephone_number": "469-688-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGHANI",
        "first_name": "KHAIRUNISSA",
        "middle_name": "H",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F05230207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abraham Mathukutty
• David J McCormick, LPC
• Keith McCrate, PT
• Diane Marie McLeod, LPC
• Beverly Ann McNulty
• Jacob William Mims, PHARM.D.
• Jennifer Mitchell
• Modification Concepts LLC (Home Living Modifications of Texas)
• Zafreen Lalani Momin, D.O.
• Alaa Morsi, AMM

• Family Nurse Practitioner in Highland Village, TX
• Providers in Highland Village, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.