Individual provider Active NPI

Julia Dubose, APRN

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1245717586
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138146 Issued in TX
Practice address
10840 Texas Health TRL Ste 240
Fort Worth, TX 76244-6850
Phone
(817) 491-0223
Fax
(817) 491-0238
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP138146 TX
Nurse Practitioner 363L00000X AP138136 TX
Family Nurse Practitioner 363LF0000X AP138146 TX Primary

Addresses

Primary practice location

10840 Texas Health TRL Ste 240
Fort Worth, TX 76244-6850

Mailing address

8033 Rushmore Rd
Fort Worth, TX 76137-5252
Phone (214) 704-1634

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
I20190426000053 TX Practitioner - Nurse Practitioner 9739421504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Debra Krieg, MD PAGroup PAC ID 2769461797, 2 clinicians

Practice addresses (Care Compare)

10840 Texas Health TRL
Suite 240
Fort Worth, TX 76244-6850
Phone (817) 491-0223

Hospital & facility affiliations

  • Medical City Alliance Hospital, Fort Worth, TX, CCN 670103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP138146TXMDFamily Medicine Physician
AP138136TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Debra Krieg, MD PA Family Medicine CurrentSince Mar 16, 2019 Accepting new patients

Locations

10840 Texas Health Trl
Ste 240
Fort Worth, TX 76244
Phone (817) 491-0223

4100 Heritage Trace Pkwy
Ste 116
Fort Worth, TX 76244
Phone (817) 491-0223

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1245717586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 RUSHMORE RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761375252",
            "telephone_number": "214-704-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 TEXAS HEALTH TRL STE 240",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446850",
            "telephone_number": "817-491-0223",
            "fax_number": "817-491-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOSE",
        "first_name": "JULIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP138146",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP138136",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.