Individual provider Active NPI

Darshawnda Sharraine Wilson, ANP

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1275675324
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP113002 Issued in TX
Practice address
6606 LBJ Fwy Ste 200
Dallas, TX 75240
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Feb 13, 2007
Last updated
Jun 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP113002 TX Primary
Adult Health Nurse Practitioner 363LA2200X AP113002 TX

Addresses

Primary practice location

6606 LBJ Fwy Ste 200
Dallas, TX 75240

Mailing address

PO Box 840853
Dallas, TX 75284-0853
Phone (972) 715-5000

Other practice location 1

7100 Oakmont Blvd Ste 202
Fort Worth, TX 76132-3911
Phone (817) 558-4600

Other practice location 2

800 W Arbrook Blvd Ste 120
Arlington, TX 76015-4316
Phone (817) 468-4343

Other practice location 3

1001 N Waldrop Dr Ste 403
Arlington, TX 76012-4703
Phone (817) 468-4343

Other practice location 4

2010 W Katherine P Raines Rd Ste 500
Cleburne, TX 76033-7464
Phone (817) 558-4600

Other identifiers 5

IdentifierTypeStateIssuer
173189504MedicaidTX
P00612704OtherTXRAILROAD MEDICARE
173189502MedicaidTX
173189503MedicaidTX
8Y3715OtherTXBCBS

Other names 1

  • Sharraine Wilson Other name

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
I20050527000693 TX Practitioner - Nurse Practitioner 7719929850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

1001 12TH Ave
Fort Worth, TX 76104-3926
Phone (817) 332-9968

6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245

7100 Oakmont Blvd
Fort Worth, TX 76132-3908

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP113002TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. Current Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Practitioner CurrentSince Mar 1, 2014 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Practitioner CurrentSince Mar 1, 2014 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Oct 1, 2020 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Oct 1, 2020 Accepting new patients
Physician House Calls of Texas LLC Past Accepting new patients
Housecall Doctors of North Texas PA Past Accepting new patients

Locations

17051 Dallas Pkwy
Ste 440
Addison, TX 75001
Phone (214) 212-0158

800 W Arbrook Blvd
Ste 120
Arlington, TX 76015
Phone (817) 468-4343

1001 N Waldrop Dr
Ste 403
Arlington, TX 76012
Phone (817) 468-4343

829 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 558-4600

2010 W Katherine P Raines Rd
Ste 500
Cleburne, TX 76033
Phone (817) 556-7785

7100 Oakmont Blvd
Ste 205
Fort Worth, TX 76132
Phone (817) 468-4343

7100 Oakmont Blvd
Ste 202
Ft Worth, TX 76132
Phone (817) 346-4122

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

2821 Lackland Rd
Ste 300
Ft Worth, TX 76116
Phone (817) 740-8400

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

6020 W Parker Rd
Ste 300
Plano, TX 75093
Phone (469) 200-6461

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: darshawnda.wilson.p1@direct.thc.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1275675324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-715-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 LBJ FWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 Oakmont Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761323911",
            "country_code": "US",
            "telephone_number": "817-558-4600",
            "fax_number": "817-468-8765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 W Arbrook Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760154316",
            "country_code": "US",
            "telephone_number": "817-468-4343",
            "fax_number": "817-468-3438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 N Waldrop Dr Ste 403",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760124703",
            "country_code": "US",
            "telephone_number": "817-468-4343",
            "fax_number": "817-468-8765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 W Katherine P Raines Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Cleburne",
            "state": "TX",
            "postal_code": "760337464",
            "country_code": "US",
            "telephone_number": "817-558-4600",
            "fax_number": "817-558-4602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DARSHAWNDA",
        "middle_name": "SHARRAINE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP113002",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP113002",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173189504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00612704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173189502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173189503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y3715",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARRAINE",
            "last_name": "WILSON",
            "credential": "ANP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.