Individual provider Active NPI

Janette M Zdanuk Dodd, DNP, FNP, CWS

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1285636043
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
445715 Issued in TX
Practice address
1301 W 7TH St
Suite 121
Fort Worth, TX 76102-2651
Phone
(817) 348-0425
Fax
(817) 348-0455
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 445715 TX
Nurse Practitioner 363L00000X 445715 TX Primary

Addresses

Primary practice location

1301 W 7TH St
Suite 121
Fort Worth, TX 76102-2651

Mailing address

9700 Brenden Dr
Fort Worth, TX 76108-3885
Phone (817) 235-9957

Other identifiers 3

IdentifierTypeStateIssuer
1122640-04OtherTXMEDICAID TPI
8F21186OtherTXMEDICARE ID
01269303OtherTXAMERIGROUP

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
I20090424000270 TX Practitioner - Nurse Practitioner 5193873404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iah of Texas PLLCGroup PAC ID 8921323825, 2 clinicians

Practice addresses (Care Compare)

4545 Fuller Dr
Suite 325
Irving, TX 75038-6530
Phone (972) 870-5511

Hospital & facility affiliations

  • Scof Healthcare Providers Home health agency, Arlington, TX, CCN 743100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
445715TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 18, 2011 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 18, 2011 Accepting new patients
Iah of Texas, PLLC CurrentSince Sep 1, 2015 Accepting new patients
Topcare Medical PA PastSince Apr 2, 2012 Accepting new patients
Joseph Zadeh DO Past Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

7800 Shoal Creek Blvd
Ste 118W
Austin, TX 78757
Phone (512) 374-0700

1301 W 7th St
Ste 121
Ft Worth, TX 76102
Phone (817) 348-0425

8588 Katy Fwy
Ste 226A
Houston, TX 77024
Phone (713) 532-6884

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

Organizations & group practices 6

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1285636043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 BRENDEN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761083885",
            "telephone_number": "817-235-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 7TH ST",
            "address_2": "SUITE 121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022651",
            "telephone_number": "817-348-0425",
            "fax_number": "817-348-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDANUK DODD",
        "first_name": "JANETTE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP, CWS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "445715",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "445715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TPI",
            "identifier": "1122640-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "8F21186",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01269303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.