Active NPI
Janette M Zdanuk Dodd, DNP, FNP, CWS
- Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 445715
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1122640-04 | Other | TX | MEDICAID TPI |
| 8F21186 | Other | TX | MEDICARE ID |
| 01269303 | Other | TX | AMERIGROUP |
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
Enrollment records 1
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
Practice addresses (Care Compare)
4545 Fuller Dr
Suite 325
Irving, TX 75038-6530
Phone (972) 870-5511
Hospital & facility affiliations
- Scof Healthcare Providers
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 445715 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Iah of Texas, PLLC | Current | Accepting new patients | |
| Topcare Medical PA | Past | 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.
-
- Family Medicine Physician
- Irving, TX
- NPI 1487051231
-
- Family Medicine Physician
- Irving, TX
- NPI 1679510499
-
- Family Medicine Physician
- Irving, TX
- NPI 1326667536
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1578175865
-
- Internal Medicine Physician
- Aledo, TX
- NPI 1083633226
-
- Specialist
- Irving, TX
- NPI 1043231400
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Arlington, TX
- NPI 1306983309
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.