Individual provider Active NPI

Kristie Zachariah, APRN, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1295373538
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142771 Issued in TX
Practice address
1222 N Bishop Ave Ste 300
Dallas, TX 75208-4176
Phone
(214) 941-1353
Fax
(214) 941-1047
NPI assigned
Dec 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142771 TX Primary

Addresses

Primary practice location

1222 N Bishop Ave Ste 300
Dallas, TX 75208-4176

Mailing address

1222 N Bishop Ave Ste 300
Dallas, TX 75208-4176
Phone (214) 941-1353

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
I20200129002614 TX Practitioner - Nurse Practitioner 5698101285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

1222 N Bishop Ave
Suite 300
Dallas, TX 75208-4176
Phone (214) 941-1353

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP142771TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Apr 15, 2024 Accepting new patients
Medhealth CurrentSince Apr 15, 2024 Accepting new patients
Low-T Physicians Services PLLC Past Accepting new patients
Americare Medical Group, Inc. Past Accepting new patients
Southwest Texas Two Medical Group, PLLC Past Accepting new patients
Physicians Wellness Associates PLLC Past Accepting new patients
Family Medicine of North Texas, P.a. PastSince Feb 1, 2021 Accepting new patients

Locations

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

1222 N Bishop Ave
Ste 300
Dallas, TX 75208
Phone (214) 941-1353

Interoperability endpoints

  • Direct secure messaging: kzachariah13081@dm.mhd.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 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": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1295373538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 N BISHOP AVE STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084176",
            "telephone_number": "214-941-1353",
            "fax_number": "214-941-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 N BISHOP AVE STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084176",
            "telephone_number": "214-941-1353",
            "fax_number": "214-941-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARIAH",
        "first_name": "KRISTIE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.