Individual provider Active NPI

Dorothy Killah Budzi, FNP, DPH, MSN, MBA

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1316112196
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1007344 Issued in TX
Practice address
1618 Skyline Dr
Garland, TX 75043-1771
Phone
(214) 886-9106
Fax
(214) 703-3971
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1007344 TX Primary

Addresses

Primary practice location

1618 Skyline Dr
Garland, TX 75043-1771

Mailing address

1618 Skyline Dr
Garland, TX 75043-1771
Phone (214) 886-9106

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
I20251119005316 TX Order and Referring Only - Nurse Practitioner 5395931620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1007344TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beriter Healthcare, LLC CurrentSince May 30, 2009 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1316112196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 SKYLINE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431771",
            "telephone_number": "214-886-9106",
            "fax_number": "214-703-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 SKYLINE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431771",
            "telephone_number": "214-886-9106",
            "fax_number": "214-703-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDZI",
        "first_name": "DOROTHY",
        "middle_name": "KILLAH",
        "name_prefix": "Dr.",
        "credential": "FNP, DPH, MSN, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1007344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.