Active NPI
Littee Anna Sam, FNP
- Family Nurse Practitioner
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP138808
- Practice address
- 647 N Miller Rd
Mansfield, TX 76063-6083 - Phone
- (423) 596-7955
- NPI assigned
- Apr 12, 2018
- Last updated
- Feb 18, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP138808 | TX | Primary |
Addresses
Primary practice location
647 N Miller Rd
Mansfield, TX 76063-6083
Mailing address
647 N Miller Rd
Mansfield, TX 76063-6083
Phone (423) 596-7955
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP138808 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Current | Accepting new patients | |
| Texas Digestive Disease Consultants, PLLC | Current | Accepting new patients | |
| Southwest Texas Two Medical Group, PLLC | Past | Accepting new patients |
Locations
601 S Main St
Keller, TX 76248
Phone (817) 741-4347
647 N Miller Rd
Mansfield, TX 76063
Phone (214) 697-7314
647 N Miller Rd
Ste B
Mansfield, TX 76063
Phone (817) 760-7969
920 Highway 287 N
Ste 308
Mansfield, TX 76063
Phone (817) 473-7197
5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860
Organizations & group practices 3
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.
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- Gastroenterology Physician
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- NPI 1689650475
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1659950475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1316444508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 N MILLER RD",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636083",
"telephone_number": "423-596-7955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "647 N MILLER RD",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636083",
"telephone_number": "423-596-7955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAM",
"first_name": "LITTEE",
"middle_name": "ANNA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-12",
"last_updated": "2022-02-18",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP138808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.