Individual provider Active NPI

Littee Anna Sam, FNP

  • Family Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1316444508
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138808 Issued in TX
Practice address
647 N Miller Rd
Mansfield, TX 76063-6083
Phone
(423) 596-7955
NPI assigned
Apr 12, 2018
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211003573 TX Practitioner - Nurse Practitioner 8325382757 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP138808TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince May 25, 2022 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.

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

Verify at the official NPI Registry.