Blueprint to Healthcare

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

K9102 Issued in TX

Legal business name

BLUEPRINT TO HEALTHCARE

Practice address

305 Cimarron TRL Ste 180
Irving, TX 75063-4502

Phone

(972) 401-8800

Fax

(972) 401-8801

NPI assigned

May 25, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Aaron Walter Gumm

Title

President

Phone

(214) 514-8766

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yasmin Rana Haseen, PA-C

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1063796290
  NPD (past)

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1326331232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632225",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750630043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CIMARRON TRL STE 180",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634502",
            "telephone_number": "972-401-8800",
            "fax_number": "972-401-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEPRINT TO HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "GUMM",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-514-8766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "K9102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Star Imaging, LP
• Blue Star Rehabilitation, LLC
• Blue Star Surgery Center LLC
• Blue Stone JV LLP
• Bluebonnet Osr Associates
• Boardwalk Providers Group LLC
• Corrie Rose Bober, MS, ATC, CES
• Bobs DME
• Aruna Boddu, MD
• Carolyn Jane Bogan, FNP-BC

• Physical Medicine & Rehabilitation Physician in Irving, TX
• Providers in Irving, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.