Individual provider Active NPI

Elizabeth Mora

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1326429226
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128311 Issued in TX
Practice address
4480 Bryant Irvin Rd
Fort Worth, TX 76132-1064
Phone
(361) 222-9020
NPI assigned
Jun 16, 2015
Last updated
Feb 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 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 AP128311 TX Primary

Addresses

Primary practice location

4480 Bryant Irvin Rd
Fort Worth, TX 76132-1064

Mailing address

4480 Bryant Irvin Rd
Fort Worth, TX 76132-1064
Phone (361) 222-9020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emora2475251@Direct.Texashealth.org Health Information Exchange (HIE)

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
I20180822003120 TX Practitioner - Nurse Practitioner 5395094478 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians

Practice addresses (Care Compare)

4630 Long Prairie Rd
Suite 210
Flower Mound, TX 75028-1964
Phone (469) 495-9112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP128311TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care CurrentSince Dec 1, 2023 Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Value Urgent Care Clinics of Texas PLLC CurrentSince Jul 15, 2019 Accepting new patients
Brian Nelson MD PLLC Current Accepting new patients
Texas Health Urgent Care CurrentSince Dec 1, 2023 Accepting new patients
Texas Health Urgent Care Family CurrentSince Dec 1, 2023 Accepting new patients
Texas Health Urgent Care Current Accepting new patients

Locations

601 Northwest Pkwy
Ste C
Azle, TX 76020
Phone (682) 317-1193

1208 W Henderson St
Cleburne, TX 76033
Phone (682) 317-1500

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

4480 Bryant Irvin Rd
Fort Worth, TX 76132
Phone (361) 222-9020

2401 Canton Dr
Ft Worth, TX 76112
Phone (682) 301-3400

1450 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 726-2073

1450 W Pleasant Run Rd
Ste 104
Lancaster, TX 75146
Phone (469) 726-2073

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: emora2475251@direct.texashealth.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1326429226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 BRYANT IRVIN RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321064",
            "telephone_number": "361-222-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 BRYANT IRVIN RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321064",
            "telephone_number": "361-222-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emora2475251@Direct.Texashealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4480 Bryant Irvin Rd",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761321064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.