Active NPI
Elizabeth Mora
- Family Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP128311
- Practice address
- 4480 Bryant Irvin Rd
Fort Worth, TX 76132-1064 - Phone
- (361) 222-9020
- NPI assigned
- Jun 16, 2015
- Last updated
- Feb 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP128311 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Urgent Care | Current | Accepting new patients | |
| Texas Health Urgent Care | Current | Accepting new patients | |
| Value Urgent Care Clinics of Texas PLLC | Current | Accepting new patients | |
| Brian Nelson MD PLLC | Current | Accepting new patients | |
| Texas Health Urgent Care | Current | Accepting new patients | |
| Texas Health Urgent Care | Family | Current | 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
- emora2475251@direct.texashealth.org
- 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.
-
dba Texas Health Breeze Urgent Care
- Urgent Care Clinic/Center
- Arlington, TX
- NPI 1952915365
Family
-
dba Urgent Care TX
- Urgent Care Clinic/Center
- Cleburne, TX
- NPI 1558811083
-
dba Texas Complete Urgent Care Physicians
- Urgent Care Clinic/Center
- Lakeway, TX
- NPI 1285088161
-
dba Texas Health Breeze Urgent Care
- Urgent Care Clinic/Center
- Flower Mound, TX
- NPI 1083210140
-
dba Texas Health Breeze Urgent Care
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1104431527
-
dba Texas Health Breeze Urgent Care
- Urgent Care Clinic/Center
- Allen, TX
- NPI 1629724315
-
dba Texas Health Breeze Urgent Care
- Urgent Care Clinic/Center
- McKinney, TX
- NPI 1972118388
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.