Individual provider Active NPI

Monique Lareviere

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1326607409
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142090 Issued in TX
Practice address
709 W Bailey Boswell Rd
Fort Worth, TX 76179-1011
Phone
(682) 549-3202
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11002669 FL
Family Nurse Practitioner 363LF0000X AP142090 TX Primary

Addresses

Primary practice location

709 W Bailey Boswell Rd
Fort Worth, TX 76179-1011

Mailing address

709 W Bailey Boswell Rd
Fort Worth, TX 76179-1011
Phone (682) 549-3202

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
I20221228001400 TX Practitioner - Nurse Practitioner 9234509787 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11002669FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Holland MD PA CurrentSince Aug 24, 2023 Accepting new patients
Be Well Primary Care Medicine PLLC CurrentSince Apr 17, 2025 Accepting new patients
Heal Well Wound Care LLC PastSince Jul 28, 2024 Accepting new patients
Americare Medical Partners, PLLC Past Accepting new patients

Locations

721 Southeast Pkwy
Azle, TX 76020
Phone (817) 270-3627

808 Woodrow Wilson Ray Cir
Bridgeport, TX 76426
Phone (940) 683-2297

800 Medical Center Dr
Ste C
Decatur, TX 76234
Phone (940) 626-2110

3800 North Tarrant Pkwy
Ste 210
Fort Worth, TX 76244
Phone (214) 919-4635

3025 N Tarrant Pkwy
Ste 320
Fort Worth, TX 76177
Phone (682) 593-6660

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1326607409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W BAILEY BOSWELL RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761791011",
            "telephone_number": "682-549-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W BAILEY BOSWELL RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761791011",
            "telephone_number": "682-549-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAREVIERE",
        "first_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11002669",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.