Individual provider Active NPI

Sindhu Veettil, FFNP-C

  • Family Nurse Practitioner
  • Richardson, TX
National Provider Identifier
1346893641
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140968 Issued in TX
Practice address
399 Melrose Dr
Richardson, TX 75080-4415
Phone
(214) 368-4132
Fax
(833) 904-0089
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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 AP140968 TX Primary

Addresses

Primary practice location

399 Melrose Dr
Richardson, TX 75080-4415

Mailing address

5524 Sundance Dr
The Colony, TX 75056-3848
Phone (516) 312-5185

Other practice location 1

5524 Sundance Dr
The Colony, TX 75056-3848
Phone (516) 312-5185

Other practice location 2

310 Keller Pkwy
Keller, TX 76248-2260
Phone (817) 562-4210

Other practice location 3

11105 Landmark Ct
Denton, TX 76207-6740
Phone (214) 518-5016

Other names 1

  • Sindhu Surendran Former name

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
I20191024002387 TX Practitioner - Nurse Practitioner 2466784418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Mobile Wound Solutions LLCGroup PAC ID 6901245919, 2 clinicians

Practice addresses (Care Compare)

602 Magic Mile St
Suite 4
Arlington, TX 76011-5108
Phone (469) 644-6727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140968TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Mobile Wound Solutions LLC Family CurrentSince Jan 1, 2025 Accepting new patients
Preferred Mobile Wound Solutions LLC CurrentSince Jan 1, 2025 Accepting new patients
Global Open Wound Care Services LLC Family Medicine PastSince Jan 26, 2025 Accepting new patients
MD First Watch Healthcare PLLC PastSince Aug 1, 2018 Accepting new patients

Locations

602 Magic Mile St
Ste 4
Arlington, TX 76011
Phone (469) 644-6727

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": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1346893641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 SUNDANCE DR",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750563848",
            "telephone_number": "516-312-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 MELROSE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804415",
            "telephone_number": "214-368-4132",
            "fax_number": "833-904-0089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5524 Sundance Dr",
            "address_purpose": "LOCATION",
            "city": "The Colony",
            "state": "TX",
            "postal_code": "750563848",
            "country_code": "US",
            "telephone_number": "516-312-5185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Keller Pkwy",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762482260",
            "country_code": "US",
            "telephone_number": "817-562-4210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11105 Landmark Ct",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762076740",
            "country_code": "US",
            "telephone_number": "214-518-5016",
            "fax_number": "214-237-1280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEETTIL",
        "first_name": "SINDHU",
        "credential": "FFNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SINDHU",
            "last_name": "SURENDRAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.