Kori Denee Anthony, FNP-C, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Cleburne, TX
NPI 1356912422 · NPPES record last updated Oct 16, 2024
Key facts
- NPI
- 1356912422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1031569 (TX)
- Practice address
- 505 N Ridgeway Dr Ste 195
Cleburne, TX 76033-5156 - Phone
- (817) 774-2123
- Fax
- (817) 774-2128
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1420 N Galloway Ave
Suite B
Mesquite, TX 75149-2326
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210721001284 | TX | Practitioner - Nurse Practitioner | 6608279187 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naomi R. Harman, M.D., P.a. | Current |
Accepting new patients | |
| Mesquite Chiropractic Health Center | Past |
Accepting new patients |
Locations
505 N Ridgeway Dr
Ste 195
Cleburne, TX 76033
Phone (817) 774-2123
825 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 551-1856
219 N Ridgeway Dr
Ste A
Cleburne, TX 76033
Phone (817) 774-2123
Interoperability endpoints
- https://api.platform.athenahealth.com/11541/brand/24/csg/181/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1031569 | TX | Yes |
Addresses
Primary practice location
505 N Ridgeway Dr Ste 195
Cleburne, TX 76033-5156
Mailing address
1420 N Galloway Ave Ste B
Mesquite, TX 75149-2326
Phone (972) 285-6703
Other practice location 1
9301 Wildcat Rdg
Godley, TX 76044-1188
Phone (903) 216-5629
Other providers in Cleburne, TX
- Andelige Trauma Counseling & Consulting, PLLC
- Lindsey Elizabeth Anderson
- Dainel Cullen Andrews Sr.
- Dustin Andrews
- Jonathan Patrick Angel
- Andrew E Anyadiegwu
- Apple Pediatric Therapy
- Melisa Arciniega
- Arlington Orthopedic Associates, PA
- Ayman Arouse
All providers in Cleburne, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.