Individual provider Active NPI

Sandra Yazmin Portales, APRN

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1366036188
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1030712 Issued in TX
Practice address
5655 W Spring Creek Pkwy Ste 200
Plano, TX 75024
Phone
(972) 599-9600
Fax
(972) 599-9696
NPI assigned
Feb 22, 2021
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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 1030712 TX Primary

Addresses

Primary practice location

5655 W Spring Creek Pkwy Ste 200
Plano, TX 75024

Mailing address

5401 Raincrest Dr
McKinney, TX 75071-5576
Phone (214) 476-5320

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sandra.portales.1@30724.direct.athenahealth.com Direct

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
I20251024000430 TX Practitioner - Nurse Practitioner 9638667264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8277 Belleview Dr
Plano, TX 75024-0358

PO Box
Belfast, ME 04915

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1030712TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Village Health Partners, PA CurrentSince Oct 9, 2023 Accepting new patients
Catalyst Physician Group - NTX, PLLC CurrentSince Aug 15, 2025 Accepting new patients

Locations

1610 Commons Cir
Northlake, TX 76226
Phone (940) 725-3400

5425 W Spring Creek Pkwy
Ste 200
Plano, TX 75024
Phone (972) 599-9600

5655 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 566-9600

5655 W Spring Creek Pkwy
Ste 200
Plano, TX 75024
Phone (972) 599-9600

Organizations & group practices 2

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1366036188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 RAINCREST DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715576",
            "telephone_number": "214-476-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 W SPRING CREEK PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-599-9600",
            "fax_number": "972-599-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTALES",
        "first_name": "SANDRA",
        "middle_name": "YAZMIN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1030712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sandra.portales.1@30724.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5655 W Spring Creek Pkwy Ste 200",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.