Active NPI
3D Nursing
Doing business as Daisy's Field of Pediatric Care
- Pediatric Registered Nurse
- Fort Worth, TX
National Provider Identifier
1366116360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- Legal business name
- 3D NURSING
- Doing business as
- Daisy's Field of Pediatric Care
- Practice address
- 9013 Old Clydesdale Dr
Fort Worth, TX 76123-3547 - Phone
- (682) 560-5613
- Fax
- (817) 453-4220
- NPI assigned
- Aug 3, 2021
- Last updated
- Oct 14, 2021
- Organization subpart
- Yes
- Parent organization
- 3D NURSING
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christopher Lajuan Daniels I, RN
- Title
- Ceo
- Phone
- (682) 560-5613
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | NU | Primary |
Addresses
Primary practice location
9013 Old Clydesdale Dr
Fort Worth, TX 76123-3547
Mailing address
9013 Old Clydesdale Dr
Fort Worth, TX 76123-3547
Phone (682) 560-5613
Other names 1
- Daisy's Field of Pediatric Care
National Provider Directory
National Provider Directory- Part of
- 3D Nursing
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634169600000",
"number": "1366116360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9013 OLD CLYDESDALE DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761233547",
"telephone_number": "682-560-5613",
"fax_number": "817-453-4220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9013 OLD CLYDESDALE DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761233547",
"telephone_number": "682-560-5613",
"fax_number": "817-453-4220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "3D NURSING",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "3D NURSING",
"enumeration_date": "2021-08-03",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "LAJUAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "682-560-5613",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "I",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Daisy's Field of Pediatric Care",
"code": "3",
"type": "Doing Business As"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.