Active NPI
Stachia Aiken
- Family Nurse Practitioner
- Carrollton, TX
National Provider Identifier
1366119372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP145771
- Practice address
- 1205 N Josey LN
Carrollton, TX 75006-6145 - Phone
- (972) 242-2726
- NPI assigned
- Aug 26, 2021
- Last updated
- Sep 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP145771 | TX | Primary |
Addresses
Primary practice location
1205 N Josey LN
Carrollton, TX 75006-6145
Mailing address
1205 N Josey LN Ste 100
Carrollton, TX 75006-6146
Phone (972) 242-2726
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heal 360 Urgent Care, LLC | Single Specialty | Current | Accepting new patients |
| Heal 360 Primary Care PLLC | Single Specialty | Current | Accepting new patients |
| Family Care Medical Center | Single Specialty | Past | Accepting new patients |
Locations
1360 Star Ct
Ste T1
Plano, TX 75074
Phone (972) 200-7402
4013 14th St
Ste 401
Plano, TX 75074
Phone (469) 814-9523
2806 W FM 544
Wylie, TX 75098
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JDAFAA/Endpoint/JDAFAA
Organizations & group practices 3
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": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693699200000",
"number": "1366119372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 N JOSEY LN STE 100",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750066146",
"telephone_number": "972-242-2726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 N JOSEY LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750066145",
"telephone_number": "972-242-2726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AIKEN",
"first_name": "STACHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2023-09-03",
"certification_date": "2023-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP145771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.