Active NPI
Dushawn Wright
- Peer Specialist
- Fort Worth, TX
National Provider Identifier
1366258014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 2200 Evans Ave Ste 12
Fort Worth, TX 76104-6066 - Phone
- (972) 559-9201
- NPI assigned
- Dec 7, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
2200 Evans Ave Ste 12
Fort Worth, TX 76104-6066
Mailing address
539 W Commerce St Ste 2241
Dallas, TX 75208-1953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilience Renewed LLC | Peer Specialist | Current | Accepting new patients |
| The Wright Cause Urban Youth Conservation | Peer Specialist | Current | Accepting new patients |
Locations
539 W Commerce St
Dallas, TX 75208
Phone (385) 377-9352
2200 Evans Ave
Ste 12
Fort Worth, TX 76104
Phone (469) 616-1969
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 and National Provider Directory roles.
-
- Case Management Agency
- Fort Worth, TX
- NPI 1013725548
Peer Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733529600000",
"number": "1366258014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 W COMMERCE ST STE 2241",
"city": "DALLAS",
"state": "TX",
"postal_code": "752081953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 EVANS AVE STE 12",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761046066",
"telephone_number": "972-559-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "DUSHAWN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-07",
"last_updated": "2024-12-07",
"certification_date": "2024-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.