Active NPI
Robin Moreno, R.N., A.C.A.G.N.P.
- Acute Care Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP126489
- Practice address
- 221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312 - Phone
- (214) 960-5681
- NPI assigned
- Sep 25, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP126489 | TX | Primary |
Addresses
Primary practice location
221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312
Mailing address
PO Box 50268
Denton, TX 76206-0268
Phone (940) 484-1500
Other practice location 1
3120 Medpark Dr
Suite 150
Denton, TX 76208-6981
Phone (940) 484-1500
Other names 1
- Mrs. Robin Gannon
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 W Colorado Blvd
Suite 525
Dallas, TX 75208-2312
Phone 214960568175
Hospital & facility affiliations
- Baylor Scott & White Medical Center Grapevine
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP126489 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DFW Critical Care LLC | Current | Accepting new patients | |
| Dallas Pulmonary & Critical Care PA | Acute Care | Current | Accepting new patients |
Locations
221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525
1001 College Ave
Ste A
Ft Worth, TX 76104
Phone (817) 336-1852
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75
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 and National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1235402728
Acute Care
-
- Critical Care Medicine (Internal Medicine) Physician
- Fort Worth, TX
- NPI 1184071771
-
- Pulmonary Disease Physician
- Denton, TX
- NPI 1700117355
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1366844987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50268",
"city": "DENTON",
"state": "TX",
"postal_code": "762060268",
"telephone_number": "940-484-1500",
"fax_number": "940-484-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W COLORADO BLVD STE 525",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082312",
"telephone_number": "214-960-5681"
}
],
"practiceLocations": [
{
"address_1": "3120 Medpark Dr",
"address_2": "Suite 150",
"address_purpose": "LOCATION",
"city": "Denton",
"state": "TX",
"postal_code": "762086981",
"country_code": "US",
"telephone_number": "940-484-1500",
"fax_number": "940-484-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "ROBIN",
"credential": "R.N., A.C.A.G.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-25",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP126489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "GANNON",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.