Individual provider Active NPI

Charlotte F. Isah, FNP-C

  • Family Nurse Practitioner
  • Richardson, TX
National Provider Identifier
1366883035
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP123926 Issued in TX
Practice address
1101 E Arapaho Rd Ste 140
Richardson, TX 75081-2352
Phone
(469) 592-9371
Fax
(469) 519-4945
NPI assigned
Jul 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 750354 TX
Family Nurse Practitioner 363LF0000X AP123926 TX Primary

Addresses

Primary practice location

1101 E Arapaho Rd Ste 140
Richardson, TX 75081-2352

Mailing address

1101 E Arapaho Rd Ste 140
Richardson, TX 75081-2352
Phone (469) 592-9371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH, AZ, WI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20131017000753 TX Practitioner - Nurse Practitioner 2466686860 Reassigns benefits to 4 organizations
I20210805001060 OH Practitioner - Nurse Practitioner 2466686860 Reassigns benefits to 1 organization
I20220815000909 AZ Practitioner - Nurse Practitioner 2466686860
I20230207001441 WI Practitioner - Nurse Practitioner 2466686860

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Senior Psychcare of Dallas I PLLCGroup PAC ID 2466625371, 46 clinicians

Practice addresses (Care Compare)

1101 E Arapaho Rd
Suite 140
Richardson, TX 75081-2352
Phone (469) 592-9371

4315 Hopkins Ave
Dallas, TX 75209-3026
Phone (214) 358-3131

Hospital & facility affiliations

  • Concho Hearts Home Health Home health agency, Van Alstyne, TX, CCN 747493
  • Gracious Care Health Services Inc Home health agency, Richardson, TX, CCN 747599
  • Defaith Home Health Agency Inc Home health agency, Richardson, TX, CCN 748149

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
750354TXMDFamily Nurse Practitioner
AP123926TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Splendid Cedar Healthcare PLLC CurrentSince Jul 28, 2021 Accepting new patients
Inpatient Physician Associates PLLC CurrentSince Apr 1, 2016 Accepting new patients

Locations

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

1101 E Arapaho Rd
Ste 140
Richardson, TX 75081
Phone (469) 592-9371

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1366883035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E ARAPAHO RD STE 140",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812352",
            "telephone_number": "469-592-9371",
            "fax_number": "469-519-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E ARAPAHO RD STE 140",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812352",
            "telephone_number": "469-592-9371",
            "fax_number": "469-519-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAH",
        "first_name": "CHARLOTTE",
        "middle_name": "F.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "750354",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.