Individual provider Active NPI

Shabnum Shakeel Zaman, AG-ACNP

  • Acute Care Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1376057752
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP135839 Issued in TX
Practice address
816 Stone Water Dr Apt 1015
Fort Worth, TX 76120-2798
Phone
(817) 235-1584
NPI assigned
Nov 21, 2017
Last updated
Nov 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP135839 TX Primary

Addresses

Primary practice location

816 Stone Water Dr Apt 1015
Fort Worth, TX 76120-2798

Mailing address

816 Stone Water Dr Apt 1015
Fort Worth, TX 76120-2798
Phone (817) 235-1584

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180510001602 TX Practitioner - Nurse Practitioner 2567726912 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1300 W Terrell Ave
Suite K230
Fort Worth, TX 76104-3104
Phone (817) 250-7240

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jan 1, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 21, 2018 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 21, 2018 Accepting new patients
Texas Health Virtual Care CurrentSince Feb 11, 2024 Accepting new patients
Texas Health Virtual Care CurrentSince Feb 11, 2024 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
DFW Medical Home PLLC CurrentSince Jul 25, 2023 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2024 Accepting new patients
Texas Health Physicians Group Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

8200 Walnut Hill Ln
Fl 9
Dallas, TX 75231
Phone (214) 345-8001

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

3600 Gaston Ave
Ste 1155
Dallas, TX 75246
Phone (214) 820-4688

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

1300 W Terrell Ave
Ste K230
Fort Worth, TX 76104
Phone (817) 250-7240

2925 Skyway Cir N
#P
Irving, TX 75038
Phone (972) 675-7313

2925 Skyway Cir N
Irving, TX 75038
Phone (972) 247-3060

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1376057752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 STONE WATER DR APT 1015",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202798",
            "telephone_number": "817-235-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 STONE WATER DR APT 1015",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202798",
            "telephone_number": "817-235-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMAN",
        "first_name": "SHABNUM",
        "middle_name": "SHAKEEL",
        "credential": "AG-ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP135839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.