Individual provider Active NPI

Tawnya Anderson, FNP

  • Family Nurse Practitioner
  • Port Arthur, TX
National Provider Identifier
1376920041
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127408 Issued in TX
Practice address
1801 S Gulfway Dr
Port Arthur, TX 77640-4416
Phone
(409) 985-1819
Fax
(409) 985-1079
NPI assigned
May 1, 2015
Sex
Female
Sole proprietor
No

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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20210427002434 TX Practitioner - Nurse Practitioner 5597010959 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP127408TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Texas Medical PA CurrentSince Dec 21, 2025 Accepting new patients
Curana Health Medical Group LLC CurrentSince Apr 23, 2021 Accepting new patients
Ovum Medical, LLC CurrentSince May 1, 2023 Accepting new patients

Locations

3610 N Josey Ln
Ste 223
Carrollton, TX 75007
Phone (307) 284-3227

1801 S Gulfway Dr
Port Arthur, TX 77640
Phone (409) 985-1819

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP127408 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

1801 S Gulfway Dr
Port Arthur, TX 77640-4416

Mailing address

1801 S Gulfway Dr
Port Arthur, TX 77640-4416
Phone (409) 985-1819

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 23, 2025.

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1376920041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S GULFWAY DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776404416",
            "telephone_number": "409-985-1819",
            "fax_number": "409-985-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S GULFWAY DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776404416",
            "telephone_number": "409-985-1819",
            "fax_number": "409-985-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TAWNYA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.