Individual provider Active NPI

Fe Ann Braxton

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1386373306
Registry record updated Oct 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1085484 Issued in TX
Practice address
4100 Heritage Trace Pkwy Ste 116
Fort Worth, TX 76244-5307
Phone
(972) 661-2273
NPI assigned
Jun 6, 2022
Last updated
Oct 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1085484 TX Primary

Addresses

Primary practice location

4100 Heritage Trace Pkwy Ste 116
Fort Worth, TX 76244-5307

Mailing address

4100 Heritage Trace Pkwy Ste 116
Fort Worth, TX 76244-5307

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
I20221201001611 TX Practitioner - Nurse Practitioner 4385012913 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1085484TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Primary Care Medicine PLLC CurrentSince Apr 11, 2024 Accepting new patients
Christine Holland MD PA CurrentSince Jun 5, 2023 Accepting new patients
Clinical Bridges PLLC CurrentSince Mar 13, 2024 Accepting new patients
Americare Medical Partners, PLLC Past Accepting new patients
Heal Well Wound Care LLC PastSince Jul 28, 2024 Accepting new patients

Locations

721 Southeast Pkwy
Azle, TX 76020
Phone (817) 270-3627

800 Medical Center Dr
Ste C
Decatur, TX 76234
Phone (940) 626-2110

3025 N Tarrant Pkwy
Ste 320
Fort Worth, TX 76177
Phone (682) 593-6660

3800 North Tarrant Pkwy
Ste 210
Fort Worth, TX 76244
Phone (214) 919-4635

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665187200000",
    "number": "1386373306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 HERITAGE TRACE PKWY STE 116",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HERITAGE TRACE PKWY STE 116",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445307",
            "telephone_number": "972-661-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAXTON",
        "first_name": "FE ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-10-08",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1085484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.