Meredith M Hake, RN, Fmphnp, PA

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MEREDITH M HAKE, RN, FMPHNP, PA

Practice address

4325 Windsor Centre TRL Ste 200
Flower Mound, TX 75028-1866

Phone

(972) 895-3189

NPI assigned

Oct 25, 2024

Organization subpart

No

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

Authorized official

Name

Meredith Hake, RN, FMPHNP, PANPI 1528234705

Title

Owner

Phone

(972) 895-3189

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meredith McCoy Hake, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Highland Village, TX
  • NPI 1528234705
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1386466944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 PINEHURST DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750777689",
            "telephone_number": "469-471-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 WINDSOR CENTRE TRL STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281866",
            "telephone_number": "972-895-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH M HAKE, RN, FMPHNP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "HAKE",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-895-3189",
        "authorized_official_credential": "RN, FMPHNP, PA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Tricamo DDS Ms PA
• Mandy Mendoza
• Mila Meneses-Muller
• Michele Menzie, LCSW
• Mercy Hospice, LTD
• Meredith S. Tittle, P.T., LLC
• Kimberly Meredith, PT, DPT
• Elizabeth Merrick, LCSW
• Merritt Insight Counseling, PLLC
• Lauren Michelle Merritt, LPC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.