Individual provider Active NPI

Dianne Perdue, FNP-C

  • Family Nurse Practitioner
  • Marble Falls, TX
National Provider Identifier
1407040363
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP113401 Issued in TX
Practice address
800 W Highway 71
Marble Falls, TX 78654-8606
Phone
(830) 201-7100
NPI assigned
Sep 4, 2007
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 AP113401 TX Primary

Addresses

Primary practice location

800 W Highway 71
Marble Falls, TX 78654-8606

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

1627 Wildcat Dr
Portland, TX 78374-2815
Phone (361) 643-1552

Other names 1

  • Dianne Hendrickson Former name

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
I20050216000330 TX Practitioner - Nurse Practitioner 3072565274 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heart Care of San Antonio CurrentSince May 22, 2018 Accepting new patients
Legacy Heart Care of San Antonio CurrentSince May 22, 2018 Accepting new patients
Legacy Heart Care of South Austin, LLC CurrentSince May 22, 2018 Accepting new patients
Legacy Heart Care of Midtown Austin, LLC CurrentSince May 22, 2018 Accepting new patients
Rockport Physical Medicine PA Family CurrentSince Jun 2, 2025 Accepting new patients
Americare Medical Partners, PLLC Past Accepting new patients
Skilled Primary Care PLLC Past Accepting new patients
Cardiovascular Specialty Associates of North Texas, P.a. Past Accepting new patients

Locations

1180 Seton Pkwy
Ste 280
Kyle, TX 78640
Phone (817) 710-7644

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

2011 Highway 35 N
Rockport, TX 78382
Phone (361) 356-3110

7200 Wyoming Springs Dr
Ste 300
Round Rock, TX 78681
Phone (512) 419-1100

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

Interoperability endpoints

  • Direct secure messaging: dianne.perdue.1@18156.direct.athenahealth.com

Organizations & group practices 8

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1407040363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W HIGHWAY 71",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786548606",
            "telephone_number": "830-201-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1627 Wildcat Dr",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "TX",
            "postal_code": "783742815",
            "country_code": "US",
            "telephone_number": "361-643-1552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "DIANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP113401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNE",
            "last_name": "HENDRICKSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marble Falls, TX

Sources for this page

Verify at the official NPI Registry.