Individual provider Active NPI

Joshua Michael Servin, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Celina, TX
National Provider Identifier
1407628019
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1140501 Issued in TX
Practice address
1050 S Preston Rd Ste 119
Celina, TX 75009-3859
Phone
(972) 382-8520
NPI assigned
Oct 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 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 1140501 TX Primary

Addresses

Primary practice location

1050 S Preston Rd Ste 119
Celina, TX 75009-3859

Mailing address

1050 S Preston Rd Ste 119
Celina, TX 75009-3859
Phone (972) 382-8520

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
I20231115003791 TX Practitioner - Nurse Practitioner 4981051745 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1140501TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Family Healthcare, PLLC Family CurrentSince Oct 30, 2023 Accepting new patients

Locations

1050 S Preston Rd
Ste 119
Celina, TX 75009
Phone (972) 382-8520

205 S Preston Rd
Ste 110
Celina, TX 75009
Phone (972) 382-8520

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1407628019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 S PRESTON RD STE 119",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093859",
            "telephone_number": "972-382-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S PRESTON RD STE 119",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093859",
            "telephone_number": "972-382-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVIN",
        "first_name": "JOSHUA",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1140501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, TX

Sources for this page

Verify at the official NPI Registry.