Active NPI
Surgical Nurse First Assist, PC
- Registered Nurse
- Fort Worth, TX
National Provider Identifier
1417066200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 620284
- Legal business name
- SURGICAL NURSE FIRST ASSIST, PC
- Practice address
- 7100 Oakmont Blvd
Fort Worth, TX 76132-3900 - Phone
- (817) 246-5700
- NPI assigned
- Aug 29, 2006
- Last updated
- Feb 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela E Slagle, RNFA
- Title
- Rnfa
- Phone
- (817) 294-7444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 620284 | TX | Primary |
Addresses
Primary practice location
7100 Oakmont Blvd
Fort Worth, TX 76132-3900
Mailing address
PO Box 11219
Fort Worth, TX 76110-0219
Phone (817) 294-7444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060KE | Other | TX | BCBSTX |
| 0003KE | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse
- Fort Worth, TX
- NPI 1841309622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265155200000",
"number": "1417066200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11219",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761100219",
"telephone_number": "817-294-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 OAKMONT BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323900",
"telephone_number": "817-246-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL NURSE FIRST ASSIST, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2010-02-03",
"status": "A",
"authorized_official_last_name": "SLAGLE",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "RNFA",
"authorized_official_telephone_number": "817-294-7444",
"authorized_official_credential": "RNFA"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "620284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "0060KE",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0003KE",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Alexandra Surdo
- Sure Health Neuromonitoring LLC
- Suresh Kankanala M.D, P.a.
- Surgical Auxilium LLC
- Surgical Caregivers of Fort Worth LLC (Texas Health Surgery Center Fort Worth Midtown)
- Surgical Services Group, Inc
- Surgicalist of TX PLLC
- Vidya Sri Suri, DDS
- Elizabeth Surita-Khuat, M.A., CCC-SLP
- Blaire Surley, OTR, CBIS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.