Organization Active NPI

Surgical Nurse First Assist, PC

  • Registered Nurse
  • Fort Worth, TX
National Provider Identifier
1417066200
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
620284 Issued in TX
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Angela E Slagle, RNFANPI 1841309622
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0060KEOtherTXBCBSTX
0003KEOtherTXBCBS

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.