Individual provider Active NPI

Eboni Charmele Dorsey, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1417422957
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138332 Issued in TX
Practice address
7125 Marvin D Love Fwy Ste 107
Dallas, TX 75237-3111
Phone
(972) 332-5029
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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 AP138332 TX Primary

Addresses

Primary practice location

7125 Marvin D Love Fwy Ste 107
Dallas, TX 75237-3111

Mailing address

2025 Diamondback
Forney, TX 75126-5172
Phone (409) 673-1643

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
I20210621003166 TX Practitioner - Nurse Practitioner 0547660029 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care CurrentSince Mar 17, 2021 Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care Family CurrentSince Mar 17, 2021 Accepting new patients

Locations

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

2552 Eldorado Pkwy
Ste 550
Frisco, TX 75033
Phone (469) 495-9114

3805 W University Dr
Ste 100
McKinney, TX 75071
Phone (469) 495-9102

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: eboni.dorsey.1@30520.direct.athenahealth.com

Organizations & group practices 4

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": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1417422957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 DIAMONDBACK",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751265172",
            "telephone_number": "409-673-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 MARVIN D LOVE FWY STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373111",
            "telephone_number": "972-332-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "EBONI",
        "middle_name": "CHARMELE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.