Individual provider Active NPI

Tien Kim Gilbreath, FNP-C

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1417493479
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133113 Issued in TX
Practice address
3475 Collins Blvd
Garland, TX 75044-3621
Phone
(469) 525-8776
NPI assigned
Jan 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 AP133113 TX Primary

Addresses

Primary practice location

3475 Collins Blvd
Garland, TX 75044-3621

Mailing address

3475 Collins Blvd
Garland, TX 75044-3621
Phone (469) 525-8776

Other practice location 1

3330 Douglas Ave
Dallas, TX 75219-2717
Phone (469) 525-8776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP133113TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: tien.gilbreath@hcc.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417493479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 COLLINS BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750443621",
            "telephone_number": "469-525-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 COLLINS BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750443621",
            "telephone_number": "469-525-8776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 Douglas Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752192717",
            "country_code": "US",
            "telephone_number": "469-525-8776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBREATH",
        "first_name": "TIEN",
        "middle_name": "KIM",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.