Individual provider Active NPI

Posha GT, MSN,APRN,FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1417529520
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1047421 Issued in TX
Practice address
4500 Spring Ave
Dallas, TX 75210-1350
Phone
(972) 817-6240
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 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 1047421 TX Primary

Addresses

Primary practice location

4500 Spring Ave
Dallas, TX 75210-1350

Mailing address

4090 Mapleshade LN Ste 210
Plano, TX 75093-0026

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
I20220404002585 TX Practitioner - Nurse Practitioner 1951797778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

301 N Washington Ave
Dallas, TX 75246-1754

700 N Pearl St
Suite N510
Dallas, TX 75201-2863

9450 SW Gemini Dr
Pmb49084
Beaverton, OR 97008-7105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1047421TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Apr 10, 2023 Accepting new patients
Healthtexas Provider Network Pediatrics Current Accepting new patients
Healthtexas Provider Network CurrentSince Apr 10, 2023 Accepting new patients
Pediatric Offices at Willow Bend PastSince Jul 1, 2021 Accepting new patients

Locations

4500 Spring Ave
Dallas, TX 75210
Phone (214) 865-3060

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

Interoperability endpoints

  • Direct secure messaging: pgt1167009@direct.sw.org

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1417529520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 MAPLESHADE LN STE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SPRING AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752101350",
            "telephone_number": "972-817-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GT",
        "first_name": "POSHA",
        "credential": "MSN,APRN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1047421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.