Individual provider Active NPI

Dyess Gardner, RN

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1417565250
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1179518 Issued in TX
Practice address
1300 S Bowen Rd Ste a
Arlington, TX 76013-6713
Phone
(817) 704-1444
NPI assigned
Jul 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 991131 TX
Family Nurse Practitioner 363LF0000X 1179518 TX Primary

Addresses

Primary practice location

1300 S Bowen Rd Ste a
Arlington, TX 76013-6713

Mailing address

1300 S Bowen Rd Ste a
Arlington, TX 76013-6713

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
I20251124002452 TX Practitioner - Nurse Practitioner 6002308343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehoboth Urgent Care PLLCGroup PAC ID 4183162431, 7 clinicians

Practice addresses (Care Compare)

1300 S Bowen Rd
Suite a
Arlington, TX 76013-6713
Phone (605) 789-6576

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
991131TXMDRegistered Nurse
1179518TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rehoboth Urgent Care PLLC CurrentSince Oct 22, 2025 Accepting new patients

Locations

1300 S Bowen Rd
Ste A
Arlington, TX 76013
Phone (605) 789-6576

1300 S Bowen Rd
Ste B
Arlington, TX 76013
Phone (281) 220-6316

Interoperability endpoints

  • Direct secure messaging: dyess.gardner@371990082093060.direct.elationemr.com

Organizations & group practices 1

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": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1417565250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S BOWEN RD STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S BOWEN RD STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136713",
            "telephone_number": "817-704-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DYESS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "991131",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1179518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.