Individual provider Active NPI

Vivian Menchaca, MSN, RN, BC, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1427010073
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0132675-22 Issued in TX
Practice address
3535 N Buckner Blvd
Dallas, TX 75228-5548
Phone
(214) 660-1011
Fax
(214) 660-1016
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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 0132675-22 TX Primary

Addresses

Primary practice location

3535 N Buckner Blvd
Dallas, TX 75228-5548

Mailing address

3535 N Buckner Blvd
Dallas, TX 75228-5548
Phone (214) 660-1011

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
I20050207000316 TX Practitioner - Nurse Practitioner 4385695485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3535 N Buckner Blvd
Suite 100
Dallas, TX 75228-5633
Phone (214) 660-1011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0132675-22TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Health Center LLC Family CurrentSince Jun 30, 2011 Accepting new patients
Healthcare Associates of Irving PLLC Past Accepting new patients

Locations

3535 N Buckner Blvd
Ste 100
Dallas, TX 75228
Phone (214) 302-9608

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBDCDA/Endpoint/JBDCDA

Organizations & group practices 2

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1427010073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 N BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752285548",
            "telephone_number": "214-660-1011",
            "fax_number": "214-660-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 N BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752285548",
            "telephone_number": "214-660-1011",
            "fax_number": "214-660-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCHACA",
        "first_name": "VIVIAN",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "0132675-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.