Individual provider Active NPI

Patti Annette Parker, ANP

  • Adult Health Nurse Practitioner
  • Garland, TX
National Provider Identifier
1447275524
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
510126 Issued in TX
Practice address
800 N Shiloh Rd
Garland, TX 75042-5716
Phone
(972) 487-5444
Fax
(972) 485-3056
NPI assigned
Jul 12, 2006
Last updated
Feb 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 510126 TX Primary
Gerontology Nurse Practitioner 363LG0600X 510126 TX
Medical-Surgical Clinical Nurse Specialist 364SM0705X 510126 TX

Addresses

Primary practice location

800 N Shiloh Rd
Garland, TX 75042-5716

Mailing address

800 N Shiloh Rd
Garland, TX 75042-5716
Phone (972) 487-5444

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
I20101025000810 TX Practitioner - Nurse Practitioner 7113110958 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
510126TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Dec 8, 2014 Accepting new patients
Healthtexas Provider Network CurrentSince Dec 8, 2014 Accepting new patients
Baylor University Medical Center Past Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

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

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648

800 N Shiloh Rd
Garland, TX 75042
Phone (972) 487-5444

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1447275524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N SHILOH RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425716",
            "telephone_number": "972-487-5444",
            "fax_number": "972-485-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N SHILOH RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425716",
            "telephone_number": "972-487-5444",
            "fax_number": "972-485-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "PATTI",
        "middle_name": "ANNETTE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "510126",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "510126",
            "primary": false
        },
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "TX",
            "license": "510126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.