Individual provider Active NPI

Azali Maisha Harris, APRN, AGPCNP-C

  • Adult Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1457170052
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1165340 Issued in TX
Practice address
381 Casa Linda PLZ Ste 123
Dallas, TX 75218-3471
Phone
(972) 914-9592
NPI assigned
Oct 9, 2024
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1165340 TX
Adult Health Nurse Practitioner 363LA2200X 1165340 TX Primary

Addresses

Primary practice location

381 Casa Linda PLZ Ste 123
Dallas, TX 75218-3471

Mailing address

3314 Cassinia Pkwy Ste 123
Forney, TX 75126-1007

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
I20241206002167 TX Practitioner - Nurse Practitioner 6608302187 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Elder Care, LLCGroup PAC ID 4688061229, 3 clinicians

Practice addresses (Care Compare)

381 Casa Linda PLZ
Suite 123
Dallas, TX 75218-3471
Phone (214) 244-9452

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1165340TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Elder Care, LLC CurrentSince Oct 1, 2024 Accepting new patients
Woundtech of Texas CurrentSince Jun 30, 2025 Accepting new patients
Premier Pain Centers PA CurrentSince Jan 1, 2025 Accepting new patients
WT Health of Texas LLC CurrentSince Jun 30, 2025 Accepting new patients

Locations

1626 W Baker Rd
Baytown, TX 77521
Phone (281) 628-7300

381 Casa Linda Plz
Dallas, TX 75218
Phone (214) 244-9452

1323 E Franklin St
Ste 102
Hillsboro, TX 76645
Phone (254) 362-2205

2071 N Collins Blvd
Ste 100
Richardson, TX 75080
Phone (469) 454-6966

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, 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": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1457170052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 CASSINIA PKWY STE 123",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751261007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 CASA LINDA PLZ STE 123",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183471",
            "telephone_number": "972-914-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "AZALI",
        "middle_name": "MAISHA",
        "credential": "APRN, AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1165340",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1165340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.