Individual provider Active NPI

Mahnaz Mostofi, WHCNP

  • Women's Health Clinical Nurse Specialist
  • Carrollton, TX
National Provider Identifier
1457722407
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X
License
AP109362 Issued in TX
Practice address
4323 N Josey LN
Plaza Suite 306
Carrollton, TX 75010-4633
Phone
(972) 939-7011
Fax
(972) 939-2951
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Clinical Nurse Specialist 364SW0102X AP109362 TX Primary

Addresses

Primary practice location

4323 N Josey LN
Plaza Suite 306
Carrollton, TX 75010-4633

Mailing address

4323 N Josey LN
Plaza Suite 306
Carrollton, TX 75010-4633
Phone (972) 939-7011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP109362TXMDWomen's Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1457722407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LN",
            "address_2": "PLAZA SUITE 306",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104633",
            "telephone_number": "972-939-7011",
            "fax_number": "972-939-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LN",
            "address_2": "PLAZA SUITE 306",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104633",
            "telephone_number": "972-939-7011",
            "fax_number": "972-939-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTOFI",
        "first_name": "MAHNAZ",
        "credential": "WHCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "TX",
            "license": "AP109362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.