Active NPI
Deepa Baral
- Family Nurse Practitioner
- Frisco, TX
National Provider Identifier
1457917403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP141125
- Practice address
- 9191 Kyser Way Ste 205
Frisco, TX 75033-2783 - Phone
- (972) 643-8727
- Fax
- (972) 643-8728
- NPI assigned
- May 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP141125 | TX | Primary |
Addresses
Primary practice location
9191 Kyser Way Ste 205
Frisco, TX 75033-2783
Mailing address
5605 N Macarthur Blvd
Ste 400
Irving, TX 75038-2693
Phone (888) 562-5442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP141125 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Everett, WA
- NPI 1912235060
-
- Family Medicine Physician
- Bothell, WA
- NPI 1659897163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1457917403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5605 N MACARTHUR BLVD",
"address_2": "STE 400",
"city": "IRVING",
"state": "TX",
"postal_code": "750382693",
"telephone_number": "888-562-5442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9191 KYSER WAY STE 205",
"city": "FRISCO",
"state": "TX",
"postal_code": "750332783",
"telephone_number": "972-643-8727",
"fax_number": "972-643-8728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAL",
"first_name": "DEEPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP141125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.