Individual provider Active NPI

Paul Christopher Noblitt, APRN

  • Transplantation Clinical Nurse Specialist
  • Dallas, TX
National Provider Identifier
1467114397
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplantation Clinical Nurse SpecialistTaxonomy code 364ST0500X
License
1056139 Issued in TX
Practice address
3410 Worth St Ste 540
Dallas, TX 75246-2079
Phone
(214) 820-6856
Fax
(214) 820-1474
NPI assigned
Oct 7, 2021
Last updated
Oct 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transplantation Clinical Nurse Specialist 364ST0500X 1056139 TX Primary

Addresses

Primary practice location

3410 Worth St Ste 540
Dallas, TX 75246-2079

Mailing address

1211 Clark Springs Dr
Keller, TX 76248-3639
Phone (817) 946-1134

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
I20220719001272 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 1850772096 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1056139TXMDTransplantation Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jun 1, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 1, 2022 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

3410 Worth St
Ste 250
Dallas, TX 75246
Phone (214) 820-6856

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

Interoperability endpoints

  • Direct secure messaging: pnoblitt615346@direct.sw.org

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1467114397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 CLARK SPRINGS DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483639",
            "telephone_number": "817-946-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WORTH ST STE 540",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462079",
            "telephone_number": "214-820-6856",
            "fax_number": "214-820-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLITT",
        "first_name": "PAUL",
        "middle_name": "CHRISTOPHER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364ST0500X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Transplantation",
            "state": "TX",
            "license": "1056139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.