Individual provider Active NPI

Vanessa Sylvia, NP

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1467852855
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
705214 Issued in TX
Practice address
1400 Preston Rd Ste 400
Plano, TX 75093-5189
Phone
(469) 371-0289
Fax
(877) 884-3992
NPI assigned
Sep 4, 2014
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 705214 TX Primary

Addresses

Primary practice location

1400 Preston Rd Ste 400
Plano, TX 75093-5189

Mailing address

3817 Post Oak Blvd
Caddo Mills, TX 75135-7439
Phone (972) 400-1668

Other identifiers 1

IdentifierTypeStateIssuer
340526803MedicaidTX

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
I20141111000720 TX Practitioner - Nurse Practitioner 1557583325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lightflower, LTD.Group PAC ID 3375675713, 6 clinicians

Practice addresses (Care Compare)

1400 Preston Rd
Suite 400
Plano, TX 75093-5189
Phone (214) 699-1179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
705214TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lightflower, LTD. CurrentSince Oct 1, 2016 Accepting new patients

Locations

1400 Preston Rd
Ste 400
Plano, TX 75093
Phone (214) 699-1179

Organizations & group practices 1

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": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1467852855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 POST OAK BLVD",
            "city": "CADDO MILLS",
            "state": "TX",
            "postal_code": "751357439",
            "telephone_number": "972-400-1668",
            "fax_number": "972-421-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PRESTON RD STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935189",
            "telephone_number": "469-371-0289",
            "fax_number": "877-884-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVIA",
        "first_name": "VANESSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "705214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340526803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.