Individual provider Active NPI

Emmy Kirui-Modi, NP-C

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1467952879
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135035 Issued in TX
Practice address
1360 Star CT # T3
Plano, TX 75074-7353
Phone
(972) 200-5001
Fax
(469) 661-8625
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP135035 TX
Primary Care Nurse Practitioner 363LP2300X AP135035 TX
Family Nurse Practitioner 363LF0000X AP135035 TX Primary

Addresses

Primary practice location

1360 Star CT # T3
Plano, TX 75074-7353

Mailing address

1360 Star CT # T3
Plano, TX 75074-7353
Phone (972) 200-5001

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
I20180306000374 TX Practitioner - Nurse Practitioner 5294096327 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP135035TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texoma Neurology Associates, PA CurrentSince Jun 10, 2022 Accepting new patients
Talis Healthcare LLC PastSince May 24, 2023 Accepting new patients

Locations

1804 Chuckwa Dr
Durant, OK 74701
Phone (580) 920-1141

620 Matlock Centre Cir
Arlington, TX 76015
Phone (814) 460-1234

221 W Colorado Blvd
Ste 943
Dallas, TX 75208
Phone (214) 941-9888

2201 S Austin Ave
Denison, TX 75020
Phone (214) 463-4752

4433 Punjab Way
Ste 201
Frisco, TX 75033

1600 W College St
Ste 640
Grapevine, TX 76051
Phone (817) 481-2121

420 Johnson Rd
Ste 201
Keller, TX 76248
Phone (214) 799-5878

475 Elm St
Ste 104
Lewisville, TX 75057
Phone 90389351414355

2517 Virginia Pkwy
Ste 102
McKinney, TX 75071

7920 Preston Rd
Ste 100
Plano, TX 75024
Phone (214) 315-3552

1600 Coit Rd
Ste 208
Plano, TX 75075
Phone (469) 666-0184

3017 E Renner Rd
Ste 110
Richardson, TX 75082
Phone (214) 463-4752

321 N Highland Ave
Ste 200
Sherman, TX 75092

Interoperability endpoints

  • Direct secure messaging: emmy.kirui@tna.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1467952879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 STAR CT # T3",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750747353",
            "telephone_number": "972-200-5001",
            "fax_number": "469-661-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 STAR CT # T3",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750747353",
            "telephone_number": "972-200-5001",
            "fax_number": "469-661-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRUI-MODI",
        "first_name": "EMMY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP135035",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP135035",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.