Individual provider Active NPI

Christina Marie Taglieri, FNP-C, RN, LVN

  • Family Nurse Practitioner
  • Southlake, TX
National Provider Identifier
1477197366
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1140617 Issued in TX
Practice address
250 Miron Dr
Southlake, TX 76092-7852
Phone
(817) 328-3000
Fax
(817) 241-4240
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 937637 TX
Family Nurse Practitioner 363LF0000X 1140617 TX Primary

Addresses

Primary practice location

250 Miron Dr
Southlake, TX 76092-7852

Mailing address

250 Miron Dr
Southlake, TX 76092-7852
Phone (817) 328-3000

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
I20240306001462 TX Practitioner - Nurse Practitioner 8426494063 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
937637TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Global Open Wound Care Services LLC Family CurrentSince Jan 26, 2025 Accepting new patients
Wound Management Specialists, LLC CurrentSince Nov 24, 2025 Accepting new patients
Healthcare Plus Limited Liability Company CurrentSince Nov 24, 2025 Accepting new patients

Locations

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

434 Katherine Dr
Flowood, MS 39232
Phone (769) 216-3346

515 N 3rd St
Longview, TX 75601
Phone (903) 215-3149

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

521 W Southlake Blvd
Ste 150
Southlake, TX 76092
Phone (817) 328-3000

250 Miron Dr
Southlake, TX 76092
Phone (817) 328-3000

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.

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1477197366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MIRON DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927852",
            "telephone_number": "817-328-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MIRON DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927852",
            "telephone_number": "817-328-3000",
            "fax_number": "817-241-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGLIERI",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "FNP-C, RN, LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "937637",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1140617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.