Active NPI
Christina Marie Taglieri, FNP-C, RN, LVN
- Family Nurse Practitioner
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1140617
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 937637 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Open Wound Care Services LLC | Family | Current | Accepting new patients |
| Wound Management Specialists, LLC | Current | Accepting new patients | |
| Healthcare Plus Limited Liability Company | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.