Individual provider Active NPI

Maria Teresa Tarango, NP

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1487437620
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1039021 Issued in TX
Practice address
3425 Grande Bulevar
Irving, TX 75062-5108
Phone
(972) 639-5836
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 1039021 TX Primary

Addresses

Primary practice location

3425 Grande Bulevar
Irving, TX 75062-5108

Mailing address

PO Box 100161
Fort Worth, TX 76185-0161
Phone (575) 693-8964

Other names 1

  • Maria Teresa Juarez Former name

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
I20250203001087 TX Practitioner - Nurse Practitioner 2365971538

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1039021TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allele Healthcare Inc CurrentSince Nov 28, 2024 Accepting new patients

Locations

8 Medical Pkwy
Ste 304
Dallas, TX 75234
Phone (214) 909-9772

5752 Grandscape Blvd
Ste 225
The Colony, TX 75056
Phone (214) 909-9772

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1487437620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100161",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761850161",
            "telephone_number": "575-693-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 GRANDE BULEVAR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625108",
            "telephone_number": "972-639-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANGO",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1039021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "JUAREZ",
            "middle_name": "TERESA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.