Individual provider Active NPI

Yashoda Shrestha, FNP-C

  • Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1487439535
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1129248 Issued in TX
Practice address
3001 Saint Lynda Dr
Mansfield, TX 76063-4857
Phone
(817) 687-9138
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1129248 TX Primary

Addresses

Primary practice location

3001 Saint Lynda Dr
Mansfield, TX 76063-4857

Mailing address

3001 Saint Lynda Dr
Mansfield, TX 76063-4857
Phone (817) 687-9138

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
I20231120002601 TX Practitioner - Nurse Practitioner 6507214194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tarrant Arthritis Center LLCGroup PAC ID 3274960596, 2 clinicians

Practice addresses (Care Compare)

4375 Booth Calloway Rd
Suite 208
North Richland Hills, TX 76180-8362
Phone (817) 865-3939

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Bridges PLLC CurrentSince Sep 1, 2023 Accepting new patients
Tarrant Arthritis Center LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

7570 N Beach St
Ste 106
Fort Worth, TX 76137
Phone (817) 865-3939

4375 Booth Calloway Rd
Ste 208
Richland Hills, TX 76180
Phone (817) 865-3939

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1487439535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SAINT LYNDA DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634857",
            "telephone_number": "817-687-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SAINT LYNDA DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634857",
            "telephone_number": "817-687-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRESTHA",
        "first_name": "YASHODA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1129248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.