Individual provider Active NPI

Paula Harrison, NP-C, CRNFA

  • Nurse Practitioner
  • Plano, TX
National Provider Identifier
1487703609
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A0608097 Issued in TX
Practice address
2145 Ironside Dr
Plano, TX 75075-3011
Phone
(214) 794-8559
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 051658 TX
Nurse Practitioner 363L00000X A0608097 TX Primary

Addresses

Primary practice location

2145 Ironside Dr
Plano, TX 75075-3011

Mailing address

PO Box 940387
Plano, TX 75094-0387

Other identifiers 3

IdentifierTypeStateIssuer
051658OtherTXPERIOPERATIVE NURSING
A0608097OtherTXNURSE PRACTITIONER
534198OtherTXBOARD OF NURSE EXAMINERS

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
I20080926000538 TX Practitioner - Nurse Practitioner 7618044009 Reassigns benefits to 1 organization
Practice locations: Rowlett, TX; Rockwall, TX; Plano, TX; Irving, TX; Grapevine, TX; Heath, TX; Addison, TX; Dallas, TX…

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mpower Clinical TXGroup PAC ID 1850716705, 31 clinicians

Practice addresses (Care Compare)

12505 Lebanon Rd
Frisco, TX 75035-8298
Phone (972) 963-3333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051658TXMDRegistered Nurse First Assistant
A0608097TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mpower Clinical TX CurrentSince Nov 5, 2021 Accepting new patients

Locations

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

5080 Spectrum Dr
Ste 1100E
Addison, TX 75001
Phone (214) 346-4328

3003 Bee Caves Rd
Austin, TX 78746
Phone (512) 314-3800

1101 6th Ave
Ste 110
Fort Worth, TX 76104
Phone (817) 912-8040

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

1141 N Loop 1604 E
San Antonio, TX 78232
Phone (210) 844-5952

2915 W Bitters Rd
Ste 201
San Antonio, TX 78248

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1487703609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940387",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750940387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 IRONSIDE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753011",
            "telephone_number": "214-794-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "PAULA",
        "credential": "NP-C, CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "051658",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "A0608097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERIOPERATIVE NURSING",
            "identifier": "051658",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "A0608097",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSE EXAMINERS",
            "identifier": "534198",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.