Active NPI
Ellen Francine Cavalcanti Mehta, MSN, APRN, FNP-C
- Family Nurse Practitioner
- McKinney, TX
National Provider Identifier
1497355671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1028562
- Practice address
- 812 Ping St
McKinney, TX 75069-8031 - Phone
- (248) 219-1742
- NPI assigned
- Oct 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 872409 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1028562 | TX | Primary |
Addresses
Primary practice location
812 Ping St
McKinney, TX 75069-8031
Mailing address
812 Ping St
McKinney, TX 75069-8031
Phone (214) 945-2259
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Mckinney |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 872409 | TX | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camino Real Emergency Physicians PLLC | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Livingston, TX
- NPI 1992871966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1497355671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 PING ST",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750698031",
"telephone_number": "214-945-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 PING ST",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750698031",
"telephone_number": "248-219-1742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "ELLEN FRANCINE",
"middle_name": "CAVALCANTI",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-28",
"last_updated": "2021-03-24",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "TX",
"license": "872409",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1028562",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Mckinney",
"affiliation": "N",
"address_1": "812 Ping St",
"city": "McKinney",
"state": "TX",
"country_code": "US",
"postal_code": "750698031",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.