Individual provider Active NPI

Veronica Paz Cifuentes, PA-C

  • Physician Assistant
  • Flower Mound, TX
National Provider Identifier
1508192295
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16292 Issued in TX
Practice address
3101 Churchill Dr Ste 100
Flower Mound, TX 75022-2717
Phone
(682) 683-2301
NPI assigned
Oct 30, 2009
Last updated
Nov 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16292 TX Primary
Medical Physician Assistant 363AM0700X 10643 MN

Addresses

Primary practice location

3101 Churchill Dr Ste 100
Flower Mound, TX 75022-2717

Mailing address

3101 Churchill Dr Ste 100
Flower Mound, TX 75022-2717
Phone (817) 952-6089

Other practice location 1

7230 Crawford Rd
Argyle, TX 76226-2677
Phone (682) 683-2301

Other practice location 2

9990 Dallas Pkwy Ste 125
Frisco, TX 75033-4137
Phone (972) 947-5244

Other practice location 3

4150 N Collins St
Arlington, TX 76005-4547
Phone (682) 683-2301

Other practice location 4

4545 Heritage Trace Pkwy Ste 1500
Fort Worth, TX 76244-8938
Phone (682) 683-2301

Other practice location 5

1720 Fm 544 Ste 100
Lewisville, TX 75056-4592
Phone (682) 683-2301

Other practice location 6

3101 Churchill Dr Ste 100
Flower Mound, TX 75022-2717
Phone (817) 337-6604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091228000539 MN Practitioner - Physician Assistant 5597805481
I20240207003052 TX Practitioner - Physician Assistant 5597805481 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Iowa, RJ & L Carver College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RRR Hyperbarics 4Group PAC ID 9537421482, 7 clinicians
RRR Hyperbarics 1Group PAC ID 4082975982, 7 clinicians
RRR Hyperbarics 3 LLCGroup PAC ID 7113288101, 7 clinicians
RRR Hyperbarics 8, LLCGroup PAC ID 1658767892, 5 clinicians

Practice addresses (Care Compare)

1720 FM
544 Suite 100
Lewisville, TX 75056-4592
Phone (817) 337-6604

3101 Churchill Dr
Suite 100
Flower Mound, TX 75022-2717
Phone (682) 253-1637

4545 Heritage Trace Pkwy
Suite 1500
Fort Worth, TX 76244-8938
Phone (817) 881-8571

7230 Crawford Rd
Argyle, TX 76226-2677
Phone (817) 881-8571

9990 Dallas Pkwy
Suite 125
Frisco, TX 75033-4134

9990 Dallas Pkwy
Suite 125
Frisco, TX 75033-4137
Phone (469) 269-0669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
22303CAMDClinical Psychologist
PA16292TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Waterside Healthcare & Wellness, LLC PastSince Jan 1, 2022 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1508192295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 CHURCHILL DR STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222717",
            "telephone_number": "817-952-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 CHURCHILL DR STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222717",
            "telephone_number": "682-683-2301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7230 Crawford Rd",
            "address_purpose": "LOCATION",
            "city": "Argyle",
            "state": "TX",
            "postal_code": "762262677",
            "country_code": "US",
            "telephone_number": "682-683-2301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9990 Dallas Pkwy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750334137",
            "country_code": "US",
            "telephone_number": "972-947-5244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 N Collins St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760054547",
            "country_code": "US",
            "telephone_number": "682-683-2301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 Heritage Trace Pkwy Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762448938",
            "country_code": "US",
            "telephone_number": "682-683-2301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Fm 544 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750564592",
            "country_code": "US",
            "telephone_number": "682-683-2301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Churchill Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750222717",
            "country_code": "US",
            "telephone_number": "817-337-6604",
            "fax_number": "817-337-6866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIFUENTES",
        "first_name": "VERONICA",
        "middle_name": "PAZ",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16292",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "10643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.