Organization Active NPI

Action Family Care PLLC

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1508307679
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130793 Issued in TX
Legal business name
ACTION FAMILY CARE PLLC
Practice address
3100 Independence Pkwy
Suite 103a
Plano, TX 75075-1964
Phone
(214) 553-5543
Fax
(214) 553-5543
NPI assigned
Mar 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Mr. Hoss Mansoori, ANPNPI 1952416323
Title
Family Nurse Practitioner
Phone
(214) 553-5543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP130793 TX Primary

Addresses

Primary practice location

3100 Independence Pkwy
Suite 103a
Plano, TX 75075-1964

Mailing address

11615 Forest Central Dr
214
Dallas, TX 75024-3910
Phone (214) 553-5543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170418000936 TX Part B Supplier - Clinic/Group Practice 3971889452 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

3100 Independence Pkwy
Ste 103A
Plano, TX 75075
Phone (214) 553-5543

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1508307679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 FOREST CENTRAL DR",
            "address_2": "214",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "750243910",
            "telephone_number": "214-553-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 INDEPENDENCE PKWY",
            "address_2": "SUITE 103A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750751964",
            "telephone_number": "214-553-5543",
            "fax_number": "214-553-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "MANSOORI",
        "authorized_official_first_name": "HOSS",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "214-553-5543",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.