Individual provider Active NPI

Nancy Lovern, FNP

  • Family Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1508333055
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139469 Issued in TX
Practice address
1320 N Galloway Ave Ste 103
Mesquite, TX 75149-2440
Phone
(972) 288-9747
Fax
(972) 288-2610
NPI assigned
Nov 1, 2018
Last updated
Nov 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139469 TX Primary

Addresses

Primary practice location

1320 N Galloway Ave Ste 103
Mesquite, TX 75149-2440

Mailing address

1320 N Galloway Ave Ste 103
Mesquite, TX 75149-2440
Phone (972) 288-9747

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
I20190214002624 TX Practitioner - Nurse Practitioner 3476891540 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aymancare PLLCGroup PAC ID 2567798671, 8 clinicians

Practice addresses (Care Compare)

10009 N Macarthur Blvd
Suite 109
Irving, TX 75063-5082
Phone (469) 913-7059

3400 Interstate Hwy 30
Suite 270
Mesquite, TX 75150-2601
Phone (972) 288-9747

8208 Bedford Euless Rd
North Richland Hills, TX 76180-7214
Phone (817) 581-5959

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP139469TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kikkeri International, PA CurrentSince Jan 6, 2020 Accepting new patients

Locations

3865 Childress Ave
Ste A
Mesquite, TX 75150
Phone (469) 554-0213

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDGDAA

Organizations & group practices 3

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": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1508333055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N GALLOWAY AVE STE 103",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492440",
            "telephone_number": "972-288-9747",
            "fax_number": "972-288-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N GALLOWAY AVE STE 103",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492440",
            "telephone_number": "972-288-9747",
            "fax_number": "972-288-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVERN",
        "first_name": "NANCY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.