Individual provider Active NPI

Victoria Tran

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1518536150
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1051782 Issued in TX
Practice address
7570 N Beach St Ste 106
Fort Worth, TX 76137-7800
Phone
(817) 912-5900
NPI assigned
Jun 18, 2021
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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 1051782 TX Primary

Addresses

Primary practice location

7570 N Beach St Ste 106
Fort Worth, TX 76137-7800

Mailing address

7570 N Beach St Ste 106
Fort Worth, TX 76137-7800
Phone (817) 912-5900

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
I20231106000900 TX Practitioner - Nurse Practitioner 8123475639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DFW Kidney Care Clinic LLCGroup PAC ID 0042548265, 7 clinicians

Practice addresses (Care Compare)

4375 Booth Calloway Rd
Suite 208
North Richland Hills, TX 76180-8362
Phone (817) 912-5900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1051782TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Kidney Care Clinic LLC CurrentSince Aug 14, 2023 Accepting new patients

Locations

117 Gemini Cir
Ste 404
Homewood, AL 35209

7570 N Beach St
Ste 106
Fort Worth, TX 76137
Phone (817) 865-3939

4375 Booth Calloway Rd
Ste 208
Richland Hills, TX 76180
Phone (817) 865-3939

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

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, 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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1518536150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 N BEACH ST STE 106",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761377800",
            "telephone_number": "817-912-5900",
            "fax_number": "817-912-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 N BEACH ST STE 106",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761377800",
            "telephone_number": "817-912-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1051782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.