Individual provider Active NPI

Cathy Clinard, FNP

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1548247810
Registry record updated Oct 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
631006 Issued in TX
Practice address
6606 LBJ Fwy
Suite 200
Dallas, TX 75240-6533
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 631006 TX Primary

Addresses

Primary practice location

6606 LBJ Fwy
Suite 200
Dallas, TX 75240-6533

Mailing address

PO Box 650866
Dallas, TX 75265-0866
Phone (972) 715-1999

Other identifiers 5

IdentifierTypeStateIssuer
155484203MedicaidTX
89N041OtherTXBCBS
155484205MedicaidTX
155484204MedicaidTX
P00101189OtherTXRAILROAD

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
I20070514000199 TX Practitioner - Nurse Practitioner 3577660323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Pain and Wellness PAGroup PAC ID 1557378601, 14 clinicians

Practice addresses (Care Compare)

1101 Raintree Cir
Suite 240
Allen, TX 75013-4926
Phone (469) 326-5100

1217 Corporate Dr E
Arlington, TX 76006-6105
Phone (469) 326-5100

3060 Communications Pkwy
Suite 100
Plano, TX 75093-8450
Phone (469) 326-5100

5400 Hwy 121
Suite 100a
Colleyville, TX 76034-5929
Phone (817) 354-8697

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63100TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
American Pain & Wellness PA CurrentSince Jan 1, 2017 Accepting new patients
American Pain & Wellness PA CurrentSince Jan 1, 2017 Accepting new patients

Locations

1217 E Corporate Dr
Arlington, TX 76006
Phone (469) 326-5100

5400 State Highway 121
#100
Colleyville, TX 76034

5400 Highway 121
Ste 100A
Colleyville, TX 76034
Phone (817) 354-8697

3060 Communications Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-5100

3308 Preston Rd
Ste 350105
Plano, TX 75093

3308 Preston Rd
#350105
Plano, TX 75093

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: cathy.clinard.p1@direct.apw.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444435200000",
    "number": "1548247810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650866",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650866",
            "telephone_number": "972-715-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 LBJ FWY",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406533",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINARD",
        "first_name": "CATHY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2015-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "631006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155484203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89N041",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155484205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155484204",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00101189",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.