Individual provider Active NPI

Caroline Hermann, NP

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1548409907
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP110365 Issued in TX
Practice address
1283 Record Crossing Rd
Dallas, TX 75235-6001
Phone
(214) 941-1050
NPI assigned
Feb 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 671886 TX
Nurse Practitioner 363L00000X AP110365 TX Primary

Addresses

Primary practice location

1283 Record Crossing Rd
Dallas, TX 75235-6001

Mailing address

1283 Record Crossing Rd
Dallas, TX 75235-6001
Phone (214) 941-1050

Other practice location 1

7424 Greenville Ave
Suite 206
Dallas, TX 75231-4534
Phone (214) 363-2004

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
I20160113000086 TX Practitioner - Nurse Practitioner 6608178504 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
671886TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Native Health CurrentSince Nov 17, 2015 Accepting new patients

Locations

1283 Record Crossing Rd
Dallas, TX 75235
Phone (214) 941-1050

1261 Record Crossing Rd
Dallas, TX 75235
Phone (214) 688-0078

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/cdf42bb0-51f6-4504-b5a7-cccb830ef48f/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1548409907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 RECORD CROSSING RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356001",
            "telephone_number": "214-941-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 RECORD CROSSING RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356001",
            "telephone_number": "214-941-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7424 Greenville Ave",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314534",
            "country_code": "US",
            "telephone_number": "214-363-2004",
            "fax_number": "214-378-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMANN",
        "first_name": "CAROLINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "671886",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP110365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.