Individual provider Active NPI

Anitha Anil Abraham

  • Family Nurse Practitioner
  • Denton, TX
National Provider Identifier
1558013383
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1068274 Issued in TX
Practice address
2505 Scripture St Ste 100
Denton, TX 76201-2481
Phone
(940) 320-2188
NPI assigned
Jan 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 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 1068274 TX Primary

Addresses

Primary practice location

2505 Scripture St Ste 100
Denton, TX 76201-2481

Mailing address

921 E FM 1187 Ste a
Crowley, TX 76036-4364
Phone (817) 945-1682

Other practice location 1

921 E Fm 1187 Ste A
Crowley, TX 76036-4364
Phone (817) 945-1682

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
I20220301001950 TX Practitioner - Nurse Practitioner 8820482235 Reassigns benefits to 3 organizations

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
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

2505 Scripture St
Suite 100
Denton, TX 76201-2481
Phone (940) 320-2188

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1068274TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
D&J Grace Team LLC CurrentSince Mar 1, 2022 Accepting new patients
Texas Health Physicians Group CurrentSince Aug 1, 2024 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Aug 1, 2024 Accepting new patients
Healogics Specialty Physicians of Texas, PLLC Past Accepting new patients
Texas Health Physicians Group Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

921 FM 1187 E
Ste A
Crowley, TX 76036
Phone (817) 297-2000

2505 Scripture St
Ste 100
Denton, TX 76201
Phone (940) 320-2188

6251 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-5700

1661 Eastchase Pkwy
Ft Worth, TX 76120
Phone (682) 250-5700

2305 E Grapevine Mills Cir
Grapevine, TX 76051
Phone (682) 222-8482

Interoperability endpoints

  • Direct secure messaging: aabraham2543372@direct.texashealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1558013383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E FM 1187 STE A",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364364",
            "telephone_number": "817-945-1682",
            "fax_number": "817-297-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SCRIPTURE ST STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012481",
            "telephone_number": "940-320-2188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 E Fm 1187 Ste A",
            "address_purpose": "LOCATION",
            "city": "Crowley",
            "state": "TX",
            "postal_code": "760364364",
            "country_code": "US",
            "telephone_number": "817-945-1682",
            "fax_number": "817-297-4181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "ANITHA",
        "middle_name": "ANIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1068274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.