Organization Active NPI

Semper Healthcare Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Addison, TX
National Provider Identifier
1558950527
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SEMPER HEALTHCARE SERVICES
Practice address
15080 E Beltwood Pkwy Ste 110
Addison, TX 75001-3724
Phone
(214) 293-6987
NPI assigned
Jan 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Annemarie OdoNPI 1083235691
Title
Owner NP
Phone
(214) 293-6987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

15080 E Beltwood Pkwy Ste 110
Addison, TX 75001-3724

Mailing address

15080 E Beltwood Pkwy Ste 110
Addison, TX 75001-3724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
Opioid treatment program
Medicare-enrolled since Jul 1, 2021

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210121001291 TX Part B Supplier - Clinic/Group Practice 4981018652 Receives reassigned benefits from 1 practitioner
Practice locations: Addison, TX
O20220419001994 TX Part B Supplier - Opioid Treatment Program (Otp) 4981018652 Practice locations: Addison, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2208081Semper Healthcare Services (SHS)15080 Beltwood Parkway Suite 110, Addison, TX 75001Certificate of waiverJan 3, 2027

National Provider Directory

National Provider Directory

Locations

15080 E Beltwood Pkwy
Ste 110
Addison, TX 75001
Phone (214) 293-6987

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1558950527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15080 E BELTWOOD PKWY STE 110",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15080 E BELTWOOD PKWY STE 110",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013724",
            "telephone_number": "214-293-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMPER HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "ODO",
        "authorized_official_first_name": "ANNEMARIE",
        "authorized_official_title_or_position": "OWNER NP",
        "authorized_official_telephone_number": "214-293-6987"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.