Active NPI
Hermine R Ariyibi, NP
- Adult Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1568615417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 600383
- Practice address
- 221 W Colorado Blvd
Pavillion I, Suite 108
Dallas, TX 75208-2363 - Phone
- (214) 941-3192
- NPI assigned
- Oct 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 600383 | TX | Primary |
Addresses
Primary practice location
221 W Colorado Blvd
Pavillion I, Suite 108
Dallas, TX 75208-2363
Mailing address
221 W Colorado Blvd
Pavillion I, Suite 108
Dallas, TX 75208-2363
Phone (214) 941-3192
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207847902 | Medicaid | TX | |
| 207847901 | Medicaid | TX | |
| 207847903 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Dirnberger DO PA | Current | Accepting new patients | |
| Regency Pain, PLLC | Current | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Past | Accepting new patients | |
| Comprehensive Medical Services of Texas,LLC | Past | Accepting new patients |
Locations
16970 Dallas Pkwy
Ste 500
Dallas, TX 75248
Phone (972) 248-1303
74 Regency Pkwy
Mansfield, TX 76063
Phone (817) 419-6111
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCAICD
- hermine.ariyibi.1@11201.direct.athenahealth.com
- https://api.platform.athenahealth.com/11201/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Sports Medicine (Family Medicine) Physician
- Mansfield, TX
- NPI 1629734371
-
- Neuromusculoskeletal Medicine & OMM Physician
- Arlington, TX
- NPI 1801078753
-
- Personal Emergency Response Attendant
- Arlington, TX
- NPI 1922156124
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1568615417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 W COLORADO BLVD",
"address_2": "PAVILLION I, SUITE 108",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082363",
"telephone_number": "214-941-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W COLORADO BLVD",
"address_2": "PAVILLION I, SUITE 108",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082363",
"telephone_number": "214-941-3192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARIYIBI",
"first_name": "HERMINE",
"middle_name": "R",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-23",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "600383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207847902",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207847901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207847903",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.