Individual provider Active NPI

Tan Tran, FNP

  • Nurse Practitioner
  • Richardson, TX
National Provider Identifier
1578039699
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP139284 Issued in TX
Practice address
1225 E Belt Line Rd
Richardson, TX 75081-3708
Phone
(469) 569-4949
NPI assigned
Oct 16, 2018
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139284 TX
Nurse Practitioner 363L00000X AP139284 TX Primary

Addresses

Primary practice location

1225 E Belt Line Rd
Richardson, TX 75081-3708

Mailing address

6509 Stamps St
Rowlett, TX 75089-8267
Phone (469) 569-4949

Other practice location 1

1901 N MacArthur Blvd
Irving, TX 75061-2220
Phone (972) 579-8100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ttran2288418@direct.texashealth.org Health Information Exchange (HIE)

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
I20190307002447 TX Practitioner - Nurse Practitioner 7719226810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians

Practice addresses (Care Compare)

6411 E Northwest Hwy
Suite 120
Dallas, TX 75231-8007
Phone (469) 495-9110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP139284TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care Current Accepting new patients
Citra Physician Services PLLC CurrentSince Oct 1, 2022 Accepting new patients
Century Integrated Partners, Inc CurrentSince Feb 1, 2019 Accepting new patients
Texas Health Urgent Care CurrentSince Dec 2, 2022 Accepting new patients
Citra Physician Services PLLC Current Accepting new patients
Citra Physician Services PLLC CurrentSince Oct 1, 2022 Accepting new patients
Texas Health Urgent Care Family Current Accepting new patients
Texas Health Urgent Care CurrentSince Dec 2, 2022 Accepting new patients

Locations

18101 Preston Rd
Ste 201
Dallas, TX 75252
Phone (972) 533-8556

3414 Milton Ave
Dallas, TX 75205
Phone (214) 368-4822

3500 Gaston Ave
Dallas, TX 75246

6176 Retail Rd
Ste 400
Dallas, TX 75231
Phone (214) 977-6798

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

6411 E Northwest Hwy
Ste 120
Dallas, TX 75231
Phone (469) 495-9110

7515 Greenville Ave
Ste 900
Dallas, TX 75231
Phone (214) 206-1447

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2501 W 7th St
Ste 101
Ft Worth, TX 76107
Phone (817) 268-9690

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

211 E FM 544
Ste 401
Murphy, TX 75094
Phone (972) 200-3199

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: ttran2288418@direct.texashealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1578039699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 STAMPS ST",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898267",
            "telephone_number": "469-569-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E BELT LINE RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813708",
            "telephone_number": "469-569-4949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 N MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750612220",
            "country_code": "US",
            "telephone_number": "972-579-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139284",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP139284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttran2288418@direct.texashealth.org",
            "affiliation": "N",
            "endpointDescription": "Heath Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1225 E Belt Line Rd",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750813708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.