Tan Tran, FNP
Individual provider Active NPI Nurse Practitioner · Richardson, TX
NPI 1578039699 · NPPES record last updated Jan 30, 2023
Key facts
- NPI
- 1578039699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP139284 (TX)
- Practice address
- 1225 E Belt Line Rd
Richardson, TX 75081-3708 - Phone
- (469) 569-4949
- NPI assigned
- Oct 16, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Health Urgent Care
Practice addresses (Care Compare)
6411 E Northwest Hwy
Suite 120
Dallas, TX 75231-8007
Phone (469) 495-9110
Hospital & facility affiliations
- Ut of Texas Southwestern University Hospital - William P. Clements Jr.
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.43 of 100
- Quality
- 93.73
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190307002447 | TX | Practitioner - Nurse Practitioner | 7719226810 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP139284 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Urgent Care | Current |
Accepting new patients | |
| Texas Health Urgent Care | Current | Accepting new patients | |
| Century Integrated Partners, Inc | Current |
Accepting new patients | |
| Texas Health Urgent Care | Current |
Accepting new patients | |
| Citra Physician Services PLLC | Current |
Accepting new patients | |
| Citra Physician Services PLLC | Current | Accepting new patients | |
| Citra Physician Services PLLC | Current |
Accepting new patients | |
| Texas Health Urgent Care | Family | Current | Accepting new patients |
Locations
7515 Greenville Ave
Ste 900
Dallas, TX 75231
Phone (214) 206-1447
6176 Retail Rd
Ste 400
Dallas, TX 75231
Phone (214) 977-6798
6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110
18101 Preston Rd
Ste 201
Dallas, TX 75252
Phone (972) 533-8556
3500 Gaston Ave
Dallas, TX 75246
3414 Milton Ave
Dallas, TX 75205
Phone (214) 368-4822
6411 E Northwest Hwy
Ste 120
Dallas, TX 75231
Phone (469) 495-9110
2501 W 7th St
Ste 101
Ft Worth, TX 76107
Phone (817) 268-9690
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
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
- ttran2288418@direct.texashealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP139284 | TX | |
| Nurse Practitioner | 363L00000X | AP139284 | TX | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ttran2288418@direct.texashealth.org | Health Information Exchange (HIE) |
Other providers in Richardson, TX
- Maggie Thuytien Tran
- Matthew Tran
- Michael S Tran
- Peter D Tran
- Phu K Tran
- Thinh Tran
- Tiffany Ngoc Tran
- Vivian Phuong Tran
- Yen Kim Le Tran
- Yen Thi Ngoc Tran
All providers in Richardson, TX · Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.