Individual provider Active NPI

Issac Antony, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1598633737
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1215739 Issued in TX
Practice address
1515 Heritage Dr
McKinney, TX 75069-3256
Phone
(972) 422-5939
NPI assigned
Oct 28, 2025
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1215739 TX Primary

Addresses

Primary practice location

1515 Heritage Dr
McKinney, TX 75069-3256

Mailing address

1515 Heritage Dr
McKinney, TX 75069-3256
Phone (972) 422-5939

Other practice location 1

2295 Bloomdale Road
Mckinney, TX 75071
Phone (972) 422-5939

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
I20260402002793 TX Practitioner - Nurse Practitioner 9032694492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collin County Mental Health Mental Retardation CenterGroup PAC ID 9234117342, 23 clinicians

Practice addresses (Care Compare)

1515 Heritage Dr
Suite 105
McKinney, TX 75069-3378
Phone 97256201903256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1215739TXMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1598633737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HERITAGE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693256",
            "telephone_number": "972-422-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HERITAGE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693256",
            "telephone_number": "972-422-5939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2295 Bloomdale Road",
            "address_purpose": "LOCATION",
            "city": "Mckinney",
            "state": "TX",
            "postal_code": "75071",
            "country_code": "US",
            "telephone_number": "972-422-5939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONY",
        "first_name": "ISSAC",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-28",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1215739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.