Individual provider Active NPI

Cynthia Mesneak Fullbright, ARNP

  • Adult Health Nurse Practitioner
  • Plano, TX
National Provider Identifier
1598858268
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
111682 Issued in IA
Practice address
6601 Preston Rd
Plano, TX 75024-2502
Phone
(469) 800-6300
NPI assigned
Oct 2, 2006
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 111682 IA Primary

Addresses

Primary practice location

6601 Preston Rd
Plano, TX 75024-2502

Mailing address

6601 Preston Rd
Plano, TX 75024-2502
Phone (469) 800-6300

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
I20221130000556 TX Practitioner - Nurse Practitioner 0648214551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

6601 Preston Rd
Plano, TX 75024-2502
Phone (469) 326-3400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Oct 3, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 3, 2022 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
St. Luke's Methodist Hospital Past Accepting new patients
Texas Heart Hospital of the Southwest LLP Past Accepting new patients
St. Luke's Methodist Hospital Past Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

5655 W Spring Creek Pkwy
Ste 155
Plano, TX 75024

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

6601 Preston Rd
Plano, TX 75024
Phone (469) 326-3400

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: cfullbright1114578@direct.sw.org

Organizations & group practices 7

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 3

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1598858268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 PRESTON RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242502",
            "telephone_number": "469-800-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 PRESTON RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242502",
            "telephone_number": "469-800-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLBRIGHT",
        "first_name": "CYNTHIA",
        "middle_name": "MESNEAK",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "111682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.