Individual provider Active NPI

Doris Oppong-Antwi

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1609358217
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137669 Issued in TX
Practice address
1301 Pennsylvania Ave
Fort Worth, TX 76104
Phone
(817) 250-2000
NPI assigned
Aug 30, 2018
Last updated
Aug 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP137669 TX Primary

Addresses

Primary practice location

1301 Pennsylvania Ave
Fort Worth, TX 76104

Mailing address

752 N Main St Unit 1227
Mansfield, TX 76063-3287
Phone (614) 218-7815

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
I20181113002205 TX Practitioner - Nurse Practitioner 2466706304 Reassigns benefits to 1 organization

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
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

2100 Cannon Dr
Mansfield, TX 76063-3476
Phone (817) 779-6500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC Family CurrentSince Dec 3, 2023 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

1410 E Sandy Lake Rd
Coppell, TX 75019
Phone (972) 304-4444

8017 W Virginia Dr
Dallas, TX 75237
Phone (972) 709-1112

940 York Dr
Desoto, TX 75115
Phone (972) 331-4554

1600 Texas St
Ft Worth, TX 76102
Phone (817) 338-2400

4201 Stonegate Blvd
Ft Worth, TX 76109
Phone (817) 924-5440

3421 Story Rd W
Irving, TX 75038
Phone (469) 957-0100

2100 Cannon Dr
Mansfield, TX 76063
Phone (817) 319-8276

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1609358217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 N MAIN ST UNIT 1227",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633287",
            "telephone_number": "614-218-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-250-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPONG-ANTWI",
        "first_name": "DORIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.