Azadeh Tavakolian

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1000014 Issued in TX

Practice address

2821 George Bush Hwy Ste 500
Richardson, TX 75082-4278

Phone

(469) 206-6957

Fax

(469) 206-6953

NPI assigned

Jul 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Serge Lartchenko M.D., PLLCGroup PAC ID 1850432311, 8 clinicians

Mzhealth LLCGroup PAC ID 8820366362, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coralvita Richardson Hospital, Richardson, TX, CCN 670348
• Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Mzhealth LLC

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1427584366
  Medicare reassignment Care Compare group NPD
• Serge Lartchenko M.D., PLLC

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1508199621
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coralvita Richardson, LLC

  • Long Term Care Hospital
  • Irving, TX
  • NPI 1710867775
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Richardson, TX
  • NPI 1033165501
  Care Compare affiliation

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1609485267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 GEORGE BUSH HWY STE 500",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824278",
            "telephone_number": "469-206-6957",
            "fax_number": "469-206-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 GEORGE BUSH HWY STE 500",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824278",
            "telephone_number": "469-206-6957",
            "fax_number": "469-206-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAKOLIAN",
        "first_name": "AZADEH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1000014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Durga Ram Prasad Tanneru, MD
• Stella Tartisio
• Tasmiah Transport
• Nicole Levy Tatum
• Kashif Hussain Taufique, MD
• Taylor Texas Medicine, MD PA
• Christopher Taylor
• Dona Susan Taylor, RNCNNP
• Kelly Taylor, LMFT, LPC
• Sarah Taylor, PT, DPT

• Family Nurse Practitioner in Richardson, TX
• Providers in Richardson, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.