Individual provider Active NPI

Lula Abdulkadir Nur

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1609670926
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1181298 Issued in TX
Practice address
1401 Monte Carlo Dr
Mansfield, TX 76063-6201
Phone
(469) 671-1900
NPI assigned
Apr 3, 2025
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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 1181298 TX Primary

Addresses

Primary practice location

1401 Monte Carlo Dr
Mansfield, TX 76063-6201

Mailing address

1401 Monte Carlo Dr
Mansfield, TX 76063-6201
Phone (469) 671-1900

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
I20251006000790 TX Practitioner - Nurse Practitioner 0749786044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vital Housecall LLCGroup PAC ID 3375903347, 5 clinicians
Desoto Healthcare Clinic LLCGroup PAC ID 1153719414, 11 clinicians

Practice addresses (Care Compare)

860 Hebron Pkwy
Lewisville, TX 75057-5143

860 Hebron Pkwy
Suite 703
Lewisville, TX 75057-5145
Phone (214) 455-5028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desoto Healthcare Clinic LLC CurrentSince Sep 2, 2025 Accepting new patients
Vital Housecall LLC CurrentSince Sep 18, 2025 Accepting new patients
Happy Bridge Primary Care & Home Health PLLC CurrentSince Nov 6, 2025 Accepting new patients

Locations

1221 W Airport Fwy
Ste 209
Irving, TX 75062
Phone (214) 455-5028

860 Hebron Pkwy
Ste 703
Lewisville, TX 75057
Phone (214) 455-5028

860 Hebron Pkwy
Ste 704
Lewisville, TX 75057
Phone (214) 777-2703

Organizations & group practices 3

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": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1609670926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MONTE CARLO DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636201",
            "telephone_number": "469-671-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MONTE CARLO DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636201",
            "telephone_number": "469-671-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUR",
        "first_name": "LULA",
        "middle_name": "ABDULKADIR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1181298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.