Individual provider Active NPI

Farah Haseeb Siddiqi, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • North Richland Hills, TX
National Provider Identifier
1619378494
Registry record updated Feb 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128818 Issued in TX
Practice address
6401 Precinct Line Rd
North Richland Hills, TX 76182-4815
Phone
(817) 485-8302
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 822622 TX
Family Nurse Practitioner 363LF0000X AP128818 TX Primary

Addresses

Primary practice location

6401 Precinct Line Rd
North Richland Hills, TX 76182-4815

Mailing address

326 W Harwood Rd
Apt a
Hurst, TX 76054-3095
Phone (832) 857-7450

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
I20160104000793 TX Practitioner - Nurse Practitioner 3678875952 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
822622TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Family Clinic CurrentSince Jan 4, 2022 Accepting new patients
DFW Family Clinic - Irving Inc Family CurrentSince Jun 1, 2021 Accepting new patients
Care Well TX PLLC CurrentSince Jun 25, 2018 Accepting new patients
DFW Family Clinic Past Accepting new patients

Locations

3501 N MacArthur Blvd
Ste 330
Irving, TX 75062
Phone (972) 607-2340

4740 14th St
Ste T1
Plano, TX 75074
Phone (469) 931-5731

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487980800000",
    "number": "1619378494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 W HARWOOD RD",
            "address_2": "APT A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543095",
            "telephone_number": "832-857-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 PRECINCT LINE RD",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761824815",
            "telephone_number": "817-485-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "FARAH",
        "middle_name": "HASEEB",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2017-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "822622",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.