Active NPI
Catherine M Stephens
- Family Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F03210688
- Practice address
- 5925 Convair Dr Ste 509
Fort Worth, TX 76109-1276 - Phone
- (817) 349-7541
- NPI assigned
- Mar 25, 2021
- Last updated
- Jun 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F03210688 | TX | Primary |
Addresses
Primary practice location
5925 Convair Dr Ste 509
Fort Worth, TX 76109-1276
Mailing address
5925 Convair Dr
Ste 509
Fort Worth, TX 76109-1276
Phone (817) 349-7541
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5925 Convair Dr
Suite 509
Fort Worth, TX 76109-1276
Phone (817) 349-7541
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F03210688 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Integrated Health Clinics, PLLC | Family | Current | Accepting new patients |
Locations
5925 Convair Dr
Ste 509
Fort Worth, TX 76109
Phone (817) 349-7541
1141 Long Ave
River Oaks, TX 76114
Phone (325) 695-2225
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": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1619554664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5925 CONVAIR DR",
"address_2": "STE 509",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761091276",
"telephone_number": "817-349-7541",
"fax_number": "817-349-7549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5925 CONVAIR DR STE 509",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761091276",
"telephone_number": "817-349-7541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "CATHERINE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2023-06-23",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "F03210688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Stephen W Eller, PLLC (TrueHearted Counseling)
- Alisha Stephen, PA-C
- Kala Stephen
- Stephen's Pedi & Pulmonary Practice, PA
- Bryan Stephens, DO
- Chelsea Anne Stephens, CRNA
- Christi Brock Stephens, RNFA,CNOR
- Elizabeth A Stephens, L.C.S.W. A.C.P.
- Gloria Janae Stephens, PT, DPT, CLT
- Melissa Lynn Stephens, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.