Individual provider Active NPI

Widi Akpabio, NP

  • Acute Care Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1619617875
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1060033 Issued in TX
Practice address
3125 Matlock Rd Ste 107
Arlington, TX 76015-2905
Phone
(817) 899-8109
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1060033 TX Primary

Addresses

Primary practice location

3125 Matlock Rd Ste 107
Arlington, TX 76015-2905

Mailing address

1211 Genesis Dr
Mansfield, TX 76063-8651
Phone (817) 703-6257

Other practice location 1

1800 Highway 157 N Ste 101
Mansfield, TX 76063-3930
Phone (817) 899-8109

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
I20241229000045 TX Practitioner - Nurse Practitioner 6800323031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Specialists of North Texas PLLCGroup PAC ID 0446597850, 3 clinicians

Practice addresses (Care Compare)

3125 Matlock Rd
Suite 107
Arlington, TX 76015-2905
Phone (817) 899-8109

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Specialists of North Texas PLLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

3125 Matlock Rd
Ste 107
Arlington, TX 76015
Phone (817) 899-8109

1006 N Carrier Pkwy
Grand Prairie, TX 75050
Phone (817) 877-5907

1800 Highway 157 N
Ste 101
Mansfield, TX 76063
Phone (682) 518-0126

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAEGBD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1619617875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 GENESIS DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638651",
            "telephone_number": "817-703-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 MATLOCK RD STE 107",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152905",
            "telephone_number": "817-899-8109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Highway 157 N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760633930",
            "country_code": "US",
            "telephone_number": "817-899-8109",
            "fax_number": "888-400-8290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKPABIO",
        "first_name": "WIDI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1060033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.