Active NPI
Rathnammal N. Haridas, WHCNP
- Women's Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1629132659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 442558
- Practice address
- 6303 Harry Hines Blvd Ste 101
Maple Women's Health Center
Dallas, TX 75235-5228 - Phone
- (214) 266-0130
- NPI assigned
- Dec 21, 2006
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 442558 | TX | Primary |
Addresses
Primary practice location
6303 Harry Hines Blvd Ste 101
Maple Women's Health Center
Dallas, TX 75235-5228
Mailing address
PO Box 660599
Dallas, TX 75266-0599
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139462916 | Medicaid | TX | |
| 139462921 | Medicaid | TX | |
| 139462922 | Medicaid | TX | |
| 139462920 | Medicaid | TX | |
| 139462910 | Medicaid | TX | |
| 139462919 | Medicaid | TX | |
| 139462924 | Medicaid | TX | |
| 139462914 | Medicaid | TX | |
| 139462917 | Medicaid | TX | |
| 139462918 | Medicaid | TX | |
| 139462923 | Medicaid | TX | |
| 8U2824 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 442558 | TX | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas County Hospital District | Past | Accepting new patients | |
| Dallas County Hospital District | Women's Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba CV Roman Women's Health Center
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1558035188
-
dba Physician and Other Providers
- Psychiatry Physician
- Dallas, TX
- NPI 1649278995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236816000000",
"number": "1629132659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660599",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6303 HARRY HINES BLVD STE 101",
"address_2": "MAPLE WOMEN'S HEALTH CENTER",
"city": "DALLAS",
"state": "TX",
"postal_code": "752355228",
"telephone_number": "214-266-0130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARIDAS",
"first_name": "RATHNAMMAL",
"middle_name": "N.",
"credential": "WHCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2009-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "442558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139462916",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139462921",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139462922",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139462920",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139462910",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139462919",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139462924",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139462914",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139462917",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139462918",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139462923",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8U2824",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.