Individual provider Active NPI

Nathan Daly Stickney, DPM

  • Foot & Ankle Surgery Podiatrist
  • Grapevine, TX
National Provider Identifier
1629411749
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2061 Issued in TX
Practice address
2421 Ira E Woods Ave Ste 100
Grapevine, TX 76051-3907
Phone
(817) 416-6155
Fax
(817) 329-9434
NPI assigned
Apr 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2061 TX Primary

Addresses

Primary practice location

2421 Ira E Woods Ave Ste 100
Grapevine, TX 76051-3907

Mailing address

2421 Ira E Woods Ave Ste 100
Grapevine, TX 76051-3907
Phone (817) 416-6155

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130924000962 TX Practitioner - Podiatry 5395989727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2421 Ira E Woods Ave
Suite 100
Grapevine, TX 76051-3907
Phone (817) 416-6155

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as individual
Quality
71.55
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue58
Removal of skin lesions11
Removal of nail tissue154
Removal or shaving of skin growth73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2061TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Associates of North Texas, LLP Foot & Ankle Surgery CurrentSince Jul 1, 2013 Accepting new patients
Foot and Ankle Associates of North Texas, LLP Foot & Ankle Surgery CurrentSince Jul 1, 2013 Accepting new patients

Locations

2421 Ira E Woods Ave
Ste 100
Grapevine, TX 76051
Phone (817) 416-6155

816 Keller Pkwy
Ste 101
Keller, TX 76248
Phone (817) 416-6155

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: nathan.stickney@faaaontl-tx.direct.office.nextgen.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1629411749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 IRA E WOODS AVE STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513907",
            "telephone_number": "817-416-6155",
            "fax_number": "817-329-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 IRA E WOODS AVE STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513907",
            "telephone_number": "817-416-6155",
            "fax_number": "817-329-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKNEY",
        "first_name": "NATHAN",
        "middle_name": "DALY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.