Individual provider Active NPI

Nancy Gae Stretch, MSN, FNP

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1639103112
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
548592 Issued in TX
Practice address
5345 N George Bush Fwy
Garland, TX 75040-2767
Phone
(972) 495-5888
Fax
(972) 495-0588
NPI assigned
Jul 10, 2006
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 548592 TX
Nurse Practitioner 363L00000X AP111174 TX
Family Nurse Practitioner 363LF0000X 548592 TX Primary

Addresses

Primary practice location

5345 N George Bush Fwy
Garland, TX 75040-2767

Mailing address

7217 Telecom Pkwy Ste 100
Garland, TX 75044-2203
Phone (469) 800-2100

Other identifiers 1

IdentifierTypeStateIssuer
1515074-02MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nstretch222509@direct.sw.org

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
I20040727000384 TX Practitioner - Nurse Practitioner 6002886207 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
548592TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Apr 1, 2004 Accepting new patients
Healthtexas Provider Network CurrentSince Apr 1, 2004 Accepting new patients
Baylor University Medical Center Past Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648

5345 N President George Bush Hwy
Garland, TX 75040
Phone (972) 495-5888

7217 Telecom Pkwy
Ste 100
Garland, TX 75044
Phone (469) 669-0306

Interoperability endpoints

  • Direct secure messaging: nstretch222509@direct.sw.org

Organizations & group practices 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1639103112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 TELECOM PKWY STE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442203",
            "telephone_number": "469-800-2100",
            "fax_number": "469-800-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 N GEORGE BUSH FWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402767",
            "telephone_number": "972-495-5888",
            "fax_number": "972-495-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRETCH",
        "first_name": "NANCY",
        "middle_name": "GAE",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "548592",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP111174",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "548592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515074-02",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nstretch222509@direct.sw.org",
            "affiliation": "N",
            "address_1": "7217 Telecom Pkwy Ste 100",
            "city": "Garland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750442203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.