Individual provider Active NPI

Alla Havens, FNP-BC

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1639615347
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133017 Issued in TX
Practice address
4900 Boat Club Rd
Fort Worth, TX 76135-1802
Phone
(682) 428-7711
Fax
(817) 238-6291
NPI assigned
Jan 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP133017 TX Primary

Addresses

Primary practice location

4900 Boat Club Rd
Fort Worth, TX 76135-1802

Mailing address

4900 Boat Club Rd
Fort Worth, TX 76135-1802
Phone (682) 428-7711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alla.havens.p1@direct.hcnt.nextgenshare.com Health Information Exchange (HIE)

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
I20170405002583 TX Practitioner - Nurse Practitioner 2466738497 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lone Star Cardiovascular Institute, P.L.L.CGroup PAC ID 4688106099, 3 clinicians

Practice addresses (Care Compare)

4900 Boat Club Rd
Fort Worth, TX 76135-1802
Phone (682) 224-9061

Merit-based Incentive Payment System (MIPS)

Final score
86.96 of 100Reported as group
Quality
81.53
Promoting interoperability
100
Improvement activities
40
Cost
74.99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartplace, PLLC CurrentSince Jul 15, 2025 Accepting new patients
Heart Center of North Texas, PA CurrentSince Jun 27, 2021 Accepting new patients
Heartplace, PLLC Current Accepting new patients
Heart Center of North Texas, PA CurrentSince Feb 13, 2017 Accepting new patients
Heartplace, PLLC CurrentSince Jul 15, 2025 Accepting new patients
Fort Worth Heart, P.a. CurrentSince Jul 1, 2025 Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003

1017 12th Ave
Fort Worth, TX 76104

4900 Boat Club Rd
Fort Worth, TX 76135
Phone (682) 224-9061

1900 Mistletoe Blvd
Ste 200
Ft Worth, TX 76104

1900 Mistletoe Blvd
Ste 100
Ft Worth, TX 76104
Phone 8173381300236

1900 Mistletoe Blvd
Ft Worth, TX 76104

6949 Bryant Irvin Rd
Ft Worth, TX 76132
Phone (817) 332-1818

805 Hill Blvd
Unit 106
Granbury, TX 76048
Phone (817) 579-7770

4708 Alliance Blvd
Ste 50
Plano, TX 75093
Phone (972) 941-3100

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

920 Hilltop Dr
Weatherford, TX 76086
Phone (817) 613-9082

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: alla.havens.p1@direct.hcnt.nextgenshare.com
  • Direct secure messaging: alla.havens@ushv.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4

Organizations & group practices 7

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": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1639615347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 BOAT CLUB RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761351802",
            "telephone_number": "682-428-7711",
            "fax_number": "817-238-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BOAT CLUB RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761351802",
            "telephone_number": "682-428-7711",
            "fax_number": "817-238-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "ALLA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alla.havens.p1@direct.hcnt.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1017 12th Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761043915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.