Individual provider Active NPI

Hong DO, FNP-BC

  • Nurse Practitioner
  • Burleson, TX
National Provider Identifier
1639683576
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP136011 Issued in TX
Practice address
621 SW Johnson Ave Ste C
Burleson, TX 76028-5834
Phone
(817) 766-7421
Fax
(817) 447-8100
NPI assigned
Nov 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136011 TX
Nurse Practitioner 363L00000X AP136011 TX Primary

Addresses

Primary practice location

621 SW Johnson Ave Ste C
Burleson, TX 76028-5834

Mailing address

621 SW Johnson Ave Ste C
Burleson, TX 76028-5834
Phone (817) 766-7421

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
I20180103002845 TX Practitioner - Nurse Practitioner 8426316001 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for DermatologyGroup PAC ID 7214288489, 4 clinicians

Practice addresses (Care Compare)

1100 Orchard Dr
Suite B
Arlington, TX 76012-2519
Phone (682) 712-0100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136011TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Dermatology CurrentSince Apr 28, 2019 Accepting new patients
Derm on Demand, LLC CurrentSince Oct 24, 2023 Accepting new patients
Prestige Dermatology of Alliance, PLLC CurrentSince Jan 1, 2018 Accepting new patients
Prestige Dermatology of Midlothian CurrentSince Feb 28, 2020 Accepting new patients
Prestige Dermatology PLLC CurrentSince Jan 1, 2018 Accepting new patients
Wellworx Dermatology PLLC Past Accepting new patients
Whhwc LLC Past Accepting new patients

Locations

621 SW Johnson Ave
Ste C
Burleson, TX 76028
Phone (817) 718-3571

264 Exchange St
Burleson, TX 76028
Phone (817) 718-3571

1932 Walnut Plz
Carrollton, TX 75006
Phone (469) 892-5222

3629 Western Center Blvd
Ste 211
Fort Worth, TX 76137
Phone (817) 232-9400

5899 Preston Rd
Ste 803
Frisco, TX 75034
Phone (972) 645-1677

320 Hawkins Run Rd
Ste 1
Midlothian, TX 76065
Phone (469) 758-4800

Interoperability endpoints

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

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": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1639683576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SW JOHNSON AVE STE C",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285834",
            "telephone_number": "817-766-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SW JOHNSON AVE STE C",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285834",
            "telephone_number": "817-766-7421",
            "fax_number": "817-447-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "HONG",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136011",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP136011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.