Active NPI
Casie Skaggs, AGACNP
- Acute Care Nurse Practitioner
- Bedford, TX
National Provider Identifier
1649836602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP141477
- Practice address
- 1305 Airport Fwy Ste 103
Bedford, TX 76021-6603 - Phone
- (469) 320-1267
- NPI assigned
- May 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP141477 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | AP141477 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | AP141477 | TX | Primary |
Addresses
Primary practice location
1305 Airport Fwy Ste 103
Bedford, TX 76021-6603
Mailing address
PO Box 29650
Phoenix, AZ 85038-9650
Phone (480) 616-0016
Other practice location 1
3901 W 15th St
Plano, TX 75075-7738
Phone (972) 596-6800
Other practice location 2
1919 S Shiloh Rd # 335
Garland, TX 75042-8234
Phone (469) 320-1267
Other practice location 3
7515 Main St Ste 100
Houston, TX 77030-4549
Phone (469) 320-1267
Other practice location 4
3740 N Josey Ln Ste 212
Carrollton, TX 75007-2472
Phone (469) 320-1267
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP141477 | TX | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1649836602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29650",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850389650",
"telephone_number": "480-616-0016",
"fax_number": "480-626-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 AIRPORT FWY STE 103",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760216603",
"telephone_number": "469-320-1267"
}
],
"practiceLocations": [
{
"address_1": "3901 W 15th St",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750757738",
"country_code": "US",
"telephone_number": "972-596-6800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1919 S Shiloh Rd # 335",
"address_purpose": "LOCATION",
"city": "Garland",
"state": "TX",
"postal_code": "750428234",
"country_code": "US",
"telephone_number": "469-320-1267",
"fax_number": "469-320-1268",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7515 Main St Ste 100",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770304549",
"country_code": "US",
"telephone_number": "469-320-1267",
"fax_number": "469-320-1268",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3740 N Josey Ln Ste 212",
"address_purpose": "LOCATION",
"city": "Carrollton",
"state": "TX",
"postal_code": "750072472",
"country_code": "US",
"telephone_number": "469-320-1267",
"fax_number": "469-320-1268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKAGGS",
"first_name": "CASIE",
"credential": "AGACNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP141477",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP141477",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP141477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.