Individual provider Active NPI

Casie Skaggs, AGACNP

  • Acute Care Nurse Practitioner
  • Bedford, TX
National Provider Identifier
1649836602
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP141477 Issued in TX
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

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AP141477TXMDAdult 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.

Verify at the official NPI Registry.