Individual provider Active NPI

Stephanie Julieth Gaytan, FNP-C

  • Family Nurse Practitioner
  • Glenn Heights, TX
National Provider Identifier
1659180602
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1180328 Issued in TX
Practice address
300 Sabine River Rd
Glenn Heights, TX 75154-5582
Phone
(469) 222-0497
NPI assigned
Jan 4, 2025
Last updated
Jan 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

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 1180328 TX Primary

Addresses

Primary practice location

300 Sabine River Rd
Glenn Heights, TX 75154-5582

Mailing address

300 Sabine River Rd
Glenn Heights, TX 75154-5582
Phone (469) 222-0497

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
I20250403001337 TX Practitioner - Nurse Practitioner 6901320605 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1180328TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Sleep Diagnostics and Therapeutics LLC CurrentSince Mar 1, 2025 Accepting new patients
Pulmonics Plus PLLC CurrentSince Mar 1, 2025 Accepting new patients
Priority Total Care, PLLC Past Accepting new patients

Locations

141 Rvg Pkwy
Waxahachie, TX 75165
Phone (972) 923-8923

141 Rvg Pkwy
Ste 101
Waxahachie, TX 75165
Phone (214) 550-6411

Interoperability endpoints

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

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": "1735948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1659180602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SABINE RIVER RD",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "751545582",
            "telephone_number": "469-222-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SABINE RIVER RD",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "751545582",
            "telephone_number": "469-222-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYTAN",
        "first_name": "STEPHANIE",
        "middle_name": "JULIETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1180328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Heights, TX

Sources for this page

Verify at the official NPI Registry.