Active NPI
Mary E. Monastesse, FNP
- Family Nurse Practitioner
- Dallas, TX
National Provider Identifier
1669440426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 572932
- Practice address
- 1936 Amelia CT
HIV/AIDS Clinic
Dallas, TX 75235-7711 - Phone
- (214) 590-5637
- Fax
- (214) 590-2832
- NPI assigned
- Mar 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 572932 | TX | Primary |
Addresses
Primary practice location
1936 Amelia CT
HIV/AIDS Clinic
Dallas, TX 75235-7711
Mailing address
PO Box 660599
Dallas, TX 75266-0599
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149906303 | Medicaid | TX | |
| 8Y0045 | Other | TX | BLUE CROSS BLUE SHIELD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Geriatrics PA | Past | Accepting new patients |
Interoperability endpoints
- mmonastesse17453@direct.phhs.org
Organizations & group practices 1
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.
-
- Geriatric Medicine (Family Medicine) Physician
- North Richland Hills, TX
- NPI 1053584755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1669440426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660599",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 AMELIA CT",
"address_2": "HIV/AIDS CLINIC",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357711",
"telephone_number": "214-590-5637",
"fax_number": "214-590-2832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONASTESSE",
"first_name": "MARY",
"middle_name": "E.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "572932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149906303",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8Y0045",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.