Active NPI
Nancy J Hitzfelder, MD
- Pediatric Neurodevelopmental Disabilities Physician
- Fort Worth, TX
National Provider Identifier
1669495792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Neurodevelopmental Disabilities Physician
- License
- E6098
- Practice address
- 1300 W Lancaster Ave
Fort Worth, TX 76102-3410 - Phone
- (817) 336-8611
- Fax
- (682) 336-2823
- NPI assigned
- Jul 26, 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 |
|---|---|---|---|---|
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | E6098 | TX | Primary |
Addresses
Primary practice location
1300 W Lancaster Ave
Fort Worth, TX 76102-3410
Mailing address
1300 W Lancaster
Fort Worth, TX 76102-3484
Phone (817) 336-2823
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120503105 | Medicaid | TX | |
| 140442813 | Medicaid | TX | |
| 1548230923 | Other | TX | GROUP NPI NUMBER |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children's Medical Center | Past | Accepting new patients | |
| Cook Children's Physician Network | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Cook Children's Behavioral Health
- Clinical Child & Adolescent Psychologist
- Fort Worth, TX
- NPI 1942509963
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272499200000",
"number": "1669495792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W LANCASTER",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761023484",
"telephone_number": "817-336-2823",
"fax_number": "682-885-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W LANCASTER AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761023410",
"telephone_number": "817-336-8611",
"fax_number": "682-336-2823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITZFELDER",
"first_name": "NANCY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2010-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": "TX",
"license": "E6098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120503105",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140442813",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1548230923",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.