Individual provider Active NPI

Naphtali Sappy

  • Adult Health Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1679055636
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
M81758 Issued in OK
Practice address
316 Dover Heights TRL
Mansfield, TX 76063-7584
Phone
(214) 325-6547
NPI assigned
Sep 5, 2018
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9488641 FL
Adult Health Nurse Practitioner 363LA2200X M81758 OK Primary

Addresses

Primary practice location

316 Dover Heights TRL
Mansfield, TX 76063-7584

Mailing address

316 Dover Heights TRL
Mansfield, TX 76063-7584
Phone (214) 325-6547

Other practice location 1

316 Dover Heights Trl
Mansfield, TX 76063-7584
Phone (214) 325-6547

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
I20260206002736 TX Order and Referring Only - Nurse Practitioner 0749529741

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9488641FLMDAdult Health Nurse Practitioner
M81758OKMDAdult Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1679055636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 DOVER HEIGHTS TRL",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637584",
            "telephone_number": "214-325-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 DOVER HEIGHTS TRL",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637584",
            "telephone_number": "214-325-6547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Dover Heights Trl",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760637584",
            "country_code": "US",
            "telephone_number": "214-325-6547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAPPY",
        "first_name": "NAPHTALI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9488641",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "M81758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.