Individual provider Active NPI

Nadia N Douglas, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1679973077
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0814760 Issued in TX
Practice address
2223 Singleton Blvd
Ste. 212
Dallas, TX 75212-3783
Phone
(214) 678-9200
NPI assigned
Sep 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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 F0814760 TX Primary

Addresses

Primary practice location

2223 Singleton Blvd
Ste. 212
Dallas, TX 75212-3783

Mailing address

2223 Singleton Blvd 212
Dallas, TX 75212-3784
Phone (214) 678-9200

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
I20160419001981 TX Practitioner - Nurse Practitioner 8426359910 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0814760TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Family Clinic CurrentSince Aug 1, 2023 Accepting new patients
Oak Cliff Ophthalmology, P.a. Past Accepting new patients

Locations

1114 N Bishop Ave
Dallas, TX 75208
Phone (214) 416-8100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1679973077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 SINGLETON BLVD 212",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752123784",
            "telephone_number": "214-678-9200",
            "fax_number": "214-678-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 SINGLETON BLVD",
            "address_2": "STE. 212",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752123783",
            "telephone_number": "214-678-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "NADIA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F0814760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.