Individual provider Active NPI

Angela Dawn Ary, FNP-BC

  • Family Nurse Practitioner
  • Honey Grove, TX
National Provider Identifier
1689090854
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
768739 Issued in TX
Practice address
1301 E Main St
Honey Grove, TX 75446-1268
Phone
(903) 378-3444
Fax
(903) 378-3445
NPI assigned
Mar 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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 768739 TX Primary

Addresses

Primary practice location

1301 E Main St
Honey Grove, TX 75446-1268

Mailing address

1301 E Main St
Honey Grove, TX 75446-1268
Phone (903) 378-3444

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
I20140804002274 TX Practitioner - Nurse Practitioner 3072730720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puckett Family Clinic, P.C.Group PAC ID 6103918735, 2 clinicians

Practice addresses (Care Compare)

1301 E Main St
Honey Grove, TX 75446-1268
Phone (903) 378-3444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
768739TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Puckett Family Clinic, P.C. CurrentSince Apr 22, 2014 Accepting new patients
H H Y, LLC CurrentSince Feb 1, 2024 Accepting new patients
H H Y, LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

1805 Industrial Way
Clarksville, TX 75426
Phone (903) 428-0100

1301 E Main St
Honey Grove, TX 75446
Phone (903) 378-3444

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1689090854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E MAIN ST",
            "city": "HONEY GROVE",
            "state": "TX",
            "postal_code": "754461268",
            "telephone_number": "903-378-3444",
            "fax_number": "903-378-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E MAIN ST",
            "city": "HONEY GROVE",
            "state": "TX",
            "postal_code": "754461268",
            "telephone_number": "903-378-3444",
            "fax_number": "903-378-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARY",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "768739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honey Grove, TX

Sources for this page

Verify at the official NPI Registry.