Individual provider Active NPI

Sangita Uprety, AGNP-BC

  • Primary Care Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1689415044
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1158609 Issued in TX
Practice address
309 Regency Pkwy Ste 205
Mansfield, TX 76063-7305
Phone
(972) 804-3359
NPI assigned
Jun 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 761612 TX
Gerontology Nurse Practitioner 363LG0600X 1158609 TX
Primary Care Nurse Practitioner 363LP2300X 1158609 TX Primary

Addresses

Primary practice location

309 Regency Pkwy Ste 205
Mansfield, TX 76063-7305

Mailing address

906 Greenhurst Cir
Euless, TX 76040-1500
Phone (972) 804-3359

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
I20240618001995 TX Practitioner - Nurse Practitioner 0648713784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Cardiac and Vascular Care PLLCGroup PAC ID 2860861937, 3 clinicians

Practice addresses (Care Compare)

309 Regency Pkwy
Suite 205
Mansfield, TX 76063-7305
Phone (682) 499-1777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
761612TXMDRegistered Nurse
1158609TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Cardiac & Vascular Care, PLLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

309 Regency Pkwy
Ste 205
Mansfield, TX 76063
Phone (682) 499-1777

309 Regency Pkwy
Ste 201
Mansfield, TX 76063
Phone (682) 400-8639

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJJICD

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.

NPI Registry JSON

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1689415044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 GREENHURST CIR",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760401500",
            "telephone_number": "972-804-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 REGENCY PKWY STE 205",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637305",
            "telephone_number": "972-804-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPRETY",
        "first_name": "SANGITA",
        "credential": "AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "761612",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1158609",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1158609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.