Individual provider Active NPI

Rani Prasad Varghese, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1689867657
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP115015 Issued in TX
Practice address
1515 S Buckner Blvd Ste 141
Dallas, TX 75217-1794
Phone
(214) 305-7065
NPI assigned
Aug 23, 2007
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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 AP115015 TX Primary

Addresses

Primary practice location

1515 S Buckner Blvd Ste 141
Dallas, TX 75217-1794

Mailing address

PO Box 746079
Atlanta, GA 30374-6079
Phone (312) 733-9730

Other practice location 1

615 S, State Hwy 78, suite 100
Wylie, TX 75098-7317
Phone (972) 429-1077

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
I20080605000158 TX Practitioner - Nurse Practitioner 7719057579 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Oct 31, 2016 Accepting new patients
Oak Street Health of Texas, PLLC Family CurrentSince Aug 19, 2024 Accepting new patients
Dr Tanvir Ahmad and Dr Fauzia Khalida Osama M.D. PA CurrentSince Jul 1, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Oct 31, 2016 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince May 5, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Vickery Health Center Past Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

1515 S Buckner Blvd
Ste 141
Dallas, TX 75217
Phone (214) 305-7065

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2004 N Goliad St
Rockwall, TX 75087
Phone (972) 722-4706

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

5303 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-2300

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

615 S Highway 78
Ste 100
Wylie, TX 75098
Phone (972) 325-2285

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1689867657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746079",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746079",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S BUCKNER BLVD STE 141",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171794",
            "telephone_number": "214-305-7065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 S, State Hwy 78, suite 100",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750987317",
            "country_code": "US",
            "telephone_number": "972-429-1077",
            "fax_number": "972-429-1173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "RANI",
        "middle_name": "PRASAD",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.