Individual provider Active NPI

Sachiko Nakashima

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1699029561
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127062 Issued in TX
Practice address
729 N Fielder Rd Ste a
Arlington, TX 76012-4664
Phone
(817) 633-3400
Fax
(817) 633-3401
NPI assigned
Oct 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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 AP127062 TX Primary

Addresses

Primary practice location

729 N Fielder Rd Ste a
Arlington, TX 76012-4664

Mailing address

729 N Fielder Rd Ste a
Arlington, TX 76012-4664
Phone (817) 633-3400

Other identifiers 1

IdentifierTypeStateIssuer
AP127062OtherTXLICENSE

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
I20150303000644 TX Practitioner - Nurse Practitioner 1153575824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Clouds Health Care, IncGroup PAC ID 8628222445, 2 clinicians

Practice addresses (Care Compare)

2916 Kraft St
Suite 60
Arlington, TX 76010-5408
Phone (817) 633-3400

2916 Kraft Street
Suite 60
Arlington, TX 76010-5408

729 N Fielder Rd
Suite a
Arlington, TX 76012-4664
Phone (817) 633-3400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Clouds Health Care, Inc Family CurrentSince Dec 4, 2014 Accepting new patients

Locations

729 N Fielder Rd
Ste A
Arlington, TX 76012
Phone (817) 277-1392

2916 Kraft St
Ste 60
Arlington, TX 76010
Phone (817) 633-3400

400 SE 1st St
Ste C
Mineral Wells, TX 76067
Phone (940) 468-4061

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": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1699029561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 N FIELDER RD STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124664",
            "telephone_number": "817-633-3400",
            "fax_number": "817-633-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 N FIELDER RD STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124664",
            "telephone_number": "817-633-3400",
            "fax_number": "817-633-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKASHIMA",
        "first_name": "SACHIKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP127062",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.