Individual provider Active NPI

Rosaline Zama

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1699536730
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1149882 Issued in TX
Practice address
1902 Windsor PL Ste 102
Fort Worth, TX 76110-1866
Phone
(682) 207-1700
Fax
(682) 250-5246
NPI assigned
Jan 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1149882 TX Primary
Nurse Practitioner 363L00000X 1149882 TX

Addresses

Primary practice location

1902 Windsor PL Ste 102
Fort Worth, TX 76110-1866

Mailing address

1902 Windsor PL Ste 102
Fort Worth, TX 76110-1866
Phone (682) 207-1700

Other practice location 1

5901 S Hulen St Ste B
Fort Worth, TX 76132-2687
Phone (682) 207-1700

Other practice location 2

6312 Azle Ave
Lake Worth, TX 76135-2442
Phone (682) 207-1700

Other practice location 3

4351 Booth Calloway Rd Ste 404
North Richland Hills, TX 76180-7381
Phone (682) 207-1700

Other practice location 4

101 Crown Pointe Blvd Ste 340
Willow Park, TX 76087-1197
Phone (682) 207-1700

Other practice location 5

10840 Texas Health Trl Ste 200
Fort Worth, TX 76244-6848
Phone (682) 207-1700

Other practice location 6

11803 South Fwy Ste 201
Burleson, TX 76028-7029
Phone (682) 207-1700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rzama71648@direct.acumenmd.com

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
I20241226000694 TX Practitioner - Nurse Practitioner 3274060686 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
Fortworth Renal Group PAGroup PAC ID 7416244504, 19 clinicians

Practice addresses (Care Compare)

1902 Windsor Place
Suite 102
Fort Worth, TX 76110-1866
Phone (682) 207-1700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fortworth Renal Group PA CurrentSince Jan 2, 2025 Accepting new patients

Locations

11803 South Fwy
Ste 201
Burleson, TX 76028
Phone (817) 293-4800

6620 Bryant Irvin Rd
Ste 100
Fort Worth, TX 76132
Phone (682) 936-2544

1902 Windsor Pl
Ste 102
Fort Worth, TX 76110

5901 S Hulen St
Ste B
Fort Worth, TX 76132

10840 Texas Health Trl
Ste 200
Fort Worth, TX 76244
Phone (817) 753-7029

4900 Boat Club Rd
Fort Worth, TX 76135
Phone (682) 224-9061

6312 Azle Ave
Lake Worth, TX 76135
Phone (817) 238-8400

4351 Booth Calloway Rd
Ste 404
North Richlnd Hls, TX 76180
Phone (817) 255-1069

101 Crown Pointe Blvd
Ste 340
Willow Park, TX 76087
Phone (844) 994-7223

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": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1699536730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 WINDSOR PL STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101866",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 WINDSOR PL STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101866",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 S Hulen St Ste B",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761322687",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6312 Azle Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "TX",
            "postal_code": "761352442",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4351 Booth Calloway Rd Ste 404",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761807381",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Crown Pointe Blvd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Willow Park",
            "state": "TX",
            "postal_code": "760871197",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10840 Texas Health Trl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762446848",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11803 South Fwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760287029",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMA",
        "first_name": "ROSALINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1149882",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1149882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rzama71648@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "1902 Windsor Pl Ste 102",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761101866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.