NPIMap

Organization Active NPI

Fort Worth Primary Care Providers

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1699708362
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
245713 Issued in TX
Legal business name
FORT WORTH PRIMARY CARE PROVIDERS
Practice address
2501 Parkview Dr
Suite 330
Fort Worth, TX 76102-5824
Phone
(682) 432-0459
Fax
(682) 432-0471
NPI assigned
Jul 8, 2006
Organization subpart
Yes
Parent organization
UNITED HOSPICE SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Kimberly Paige Lawrence
Title
Division VP
Phone
(682) 432-0459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 245713 TX Primary

Addresses

Primary practice location

2501 Parkview Dr
Suite 330
Fort Worth, TX 76102-5824

Mailing address

2501 Parkview Dr
Suite 330
Fort Worth, TX 76102-5824
Phone (682) 432-0459

National Provider Directory

National Provider Directory
Part of
United Hospice Services Inc

Locations

8509 Western Hills Blvd
Ste 100
Fort Worth, TX 76108
Phone (817) 546-0379

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1699708362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PARKVIEW DR",
            "address_2": "SUITE 330",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025824",
            "telephone_number": "682-432-0459",
            "fax_number": "682-432-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PARKVIEW DR",
            "address_2": "SUITE 330",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025824",
            "telephone_number": "682-432-0459",
            "fax_number": "682-432-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH PRIMARY CARE PROVIDERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED HOSPICE SERVICES, INC.",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "DIVISION VP",
        "authorized_official_telephone_number": "682-432-0459"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "245713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.