Active NPI
Tanya Barrera
- Family Nurse Practitioner
- Lewisville, TX
National Provider Identifier
1700696788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1185412
- Practice address
- 273 W Church St Ste 200
Lewisville, TX 75057-3901 - Phone
- (940) 209-2291
- Fax
- (940) 209-2292
- NPI assigned
- Jan 10, 2025
- Last updated
- Jun 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1185412 | TX | Primary |
Addresses
Primary practice location
273 W Church St Ste 200
Lewisville, TX 75057-3901
Mailing address
5436 Norris Dr
The Colony, TX 75056-3701
Phone (214) 552-7715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1185412 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Wellness Clinics PLLC | Past | Accepting new patients | |
| Southern Endocrinology | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1700696788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5436 NORRIS DR",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750563701",
"telephone_number": "214-552-7715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "273 W CHURCH ST STE 200",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750573901",
"telephone_number": "940-209-2291",
"fax_number": "940-209-2292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRERA",
"first_name": "TANYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-10",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1185412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.