Individual provider Active NPI

Badia Islah Harlin, NP C

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1700804499
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP114748 Issued in TX
Practice address
6839 Communications Pkwy
Plano, TX 75024-5991
Phone
(972) 733-7242
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X F0306136 TX
Primary Care Nurse Practitioner 363LP2300X AP114748 TX
Family Nurse Practitioner 363LF0000X AP114748 TX Primary

Addresses

Primary practice location

6839 Communications Pkwy
Plano, TX 75024-5991

Mailing address

5801 Oakbend TRL Ste 200
Fort Worth, TX 76132-3916
Phone (817) 529-9100

Other practice location 1

5801 Oakbend Trl Ste 200
Fort Worth, TX 76132-3916
Phone (817) 529-9100

Other identifiers 4

IdentifierTypeStateIssuer
189380203MedicaidTX
DQ5280OtherTXMEDICARE RR PALMETTO
D07564OtherTXMEDICARE RR PALMETTO
189380202MedicaidTX

Other names 1

  • Badia Islah Abdullah Former name

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
I20061208000127 TX Practitioner - Nurse Practitioner 0143229724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bent Tree Medicine PLLCGroup PAC ID 6204185127, 21 clinicians
Bent Tree Psychiatric AssocGroup PAC ID 9739124561, 43 clinicians

Practice addresses (Care Compare)

1050 E State Hwy 114
Suite 210
Southlake, TX 76092-5255
Phone (972) 573-3855

6839 Communications Pkwy
Plano, TX 75024-5991
Phone (972) 733-7242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP114748TXMDFamily Nurse Practitioner
F0306136TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bent Tree Psychiatric Assoc CurrentSince Jun 29, 2020 Accepting new patients
Bent Tree Medicine, PLLC CurrentSince Jun 29, 2020 Accepting new patients
Smart Neuro Health & Wellness Professionals Texas PA Past Accepting new patients

Locations

1604 Hospital Pkwy
Ste 407
Bedford, TX 76022
Phone (469) 379-8222

4245 N Central Expy
Ste 450
Dallas, TX 75205
Phone (469) 379-8222

4245 N Central Expy
Ste 320
Dallas, TX 75205
Phone (972) 532-9968

3500 Oak Lawn Ave
Ste 300
Dallas, TX 75219
Phone (972) 283-1689

1820 Preston Park Blvd
Ste 2500
Plano, TX 75093

6839 Communications Pkwy
Plano, TX 75024
Phone (469) 379-8222

1050 E State Highway 114
Ste 250
Southlake, TX 76092
Phone (214) 919-4624

1050 E State Highway 114
Ste 210
Southlake, TX 76092
Phone (972) 573-3855

Organizations & group practices 3

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1700804499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 OAKBEND TRL STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323916",
            "telephone_number": "817-529-9100",
            "fax_number": "817-529-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6839 COMMUNICATIONS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245991",
            "telephone_number": "972-733-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 Oakbend Trl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761323916",
            "country_code": "US",
            "telephone_number": "817-529-9100",
            "fax_number": "817-529-9106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLIN",
        "first_name": "BADIA",
        "middle_name": "ISLAH",
        "credential": "NP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "F0306136",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP114748",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP114748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189380203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PALMETTO",
            "identifier": "DQ5280",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PALMETTO",
            "identifier": "D07564",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189380202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BADIA",
            "last_name": "ABDULLAH",
            "middle_name": "ISLAH",
            "credential": "NP C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.