Active NPI
Deanie Spurgin, FNP
- Family Nurse Practitioner
- Grapevine, TX
National Provider Identifier
1700887130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 241446
- Practice address
- 3801 William D Tate Ave Ste 850
Grapevine, TX 76051-8757 - Phone
- (817) 310-3070
- Fax
- (817) 310-0023
- NPI assigned
- Aug 9, 2005
- 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 | 241446 | TX | Primary |
Addresses
Primary practice location
3801 William D Tate Ave Ste 850
Grapevine, TX 76051-8757
Mailing address
3801 William D Tate Ave Ste 850
Grapevine, TX 76051-8757
Phone (817) 310-3070
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205066802 | Medicaid | TX | |
| 205066803 | Medicaid | TX | |
| 205066801 | Medicaid | TX |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascularspecialty Associates of North Texas, PA | Past | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Past | Accepting new patients | |
| Cardiovascular Specialty Associates of North Texas, P.a. | Past | Accepting new patients |
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.
-
- Vascular Surgery Physician
- Rockwall, TX
- NPI 1780851915
-
- Cardiovascular Disease Physician
- Irving, TX
- NPI 1194736314
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1700887130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 WILLIAM D TATE AVE STE 850",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518757",
"telephone_number": "817-310-3070",
"fax_number": "817-310-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 WILLIAM D TATE AVE STE 850",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518757",
"telephone_number": "817-310-3070",
"fax_number": "817-310-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPURGIN",
"first_name": "DEANIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "241446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205066802",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205066803",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205066801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.