Individual provider Active NPI

Diana Nanayakkara, ACNP

  • Acute Care Nurse Practitioner
  • Plano, TX
National Provider Identifier
1710022819
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
582087 Issued in TX
Practice address
1820 Preston Park Blvd
Suite 1450
Plano, TX 75093-3656
Phone
(469) 800-4540
Fax
(469) 800-4541
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 582087 TX Primary

Addresses

Primary practice location

1820 Preston Park Blvd
Suite 1450
Plano, TX 75093-3656

Mailing address

1820 Preston Park Blvd
Suite 1450
Plano, TX 75093-3656
Phone (469) 800-4540

Other identifiers 2

IdentifierTypeStateIssuer
151127202MedicaidTX
151127203MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dnanayakkara225642@direct.sw.org

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
I20090512000330 TX Practitioner - Nurse Practitioner 3173672672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

5236 W University
4900 The Heart Group
McKinney, TX 75071-8185
Phone (469) 800-5350

6601 Preston Rd
Plano, TX 75024-2502
Phone (469) 326-3400

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Oct 3, 2011 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 3, 2011 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Cardiovascular Consultants of North Texas, LLP Past Accepting new patients
Cardiovascular Consultants of North Texas, LLP Past Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3341 Unicorn Lake Blvd
Denton, TX 76210
Phone (469) 814-4475

7217 Telecom Pkwy
Ste 205
Garland, TX 75044
Phone (469) 800-6300

2020 W State Highway 114
Ste 200
Grapevine, TX 76051
Phone (817) 416-7214

1600 W College St
Ste 510
Grapevine, TX 76051
Phone (817) 410-7982

1600 W College St
Ste 680
Grapevine, TX 76051
Phone (817) 481-9629

1820 Preston Park Blvd
Ste 1450
Plano, TX 75093
Phone (469) 800-4540

6601 Preston Rd
Plano, TX 75024
Phone (469) 326-3400

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688169600000",
    "number": "1710022819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD",
            "address_2": "SUITE 1450",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933656",
            "telephone_number": "469-800-4540",
            "fax_number": "469-800-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD",
            "address_2": "SUITE 1450",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933656",
            "telephone_number": "469-800-4540",
            "fax_number": "469-800-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANAYAKKARA",
        "first_name": "DIANA",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "582087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151127202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151127203",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dnanayakkara225642@direct.sw.org",
            "affiliation": "N",
            "address_1": "6601 Preston Rd",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750242502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.