Individual provider Active NPI

Aida Fares Massaad, FNP

  • Family Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1710459144
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10180206 Issued in TX
Practice address
3206 Silver Point CT
Mansfield, TX 76063-8682
Phone
(817) 726-5893
NPI assigned
Dec 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F10180206 TX Primary

Addresses

Primary practice location

3206 Silver Point CT
Mansfield, TX 76063-8682

Mailing address

6251 Oakmont Blvd
Fort Worth, TX 76132-3119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10180206TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
D&J Grace Team LLC Single Specialty CurrentSince Mar 1, 2022 Accepting new patients

Locations

921 FM 1187 E
Ste A
Crowley, TX 76036
Phone (817) 297-2000

6251 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-5700

1661 Eastchase Pkwy
Ft Worth, TX 76120
Phone (682) 250-5700

Interoperability endpoints

  • Direct secure messaging: amassaad14544@direct.texashealth.org

Organizations & group practices 1

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": "1545696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1710459144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6251 OAKMONT BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 SILVER POINT CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638682",
            "telephone_number": "817-726-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARES MASSAAD",
        "first_name": "AIDA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-25",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F10180206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.