Active NPI
Aida Fares Massaad, FNP
- Family Nurse Practitioner
- Mansfield, TX
National Provider Identifier
1710459144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F10180206
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10180206 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D&J Grace Team LLC | Single Specialty | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.