Individual provider Active NPI

Danielle-Marvis Fortingo

  • Family Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1720512940
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134233 Issued in TX
Practice address
7521 Guadalupe Way
McKinney, TX 75071-3389
Phone
(469) 634-6690
NPI assigned
Apr 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134233 TX Primary

Addresses

Primary practice location

7521 Guadalupe Way
McKinney, TX 75071-3389

Mailing address

7521 Guadalupe Way
McKinney, TX 75071-3389
Phone (404) 457-5990

Other identifiers 1

IdentifierTypeStateIssuer
F04170267OtherTXAANP CERTIFICATION

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
I20180507000228 TX Practitioner - Nurse Practitioner 0749544484 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP134233TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Applegate Health Services, Inc. CurrentSince Sep 2, 2021 Accepting new patients
Kameron Health PLLC CurrentSince Oct 27, 2019 Accepting new patients
Apple Gate Health Services, Inc CurrentSince Sep 2, 2021 Accepting new patients

Locations

1720 Lakepointe Dr
Ste 117
Lewisville, TX 75057

560 W Main St
Ste 203
Lewisville, TX 75057
Phone (214) 222-7874

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": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1720512940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 GUADALUPE WAY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713389",
            "telephone_number": "404-457-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 GUADALUPE WAY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713389",
            "telephone_number": "469-634-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTINGO",
        "first_name": "DANIELLE-MARVIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP CERTIFICATION",
            "identifier": "F04170267",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.