Individual provider Active NPI

Nayeli Liberato, NP

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1720646367
Registry record updated Feb 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1069490 Issued in TX
Practice address
5964 W Parker Rd Ste 100
Plano, TX 75093-7788
Phone
(469) 495-9122
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209019515 IL
Family Nurse Practitioner 363LF0000X 1069490 TX Primary

Addresses

Primary practice location

5964 W Parker Rd Ste 100
Plano, TX 75093-7788

Mailing address

5964 W Parker Rd Ste 100
Plano, TX 75093-7788
Phone (469) 495-9122

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nliberato2047964@Direct.TexasHealth.org Health Information Exchange (HIE)

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
I20220517002995 TX Practitioner - Nurse Practitioner 8729315270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians

Practice addresses (Care Compare)

5964 W Parker Rd
Suite 100
Plano, TX 75093-7788
Phone (469) 495-9122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1069490TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care CurrentSince Jun 1, 2022 Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care Family Current Accepting new patients
Texas Health Urgent Care CurrentSince Jun 1, 2022 Accepting new patients
Affiliated Oncologists, LLC PastSince Sep 1, 2024 Accepting new patients
The Methodist Hospitals, Inc PastSince Sep 13, 2019 Accepting new patients

Locations

975 Sam Rayburn Tollway
Ste 140
Allen, TX 75013
Phone (469) 495-9030

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

5964 W Parker Rd
Ste 100
Plano, TX 75093
Phone (469) 495-9122

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: nliberato2047964@direct.texashealth.org

Organizations & group practices 7

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": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676160000000",
    "number": "1720646367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5964 W PARKER RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937788",
            "telephone_number": "469-495-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5964 W PARKER RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937788",
            "telephone_number": "469-495-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERATO",
        "first_name": "NAYELI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2023-02-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019515",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1069490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nliberato2047964@Direct.TexasHealth.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "975 Sam Rayburn Tollway Ste 140",
            "city": "Allen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750136021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.