Asha Daniella Inniss, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP131436 Issued in TX

Practice address

1604 Hospital Pkwy Ste 200
Bedford, TX 76022-6930

Phone

(817) 848-4485

NPI assigned

Aug 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AL, FL, PA4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harmonic Medical Group of Texas PCGroup PAC ID 7810337912, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Harmonic Medical Group of Texas, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • Austin, TX
  • NPI 1154183085

  Gerontology

  Medicare reassignment Care Compare group NPD
• Harmonic Medical Group of New Jersey, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • Cleveland, OH
  • NPI 1497517031

  FL, Gerontology, PA, TX

  Medicare reassignment NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment
• Harmonic Medical Group of Tennessee, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • Nashville, TN
  • NPI 1619739539

  AL

  Medicare reassignment
• Texas Health Physicians Group

  dba Sleep Healers

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
  • NPI 1114395969
  NPD
• Texas Health Physicians Group

  dba Sleep Healers

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Kaufman, TX
  • NPI 1992151740
  NPD
• San Antonio Allergenic and Wellness LLC

  • Allergy Physician
  • San Antonio, TX
  • NPI 1073963526
  NPD (past)

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1730634742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 E MOUNTAIN VEW ROAD",
            "address_2": "220",
            "city": "SCOTTDALE",
            "state": "AZ",
            "postal_code": "85258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226930",
            "telephone_number": "817-848-4485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9201 E Mountain View Rod",
            "address_2": "220",
            "address_purpose": "LOCATION",
            "city": "Arizona",
            "state": "AZ",
            "postal_code": "85258",
            "country_code": "US",
            "telephone_number": "877-564-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INNISS",
        "first_name": "ASHA",
        "middle_name": "DANIELLA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP131436",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP131436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Carol Imke, F.N.P.
• Impulse Home Care LLC (Synergy Homecare of Southlake)
• Impulse Pharmacy Incorporated (Impulse Pharmacy)
• Daniel Ingel, DMD
• Inkosi Lux Home Health LLC
• Integrated Trauma Solutions LLC
• Intellection Consulting, LLC
• Stephanie McCoy Irizarry, PT CWS RMT MLT
• Ali Ishaque, M.D
• Nina Veniaminovna Ivanova

• Gerontology Nurse Practitioner in Bedford, TX
• Providers in Bedford, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.