Trace Owens, APRN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP143433 Issued in TX

Practice address

539 W Commerce St # 206
Dallas, TX 75208-1953

Phone

(512) 810-6719

NPI assigned

Oct 10, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NC, MA, IL, KS, PA, MI, MN8 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 8

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitality Consultants LLCGroup PAC ID 2567942899, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: trace.owens@493341706813444.direct.elationemr.com

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.

• Vitality Consultants LLC

  • Community Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1497644124

  FL, IL, KS, MA, MI, MN, PA

  Medicare reassignment Care Compare group NPD
• Patients First Lake Ella Medical Center P a

  dba Patients First Lake Ella

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1164524039
  Medicare reassignment NPD
• Tbowens LLC

  dba Vestram Health

  • Primary Care Clinic/Center
  • Dallas, TX
  • NPI 1447967237
  NPD Authorized official

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1730721820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST # 206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953",
            "telephone_number": "512-810-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST # 206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953",
            "telephone_number": "512-810-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "TRACE",
        "credential": "APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-10",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malakia Owens
• Sadaf Nicole Owens, CNIM
• Selika Renee Owens, M.D.
• Sharon Owens
• Sidney Owens II, DPT
• Tynisa Owens
• Wendell Rodney Owens, B.S
• Shannon Marie Owings, MD
• Prudence Owusu - Prempeh, NURSE PRACTITIONER
• Helen T Owusuakoto

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.