Individual provider Active NPI

Delaney Keegan Papin, APRN

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1740025857
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1167844 Issued in TX
Practice address
5075 Edwards Ranch Rd
Fort Worth, TX 76109-4133
Phone
(817) 292-4200
NPI assigned
Jun 28, 2024
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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 1167844 TX Primary

Addresses

Primary practice location

5075 Edwards Ranch Rd
Fort Worth, TX 76109-4133

Mailing address

2450 Oak Hill Cir Apt 1822
Fort Worth, TX 76109-9594
Phone (630) 329-6014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1167844TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kirby Plastic Surgery, PLLC CurrentSince Jun 30, 2024 Accepting new patients
Trinity Surgical Group PastSince Jun 30, 2024 Accepting new patients

Locations

5075 Edwards Ranch Rd
Fort Worth, TX 76109
Phone (817) 292-4200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1740025857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 OAK HILL CIR APT 1822",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761099594",
            "telephone_number": "630-329-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 EDWARDS RANCH RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094133",
            "telephone_number": "817-292-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPIN",
        "first_name": "DELANEY",
        "middle_name": "KEEGAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1167844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.