Active NPI
Dora Luz Tirado, NP
- Psychiatric/Mental Health Nurse Practitioner
- Irving, TX
National Provider Identifier
1740846211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP141737
- Practice address
- 320 Decker Dr
Irving, TX 75062-3999 - Phone
- (561) 707-3359
- NPI assigned
- May 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11002376 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11002376 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | AP141737 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP141737 | TX | Primary |
Addresses
Primary practice location
320 Decker Dr
Irving, TX 75062-3999
Mailing address
4281 Weymouth St
Lake Worth, FL 33461-2745
Phone (561) 707-3359
Other practice location 1
4281 Weymouth St
Lake Worth, FL 33461-2745
Phone (561) 707-3359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 Post Oak Blvd
Suite 2100
Houston, TX 77056-5797
Phone (800) 423-4400
360 NW 27TH St
Office/Suite 08 109
Miami, FL 33127-1504
Phone (805) 807-3303
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11002376 | FL | MD | Family Nurse Practitioner |
| AP141737 | TX | MD | Primary Care Nurse Practitioner |
Organizations & group practices 1
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": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1740846211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4281 WEYMOUTH ST",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334612745",
"telephone_number": "561-707-3359",
"fax_number": "844-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 DECKER DR",
"city": "IRVING",
"state": "TX",
"postal_code": "750623999",
"telephone_number": "561-707-3359"
}
],
"practiceLocations": [
{
"address_1": "4281 Weymouth St",
"address_purpose": "LOCATION",
"city": "Lake Worth",
"state": "FL",
"postal_code": "334612745",
"country_code": "US",
"telephone_number": "561-707-3359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIRADO",
"first_name": "DORA",
"middle_name": "LUZ",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-10",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11002376",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11002376",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP141737",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP141737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.