Active NPI
Monserat Olmos, PNP-PC
- Pediatric Nurse Practitioner
- Grand Prairie, TX
National Provider Identifier
1740940683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1061911
- Practice address
- 3166 S State Highway 161 Ste 170
Grand Prairie, TX 75052-7720 - Phone
- (972) 212-6668
- Fax
- (469) 660-3011
- NPI assigned
- Dec 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 1061911 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | 1061911 | TX | Primary |
Addresses
Primary practice location
3166 S State Highway 161 Ste 170
Grand Prairie, TX 75052-7720
Mailing address
PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6483
Other practice location 1
801 7th Ave
Fort Worth, TX 76104-2733
Phone (682) 885-4095
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | molmos191554@CookChildrens.direct-ci.com |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1061911 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Little Spurs Pediatric Urgent Care, PLLC | Past | Accepting new patients | |
| Rainbow Children'S Clinic, P.a. | Past | Accepting new patients |
Locations
4255 Pleasantview Dr
Unit 200
Arlington, TX 76016
Phone (817) 466-8008
6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245
Interoperability endpoints
- monserat.olmos.1@8042.direct.athenahealth.com
- molmos191554@cookchildrens.direct-ci.com
Organizations & group practices 5
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.
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1477628873
-
- Otolaryngology Physician
- Fort Worth, TX
- NPI 1245686617
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1821026352
-
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1780673319
-
- Pediatrics Physician
- Arlington, TX
- NPI 1174828289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1740940683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 733784",
"city": "DALLAS",
"state": "TX",
"postal_code": "753733784",
"telephone_number": "682-885-6483",
"fax_number": "682-885-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3166 S STATE HIGHWAY 161 STE 170",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750527720",
"telephone_number": "972-212-6668",
"fax_number": "469-660-3011"
}
],
"practiceLocations": [
{
"address_1": "801 7th Ave",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761042733",
"country_code": "US",
"telephone_number": "682-885-4095",
"fax_number": "682-885-7499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLMOS",
"first_name": "MONSERAT",
"credential": "PNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-20",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "1061911",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "1061911",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "molmos191554@CookChildrens.direct-ci.com",
"affiliation": "N",
"address_1": "801 7th Ave",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761042733",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.