Individual provider Active NPI

Annie Truong

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1740994607
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1095396 Issued in TX
Practice address
1251 E Red Bird LN Ste a
Dallas, TX 75241-2008
Phone
(214) 377-0608
Fax
(214) 432-1426
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 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 1095396 TX Primary

Addresses

Primary practice location

1251 E Red Bird LN Ste a
Dallas, TX 75241-2008

Mailing address

1251 E Red Bird LN Ste a
Dallas, TX 75241-2008

Other practice location 1

1014 E Wheatland Rd Ste A
Duncanville, TX 75116-4914
Phone (214) 550-2330

Other practice location 2

7505 Glenview Dr Ste 151
Richland Hills, TX 76180-8335
Phone (817) 284-9922

Other practice location 3

255 W Lebanon Ste 116
Frisco, TX 75036-3412
Phone (469) 405-0500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327002067 TX Practitioner - Nurse Practitioner 9133566094 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1095396TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Waterstone Wellness, PLLC CurrentSince Apr 1, 2024 Accepting new patients
Salam Al-Hafidh MD Facp PA Past Accepting new patients

Locations

1251 E Red Bird Ln
Ste A
Dallas, TX 75241
Phone (214) 377-0608

1014 E Wheatland Rd
Ste A
Duncanville, TX 75116
Phone (214) 550-2330

255 W Lebanon
Ste 116
Frisco, TX 75036
Phone (469) 405-0500

7505 Glenview Dr
Ste 151
Richland Hills, TX 76180
Phone (817) 284-9122

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1740994607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 E RED BIRD LN STE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752412008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E RED BIRD LN STE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752412008",
            "telephone_number": "214-377-0608",
            "fax_number": "214-432-1426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 E Wheatland Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751164914",
            "country_code": "US",
            "telephone_number": "214-550-2330",
            "fax_number": "214-550-2331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7505 Glenview Dr Ste 151",
            "address_purpose": "LOCATION",
            "city": "Richland Hills",
            "state": "TX",
            "postal_code": "761808335",
            "country_code": "US",
            "telephone_number": "817-284-9922",
            "fax_number": "817-284-9926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 W Lebanon Ste 116",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750363412",
            "country_code": "US",
            "telephone_number": "469-405-0500",
            "fax_number": "469-405-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "ANNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1095396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.