Individual provider Active NPI

Ikra Ashrafi, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Grapevine, TX
National Provider Identifier
1740996263
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1108803 Issued in TX
Practice address
823 Ira E Woods Ave Ste 200
Grapevine, TX 76051-4096
Phone
(817) 722-6078
NPI assigned
Jan 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1108803 TX Primary

Addresses

Primary practice location

823 Ira E Woods Ave Ste 200
Grapevine, TX 76051-4096

Mailing address

823 Ira E Woods Ave Ste 200
Grapevine, TX 76051-4096
Phone (214) 940-4795

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
I20240531003792 TX Practitioner - Nurse Practitioner 1153863444 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1108803TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Trucare PA CurrentSince May 1, 2024 Accepting new patients

Locations

10640 N Riverside Dr
Ste 300
Fort Worth, TX 76244
Phone (817) 722-6078

823 Ira E Woods Ave
Ste 200
Grapevine, TX 76051
Phone (817) 421-9999

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJHDBD

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": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1740996263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 IRA E WOODS AVE STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514096",
            "telephone_number": "214-940-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 IRA E WOODS AVE STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514096",
            "telephone_number": "817-722-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHRAFI",
        "first_name": "IKRA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1108803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.