Active NPI
Eresiya Printers, FNP-BC
- Family Nurse Practitioner
- Addison, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1052829
- Practice address
- 4135 Belt Line Rd Ste 124
Addison, TX 75001-5879 - Phone
- (469) 495-9126
- NPI assigned
- Feb 5, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1052829 | TX | Primary |
| Nurse Practitioner | 363L00000X | 1052829 | TX |
Addresses
Primary practice location
4135 Belt Line Rd Ste 124
Addison, TX 75001-5879
Mailing address
PO Box 701733
Dallas, TX 75370-1733
Other practice location 1
2751 E State Highway 114
Southlake, TX 76092-6670
Phone (972) 906-8165
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eprinters2551568@Direct.TexasHealth.org | Health Information Exchange (HIE) |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4135 Belt Line Rd
Suite 124
Addison, TX 75001-5879
Phone (469) 495-9126
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1052829 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Urgent Care | Current | Accepting new patients | |
| Texas Health Urgent Care | Family | Current | Accepting new patients |
| American Current Care, P.a. | Current | Accepting new patients | |
| Texas Health Urgent Care | Current | Accepting new patients | |
| Texas Health Urgent Care | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients |
Locations
4135 Belt Line Rd
Ste 124
Addison, TX 75001
Phone (469) 495-9126
15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111
2160 E Lamar Blvd
Arlington, TX 76006
Phone (972) 988-0441
3817 Stagg Dr
Beaumont, TX 77701
Phone (409) 813-1920
4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255
6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110
1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571
12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600
125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104
Interoperability endpoints
- eprinters2551568@direct.texashealth.org
Organizations & group practices 6
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.
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1275651002
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1104431527
-
- Urgent Care Clinic/Center
- Allen, TX
- NPI 1629724315
-
- Urgent Care Clinic/Center
- McKinney, TX
- NPI 1972118388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1760014013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 701733",
"city": "DALLAS",
"state": "TX",
"postal_code": "753701733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4135 BELT LINE RD STE 124",
"city": "ADDISON",
"state": "TX",
"postal_code": "750015879",
"telephone_number": "469-495-9126"
}
],
"practiceLocations": [
{
"address_1": "2751 E State Highway 114",
"address_purpose": "LOCATION",
"city": "Southlake",
"state": "TX",
"postal_code": "760926670",
"country_code": "US",
"telephone_number": "972-906-8165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRINTERS",
"first_name": "ERESIYA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1052829",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1052829",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eprinters2551568@Direct.TexasHealth.org",
"affiliation": "N",
"endpointDescription": "Health Information Exchange (HIE)",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "4135 Belt Line Rd Ste 124",
"city": "Addison",
"state": "TX",
"country_code": "US",
"postal_code": "750015879",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.