Individual provider Active NPI

Patricia Ezzard, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1770354342
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1095920 Issued in TX
Practice address
8035 E R L Thornton Fwy Ste 972808
Dallas, TX 75228-7018
Phone
(972) 808-7541
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1095920 TX
Family Nurse Practitioner 363LF0000X 350561 NY
Family Nurse Practitioner 363LF0000X 1095920 TX Primary

Addresses

Primary practice location

8035 E R L Thornton Fwy Ste 972808
Dallas, TX 75228-7018

Mailing address

2712 Crepe Myrtle Dr
Flower Mound, TX 75028-3617
Phone (631) 745-2980

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
I20240405000426 TX Practitioner - Nurse Practitioner 3678911955 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
350561NYMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Citywide Housecalls, LLC CurrentSince Mar 15, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

8035 E R L Thornton Fwy
Ste 424
Dallas, TX 75228
Phone (972) 808-7541

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1919 S Shiloh Rd
Ste 218
Garland, TX 75042
Phone (972) 808-7541

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": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1770354342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 CREPE MYRTLE DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283617",
            "telephone_number": "631-745-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 E R L THORNTON FWY STE 972808",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287018",
            "telephone_number": "972-808-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZZARD",
        "first_name": "PATRICIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1095920",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350561",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1095920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.