Individual provider Active NPI

Ayesha Rahman, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1780199745
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134980 Issued in TX
Practice address
4100 State Highway 121
Carrollton, TX 75010-1118
Phone
(972) 939-7062
NPI assigned
Dec 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 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 AP134980 TX Primary

Addresses

Primary practice location

4100 State Highway 121
Carrollton, TX 75010-1118

Mailing address

4100 State Highway 121
Carrollton, TX 75010-1118
Phone (972) 939-7062

Other practice location 1

4708 Alliance Blvd Ste 200
Plano, TX 75093-5339
Phone (469) 800-6020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arahman217731@direct.sw.org

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
I20191202002361 TX Practitioner - Nurse Practitioner 5597198713 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Priyanka Uppal MD PAGroup PAC ID 0244575488, 8 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

13080 Dallas Pkwy
Suite 320
Frisco, TX 75033-4242
Phone (469) 421-1777

1413 Oates Dr
Mesquite, TX 75150-1345
Phone (866) 389-2727

4708 Alliance Blvd
Suite 200
Plano, TX 75093-5339
Phone (469) 800-6020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC Family Current Accepting new patients
Healthtexas Provider Network CurrentSince Aug 2, 2019 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Dec 30, 2021 Accepting new patients
Priyanka Uppal MD PA CurrentSince Mar 3, 2026 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Apr 1, 2023 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Aug 2, 2019 Accepting new patients
Minuteclinic Primary Care Texas PLLC Family CurrentSince Jul 16, 2025 Accepting new patients
Womens Specialty Center PA PastSince Mar 3, 2026 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

4100 State Highway 121
Carrollton, TX 75010
Phone (972) 339-2417

11661 Preston Rd
Ste 218
Dallas, TX 75230
Phone (214) 363-1571

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

13080 Dallas Pkwy
Ste 320
Frisco, TX 75033
Phone (214) 396-8877

1003 Richmond Ave
Houston, TX 77006
Phone (713) 807-8491

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

5002 W Main St
League City, TX 77573
Phone (281) 557-4374

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

2900 Broadway St
Pearland, TX 77581
Phone (281) 997-4400

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

4708 Alliance Blvd
Ste 200
Plano, TX 75093
Phone (469) 800-6020

525 Shiloh Rd
Ste 2200
Plano, TX 75074
Phone (469) 421-1777

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

1301 N Saginaw Blvd
Saginaw, TX 76179
Phone (817) 676-4362

5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1780199745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 STATE HIGHWAY 121",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101118",
            "telephone_number": "972-939-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 STATE HIGHWAY 121",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101118",
            "telephone_number": "972-939-7062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4708 Alliance Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935339",
            "country_code": "US",
            "telephone_number": "469-800-6020",
            "fax_number": "469-800-6011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "AYESHA",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arahman217731@direct.sw.org",
            "affiliation": "N",
            "address_1": "4708 Alliance Blvd Ste 200",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750935339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.