Individual provider Active NPI

Simi Walia, MS, APRN, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1780447227
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1143015 Issued in TX
Practice address
3500 W 7TH St
Fort Worth, TX 76107-2532
Phone
(817) 632-5400
NPI assigned
Feb 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 1143015 TX Primary

Addresses

Primary practice location

3500 W 7TH St
Fort Worth, TX 76107-2532

Mailing address

3500 W 7TH St
Fort Worth, TX 76107-2532
Phone (817) 632-5400

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
I20250324002046 TX Practitioner - Nurse Practitioner 1456873009 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
T Off Men'S Health CurrentSince Feb 11, 2024 Accepting new patients
Shokr Hydration PLLC CurrentSince Mar 1, 2025 Accepting new patients
Shokr Hydration PLLC Family Current Accepting new patients
Revive Med Partners I LLC Past Accepting new patients
Revive Med Partners, LLC Family Past Accepting new patients

Locations

1124 Glade Rd
Ste 160
Colleyville, TX 76034
Phone (817) 984-3460

310 Rock Island Ave
Dalhart, TX 79022
Phone (806) 244-0136

3500 W 7th St
Fort Worth, TX 76107
Phone (817) 632-5400

Organizations & group practices 5

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": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1780447227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W 7TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072532",
            "telephone_number": "817-632-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W 7TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072532",
            "telephone_number": "817-632-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALIA",
        "first_name": "SIMI",
        "name_prefix": "Ms.",
        "credential": "MS, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1143015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.