Individual provider Active NPI

Lori Nesslein, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1780735738
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
M5402 Issued in TX
Practice address
1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone
(817) 250-2892
Fax
(817) 250-5335
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X M5402 TX Primary

Addresses

Primary practice location

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122

Mailing address

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 250-2892

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110914000481 TX Practitioner - Pediatric MedicinePractitioner - Other (Physician) 0446141345 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Texas Billing, Inc. Neonatal-Perinatal Medicine CurrentSince May 31, 2011 Accepting new patients
Texas Health Harris Methodist Hospital Fort Worth Past Accepting new patients
Cook Children's Medical Center Past Accepting new patients
Texas Health Huguley, Inc. Past Accepting new patients
Texas Health Hospital Mansfield Past Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

2300 Lone Star Rd
Mansfield, TX 76063
Phone (682) 341-5000

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

Interoperability endpoints

  • Direct secure messaging: lnesslein33346@cookchildrens.direct-ci.com
  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780735738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042122",
            "telephone_number": "817-250-2892",
            "fax_number": "817-250-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042122",
            "telephone_number": "817-250-2892",
            "fax_number": "817-250-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESSLEIN",
        "first_name": "LORI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "M5402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.