NPIMap

Organization Active NPI

Baylor All Saints Medical Center

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1790298388
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BAYLOR ALL SAINTS MEDICAL CENTER
Practice address
1400 8TH Ave
Fort Worth, TX 76104-4110
Phone
(817) 922-1535
Fax
(817) 927-6226
NPI assigned
Nov 6, 2017
Organization subpart
Yes
Parent organization
BAYLOR ALL SAINTS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Authorized official

Name
Lucy Catala
Title
VP of Finance, West Region Cfo
Phone
(817) 922-1957

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary
Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364S00000X

Addresses

Primary practice location

1400 8TH Ave
Fort Worth, TX 76104-4110

Mailing address

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 922-1535

Other names 1

  • BAS HOUSE PROVIDERS Other name

National Provider Directory

National Provider Directory
Tax ID family
Lambert J Russell MD6 organizations share this tax ID, including this one
Part of
Lambert J Russell MD

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1790298388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044110",
            "telephone_number": "817-922-1535",
            "fax_number": "817-927-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044110",
            "telephone_number": "817-922-1535",
            "fax_number": "817-927-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR ALL SAINTS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYLOR ALL SAINTS MEDICAL CENTER",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "CATALA",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "VP OF FINANCE, WEST REGION CFO",
        "authorized_official_telephone_number": "817-922-1957"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAS HOUSE PROVIDERS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.