Active NPI
Rima Basal, APRN-CNP
- Pediatric Nurse Practitioner
- Garland, TX
National Provider Identifier
1790456531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1047216
- Practice address
- 6520 N President George Bush Hwy Ste 100
Garland, TX 75044-3925 - Phone
- (972) 532-9967
- Fax
- (972) 495-2287
- NPI assigned
- Sep 22, 2021
- Last updated
- Oct 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1047216 | TX | Primary |
| Pediatrics Physician | 208000000X | 1047216 | TX |
Addresses
Primary practice location
6520 N President George Bush Hwy Ste 100
Garland, TX 75044-3925
Mailing address
9209 Elam Rd Ste 101
Dallas, TX 75217-7368
Phone (214) 397-9444
Other practice location 1
9209 Elam Rd Ste 101
Dallas, TX 75217-7368
Phone (214) 391-9444
Other practice location 2
3166 S State Highway 161 Ste 170
Grand Prairie, TX 75052-7720
Phone (972) 640-0005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1047216 | TX | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1790456531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9209 ELAM RD STE 101",
"city": "DALLAS",
"state": "TX",
"postal_code": "752177368",
"telephone_number": "214-397-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6520 N PRESIDENT GEORGE BUSH HWY STE 100",
"city": "GARLAND",
"state": "TX",
"postal_code": "750443925",
"telephone_number": "972-532-9967",
"fax_number": "972-495-2287"
}
],
"practiceLocations": [
{
"address_1": "9209 Elam Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752177368",
"country_code": "US",
"telephone_number": "214-391-9444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3166 S State Highway 161 Ste 170",
"address_purpose": "LOCATION",
"city": "Grand Prairie",
"state": "TX",
"postal_code": "750527720",
"country_code": "US",
"telephone_number": "972-640-0005",
"fax_number": "210-314-5044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASAL",
"first_name": "RIMA",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-22",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "1047216",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "1047216",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.