Individual provider Active NPI

Rima Basal, APRN-CNP

  • Pediatric Nurse Practitioner
  • Garland, TX
National Provider Identifier
1790456531
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1047216 Issued in TX
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1047216TXMDPediatric 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.

Verify at the official NPI Registry.