NPIMap

Individual provider Active NPI

Janice M Louck, MSN, RNCS, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1790784494
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
516571 Issued in TX
Practice address
1301 W 7TH St
Suite 121
Fort Worth, TX 76102-2651
Phone
(817) 348-0425
Fax
(817) 348-0455
NPI assigned
Jul 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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 516571 TX Primary

Addresses

Primary practice location

1301 W 7TH St
Suite 121
Fort Worth, TX 76102-2651

Mailing address

177 Treetop TRL
Arlington, TX 76015-3845
Phone (817) 319-1177

Other identifiers 2

IdentifierTypeStateIssuer
092888910MedicaidTX
092888909MedicaidTX

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
516571TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HJN Health Services Inc Family Past Accepting new patients
Omni Housecalls LLC Past Accepting new patients
Frank C Kretsinger, D.O., PA Past Accepting new patients
Diagnostic Swallowing Services Past Accepting new patients
Prompt Care Internal Medicine PA Past Accepting new patients
Meta Medical Services PA Past Accepting new patients

Organizations & group practices 6

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1790784494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 TREETOP TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153845",
            "telephone_number": "817-319-1177",
            "fax_number": "817-557-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 7TH ST",
            "address_2": "SUITE 121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022651",
            "telephone_number": "817-348-0425",
            "fax_number": "817-348-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUCK",
        "first_name": "JANICE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSN, RNCS, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "516571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092888910",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092888909",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 14, 2011; 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.