Nancy Jane Bristow, RN, BSN, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

255659 Issued in TX

Practice address

1325 Pennsylvania Ave
Suite 560
Fort Worth, TX 76104-2158

Phone

(817) 820-2890

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nancy Nicoll Bristow Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1801816830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE",
            "address_2": "SUITE 560",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042158",
            "telephone_number": "817-820-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE",
            "address_2": "SUITE 560",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042158",
            "telephone_number": "817-820-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOW",
        "first_name": "NANCY",
        "middle_name": "JANE",
        "credential": "RN, BSN,  CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "TX",
            "license": "255659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "BRISTOW",
            "middle_name": "NICOLL",
            "credential": "RN, BSN, CDE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Isaac Briseno-Diaz
• Alejandra Ochoa Briseno, LCSW
• Jason Lamont Brister, LCDC
• Katriana Fields Brister, MS, GC
• Boisey J Bristo Sr., LPC
• Brit D Phillips DDS PA
• Isabel De Rosas Britain, DDS
• Steven Keith Britain, DDS
• Lisa Brite
• Amos Brito, CSFA

• Diabetes Educator Registered Nurse in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Diabetes Educator Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.