Individual provider Active NPI

Patricia Alden Flateau, CPNP-AC

  • Pediatric Nurse Practitioner
  • Addison, TX
National Provider Identifier
1811098627
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
662493 Issued in TX
Practice address
5015 Addison Cir
#428
Addison, TX 75001-3308
Phone
(214) 529-7318
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 662493 TX Primary

Addresses

Primary practice location

5015 Addison Cir
#428
Addison, TX 75001-3308

Mailing address

5015 Addison Cir
#428
Addison, TX 75001-3308
Phone (214) 529-7318

Other identifiers 2

IdentifierTypeStateIssuer
280756201MedicaidTX
280756202MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305000448 TX Practitioner - Nurse Practitioner 8527956275 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
662493TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Medical Services, PLLC CurrentSince Aug 22, 2011 Accepting new patients
Questcare Medical Services, PLLC CurrentSince Aug 22, 2011 Accepting new patients
Pediatric Urgent Care of Denton, LP Past Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1811098627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 ADDISON CIR",
            "address_2": "#428",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013308",
            "telephone_number": "214-529-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 ADDISON CIR",
            "address_2": "#428",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013308",
            "telephone_number": "214-529-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLATEAU",
        "first_name": "PATRICIA",
        "middle_name": "ALDEN",
        "credential": "CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "662493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280756201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280756202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.