Individual provider Active NPI

Alicia Karen Su, RN MSN

  • Nurse Practitioner
  • North Richland Hills, TX
National Provider Identifier
1811223001
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
609770 Issued in TX
Practice address
4375 Booth Calloway Rd Ste 505
North Richland Hills, TX 76180-8359
Phone
(972) 566-4822
NPI assigned
Oct 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 609770 TX
Nurse Practitioner 363L00000X 609770 TX Primary

Addresses

Primary practice location

4375 Booth Calloway Rd Ste 505
North Richland Hills, TX 76180-8359

Mailing address

1600 W College St
Suite 110
Grapevine, TX 76051-3580
Phone (817) 424-5959

Other practice location 1

8479 Davis Blvd Ste 100
North Richland Hills, TX 76182-8604
Phone (817) 643-2362

Other practice location 2

1600 W College St
Suite 110
Grapevine, TX 76051-3580
Phone (817) 424-5959

Other practice location 3

4375 Booth Calloway Rd Ste 507
North Richland Hills, TX 76180-8368
Phone (972) 566-4822

Other names 1

  • Mrs. Alicia Karen Hughes Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ALICIA.SU@hca7.eclinicaldirectplus.com

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
I20091116000359 TX Practitioner - Nurse Practitioner 9133267990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiology Specialists of North Texas PLLCGroup PAC ID 1456535624, 69 clinicians

Practice addresses (Care Compare)

4401 Booth Calloway Rd
North Richland Hills, TX 76180-7371
Phone (817) 555-1212

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
68.07
Promoting interoperability
99
Improvement activities
40
Cost
74.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
609770TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Associates of NTX, PLLC CurrentSince Jan 17, 2022 Accepting new patients
Cardiology Specialists of North Texas, PLLC CurrentSince Dec 16, 2019 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Texas Pulmonary & Critical Care Consultants, PA PastSince Jan 14, 2024 Accepting new patients
Texas Pulmonary & Critical Care Consultants, PA Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

902 W Randol Mill Rd
Ste 260
Arlington, TX 76012

4375 Booth Calloway Rd
Ste 505
North Richland Hills, TX 76180
Phone (817) 805-0300

4375 Booth Calloway Rd
Ste 507
North Richland Hills, TX 76180
Phone (817) 284-1900

8479 Davis Blvd
Ste 300
North Richland Hills, TX 76182
Phone (817) 479-3818

4375 Booth Calloway Rd
Ste 420
North Richland Hills, TX 76180

8479 Davis Blvd
Ste 100
North Richland Hills, TX 76182
Phone (817) 643-2362

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72070

Organizations & group practices 5

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": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1811223001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST",
            "address_2": "SUITE 110",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513580",
            "telephone_number": "817-424-5959",
            "fax_number": "817-416-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD STE 505",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808359",
            "telephone_number": "972-566-4822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8479 Davis Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761828604",
            "country_code": "US",
            "telephone_number": "817-643-2362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 W College St",
            "address_2": "SUITE 110",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760513580",
            "country_code": "US",
            "telephone_number": "817-424-5959",
            "fax_number": "817-416-7441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4375 Booth Calloway Rd Ste 507",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761808368",
            "country_code": "US",
            "telephone_number": "972-566-4822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SU",
        "first_name": "ALICIA",
        "middle_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "RN MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "609770",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "609770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ALICIA.SU@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1600 W College St",
            "address_2": "SUITE 110",
            "city": "Grapevine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760513580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "HUGHES",
            "middle_name": "KAREN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.