Individual provider Active NPI

Gibson Ann Hernandez, RN, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1811408644
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP135290 Issued in TX
Practice address
4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone
(817) 796-7370
Fax
(817) 764-0714
NPI assigned
Oct 19, 2017
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP135290 TX Primary

Addresses

Primary practice location

4115 E Lancaster Ave
Fort Worth, TX 76103-3614

Mailing address

PO Box 746079
Atlanta, GA 30374-6079
Phone (312) 733-9730

Other practice location 1

2909 S Hampton Rd Ste D-107
Dallas, TX 75224-3000
Phone (214) 467-3832

Other practice location 2

2008 S Wayside Dr Ste 500
Houston, TX 77023-2807
Phone (281) 707-7365

Other practice location 3

4801 S Cooper St Ste 401
Arlington, TX 76017-5963
Phone (817) 813-7100

Other practice location 4

1950 Ephriham Ave
Fort Worth, TX 76164-6670
Phone (817) 813-7075

Other practice location 5

2110 N Galloway Ave Ste 116
Mesquite, TX 75150-5737
Phone (972) 426-5426

Other practice location 6

2928 N Belt Line Rd
Irving, TX 75062-5247
Phone (214) 307-7786

Other practice location 7

2360 Gus Thomasson Rd
Dallas, TX 75228-3005
Phone (214) 301-7071

Other practice location 8

1213 E Trinity Mills Rd Ste 173
Carrollton, TX 75006-1446
Phone (972) 962-1296

Other practice location 9

8840 Benbrook Blvd Ste 101
Benbrook, TX 76126-2173
Phone (817) 813-7101

Other practice location 10

1515 S Buckner Blvd Ste 141
Dallas, TX 75217-1794
Phone (214) 305-7065

Other names 1

  • Gibson A Singer Former name

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
I20200617000538 TX Practitioner - Nurse Practitioner 0244652469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone (817) 796-7370

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP135290TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
James E. Race MD PA CurrentSince Jun 1, 2020 Accepting new patients
Oak Street Health of Texas, PLLC CurrentSince Aug 15, 2022 Accepting new patients
GLC Wellness Center Texas LLC Past Accepting new patients

Locations

4801 S Cooper St
Ste 401
Arlington, TX 76017
Phone (817) 813-7100

8840 Benbrook Blvd
#101
Benbrook, TX 76126
Phone (817) 813-7101

1213 E Trinity Mills Rd
Ste 173
Carrollton, TX 75006
Phone (972) 962-1296

1515 S Buckner Blvd
Ste 141
Dallas, TX 75217
Phone (214) 305-7065

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

2909 S Hampton Rd
#D107
Dallas, TX 75224
Phone (214) 467-3832

2909 S Hampton Rd
Ste D107
Dallas, TX 75224
Phone (214) 333-9175

1950 Ephriham Ave
Fort Worth, TX 76164
Phone (817) 813-7075

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

2008 S Wayside Dr
Ste 500
Houston, TX 77023
Phone (281) 707-7365

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

2928 N Belt Line Rd
Irving, TX 75062
Phone (214) 307-7786

2110 N Galloway Ave
Ste 116
Mesquite, TX 75150
Phone (972) 426-5426

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15811/brand/1/csg/1/fhir/r4

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": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1811408644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746079",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746079",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033614",
            "telephone_number": "817-796-7370",
            "fax_number": "817-764-0714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2909 S Hampton Rd Ste D-107",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752243000",
            "country_code": "US",
            "telephone_number": "214-467-3832",
            "fax_number": "214-467-3380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2008 S Wayside Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770232807",
            "country_code": "US",
            "telephone_number": "281-707-7365",
            "fax_number": "346-206-0353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 S Cooper St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760175963",
            "country_code": "US",
            "telephone_number": "817-813-7100",
            "fax_number": "817-382-5458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Ephriham Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761646670",
            "country_code": "US",
            "telephone_number": "817-813-7075",
            "fax_number": "817-764-0656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 N Galloway Ave Ste 116",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751505737",
            "country_code": "US",
            "telephone_number": "972-426-5426",
            "fax_number": "459-646-8812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2928 N Belt Line Rd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750625247",
            "country_code": "US",
            "telephone_number": "214-307-7786",
            "fax_number": "469-460-9091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2360 Gus Thomasson Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752283005",
            "country_code": "US",
            "telephone_number": "214-301-7071",
            "fax_number": "469-535-8772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 E Trinity Mills Rd Ste 173",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750061446",
            "country_code": "US",
            "telephone_number": "972-962-1296",
            "fax_number": "469-340-4129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8840 Benbrook Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Benbrook",
            "state": "TX",
            "postal_code": "761262173",
            "country_code": "US",
            "telephone_number": "817-813-7101",
            "fax_number": "817-382-5458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 S Buckner Blvd Ste 141",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752171794",
            "country_code": "US",
            "telephone_number": "214-305-7065",
            "fax_number": "469-574-0383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "GIBSON",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP135290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIBSON",
            "last_name": "SINGER",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.