Individual provider Active NPI

Vimala Devi Ravi, APRN FNP-BC

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1811437296
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133417 Issued in TX
Practice address
7120 McCart Ave
Fort Worth, TX 76133-7298
Phone
(817) 294-5624
NPI assigned
Mar 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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 AP133417 TX Primary

Addresses

Primary practice location

7120 McCart Ave
Fort Worth, TX 76133-7298

Mailing address

7120 McCart Ave
Fort Worth, TX 76133-7298
Phone (817) 294-5624

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
I20170403000736 TX Practitioner - Nurse Practitioner 7416232582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Well TX PLLCGroup PAC ID 3375805641, 10 clinicians

Practice addresses (Care Compare)

4740 14TH St
Suite T1
Plano, TX 75074-7318
Phone (469) 931-5731

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP133417TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald a Stewart, D.O., P.a. CurrentSince Mar 8, 2017 Accepting new patients
Care Well TX PLLC CurrentSince Mar 3, 2024 Accepting new patients
Ralph a Brooks, M.D. LLC Past Accepting new patients

Locations

7120 McCart Ave
Ft Worth, TX 76133
Phone (817) 294-5624

6263 McCart Ave
Ste 100
Ft Worth, TX 76133
Phone (817) 294-5624

5560 Mesa Springs Dr
Ft Worth, TX 76123
Phone (817) 292-4600

4740 14th St
Ste T1
Plano, TX 75074
Phone (469) 931-5731

Interoperability endpoints

  • Direct secure messaging: vimala.ravi@mmainc.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1811437296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 MCCART AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337298",
            "telephone_number": "817-294-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 MCCART AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337298",
            "telephone_number": "817-294-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVI",
        "first_name": "VIMALA",
        "middle_name": "DEVI",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.