Individual provider Active NPI

Jennifer Congdon, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1811546237
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141485 Issued in TX
Practice address
7350 University Hills Blvd Ste 26
Dallas, TX 75241-4605
Phone
(972) 338-1793
Fax
(972) 338-1302
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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 AP141485 TX Primary

Addresses

Primary practice location

7350 University Hills Blvd Ste 26
Dallas, TX 75241-4605

Mailing address

PO Box 99335
Fort Worth, TX 76199-0335
Phone (972) 338-1793

Other practice location 1

3430 Camp Bowie Blvd Fl 1
Fort Worth, TX 76107-2729
Phone (817) 735-5051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Texas Health Science Center at Fort Worth Current Accepting new patients
University of North Texas Health Science Center at Fort Worth Current Accepting new patients
University of North Texas Health Science Center at Fort Worth CurrentSince Apr 1, 2024 Accepting new patients
Advanced Wound Care of North Texas PLLC CurrentSince Sep 12, 2023 Accepting new patients
University of North Texas Health Science Center at Fort Worth Current Accepting new patients
University of North Texas Health Science Center at Fort Worth CurrentSince Apr 1, 2024 Accepting new patients
University of North Texas Health Science Center at Fort Worth Past Accepting new patients

Locations

13154 Coit Rd
Ste 102D
Dallas, TX 75240
Phone (469) 726-2287

7350 University Hills Blvd
Ste 26
Dallas, TX 75241
Phone (972) 338-1793

3430 Camp Bowie Blvd
Fl 1
Fort Worth, TX 76107
Phone (817) 735-5051

855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334

Interoperability endpoints

  • Direct secure messaging: jennifer.congdon.p1@direct.unthsc.nextgenshare.com

Organizations & group practices 7

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1811546237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99335",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990335",
            "telephone_number": "972-338-1793",
            "fax_number": "972-338-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 UNIVERSITY HILLS BLVD STE 26",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752414605",
            "telephone_number": "972-338-1793",
            "fax_number": "972-338-1302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3430 Camp Bowie Blvd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761072729",
            "country_code": "US",
            "telephone_number": "817-735-5051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONGDON",
        "first_name": "JENNIFER",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.