Individual provider Active NPI

Isadora Galindo Subia, ANP

  • Adult Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1821339201
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP122987 Issued in TX
Practice address
1017 12TH Ave
Fort Worth, TX 76104-3915
Phone
(817) 334-2800
Fax
(817) 820-0094
NPI assigned
Mar 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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 AP122987 TX Primary

Addresses

Primary practice location

1017 12TH Ave
Fort Worth, TX 76104-3915

Mailing address

1212 Clear Lake Rd
Ste 100
Weatherford, TX 76086-5877
Phone (817) 334-2800

Other practice location 1

920 Hilltop Dr
Weatherford, TX 76086-5488
Phone (817) 613-9082

Other names 1

  • Isadora Galindo 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
I20130612000074 TX Practitioner - Nurse Practitioner 5597904128 Reassigns benefits to 1 organization

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
Trinity MD PLLCGroup PAC ID 0345660080, 15 clinicians

Practice addresses (Care Compare)

Fort Worth, TX 76116
Phone (817) 946-2051

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Center of North Texas, PA CurrentSince Jun 27, 2021 Accepting new patients
Trinity MD LLC CurrentSince Nov 1, 2022 Accepting new patients
Premier Family Care I, Inc Past Accepting new patients
Permian Emergency Management PLLC Past Accepting new patients

Locations

1017 12th Ave
Fort Worth, TX 76104

920 Hilltop Dr
Weatherford, TX 76086
Phone (817) 613-9082

Organizations & group practices 4

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": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1821339201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 CLEAR LAKE RD",
            "address_2": "STE 100",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865877",
            "telephone_number": "817-334-2800",
            "fax_number": "817-820-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 12TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043915",
            "telephone_number": "817-334-2800",
            "fax_number": "817-820-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Hilltop Dr",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760865488",
            "country_code": "US",
            "telephone_number": "817-613-9082",
            "fax_number": "817-613-8030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBIA",
        "first_name": "ISADORA",
        "middle_name": "GALINDO",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP122987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISADORA",
            "last_name": "GALINDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.