Active NPI
Farah Moawad
- Family Nurse Practitioner
- Dallas, TX
National Provider Identifier
1821659707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP143174
- Practice address
- 325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923 - Phone
- (617) 505-1520
- Fax
- (617) 928-8401
- NPI assigned
- Jun 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 893547 | TX | |
| Family Nurse Practitioner | 363LF0000X | C-APN.0102689-C-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | AP143174 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | AP61592562 | WA | |
| Family Nurse Practitioner | 363LF0000X | 5021191 | NC | |
| Family Nurse Practitioner | 363LF0000X | 313397 | AZ | |
| Family Nurse Practitioner | 363LF0000X | RN10014366 | MA |
Addresses
Primary practice location
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Mailing address
109 State St Ste 5
Boston, MA 02109-2906
Phone (617) 505-1520
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
325 N Saint Paul St
Suite 3100
Dallas, TX 75201-3923
Phone (617) 505-1520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 893547 | TX | MD | Critical Care Medicine Registered Nurse |
| 313397 | AZ | MD | Family Nurse Practitioner |
| C-APN.0102689-C-NP | CO | MD | Family Nurse Practitioner |
| RN10014366 | MA | MD | Family Nurse Practitioner |
| 5021191 | NC | MD | Family Nurse Practitioner |
| AP61592562 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Form Health Associates Ma, P.C. | Current | Accepting new patients | |
| Houston Kidney Specialists Center PLLC | Past | Accepting new patients |
Locations
109 State St
Ste 5
Boston, MA 02109
325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696
Interoperability endpoints
- farah.moawad@168064768409604.direct.elationemr.com
- https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4
Organizations & group practices 2
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.
-
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- Boston, MA
- NPI 1386260594
TX
-
- Nephrology Physician
- Houston, TX
- NPI 1396217162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1821659707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 STATE ST STE 5",
"city": "BOSTON",
"state": "MA",
"postal_code": "021092906",
"telephone_number": "617-505-1520",
"fax_number": "617-928-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N SAINT PAUL ST STE 3100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752013923",
"telephone_number": "617-505-1520",
"fax_number": "617-928-8401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOAWAD",
"first_name": "FARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-22",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TX",
"license": "893547",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-APN.0102689-C-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP143174",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61592562",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5021191",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "313397",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN10014366",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.