Individual provider Active NPI

Humaira Rasool, APRN-CNP

  • Family Nurse Practitioner
  • Bedford, TX
National Provider Identifier
1841017852
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1041956 Issued in TX
Practice address
1999 Forest Ridge Dr
Bedford, TX 76021-5724
Phone
(682) 738-3158
NPI assigned
Sep 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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 1041956 TX Primary

Addresses

Primary practice location

1999 Forest Ridge Dr
Bedford, TX 76021-5724

Mailing address

2960 Ladoga Dr
Grand Prairie, TX 75054-0178
Phone (682) 365-5022

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
I20241107002972 TX Practitioner - Nurse Practitioner 7719411131 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1041956TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Haider Associates LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

1999 Forest Ridge Dr
Bedford, TX 76021
Phone (682) 738-3158

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16562/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1726876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1841017852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 LADOGA DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540178",
            "telephone_number": "682-365-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 FOREST RIDGE DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215724",
            "telephone_number": "682-738-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASOOL",
        "first_name": "HUMAIRA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-21",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1041956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.