Individual provider Active NPI

Jennifer F Flippo, RN, CPNP

  • Pediatric Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1851425367
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
600879 Issued in TX
Practice address
6618 Fossil Bluff Dr
Suite 116
Fort Worth, TX 76137-7533
Phone
(817) 847-6420
Fax
(817) 847-6412
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
600879TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Pediatrics Past Accepting new patients
Texas Health Care, P.L.L.C. Past Accepting new patients
Samuel H. Davis MD PA Past Accepting new patients
Omar a. Gomez, M.D.,P.a. Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 600879 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

6618 Fossil Bluff Dr
Suite 116
Fort Worth, TX 76137-7533

Mailing address

6618 Fossil Bluff Dr
Suite 116
Fort Worth, TX 76137-7533
Phone (817) 847-6420

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2011.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1851425367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 FOSSIL BLUFF DR",
            "address_2": "SUITE 116",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761377533",
            "telephone_number": "817-847-6420",
            "fax_number": "817-847-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 FOSSIL BLUFF DR",
            "address_2": "SUITE 116",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761377533",
            "telephone_number": "817-847-6420",
            "fax_number": "817-847-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIPPO",
        "first_name": "JENNIFER",
        "middle_name": "F",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "600879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.