Individual provider Active NPI

Martina Dike, FNP-C

  • Family Nurse Practitioner
  • Wylie, TX
National Provider Identifier
1851728760
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
725955 Issued in TX
Practice address
1203 Quail Meadow Dr
Wylie, TX 75098
Phone
(469) 826-9812
NPI assigned
Oct 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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 725955 TX Primary

Addresses

Primary practice location

1203 Quail Meadow Dr
Wylie, TX 75098

Mailing address

1203 Quail Meadow Dr
Wylie, TX 75098-7968
Phone (469) 826-9812

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
I20140328000534 TX Practitioner - Nurse Practitioner 2264663665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2824 Terrell Rd
Suite 202
Greenville, TX 75402-5568
Phone (469) 826-9812

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
725955TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rapha Family Clinic Inc CurrentSince Jun 17, 2015 Accepting new patients
Premier Hospitalists of North Texas, PLLC PastSince Aug 2, 2020 Accepting new patients

Locations

9778 Forest Ln
Dallas, TX 75243
Phone (469) 826-9812

2824 Terrell Rd
Ste 202
Greenville, TX 75402
Phone (469) 826-9812

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1851728760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 QUAIL MEADOW DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987968",
            "telephone_number": "469-826-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 QUAIL MEADOW DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "469-826-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIKE",
        "first_name": "MARTINA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "725955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.