Individual provider Active NPI

Sony Vellavoor Biji, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1851875512
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139305 Issued in TX
Practice address
6020 W Parker Rd Ste 330
Plano, TX 75093-0005
Phone
(469) 367-0225
NPI assigned
Sep 19, 2018
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 668514 TX
Family Nurse Practitioner 363LF0000X AP139305 TX Primary

Addresses

Primary practice location

6020 W Parker Rd Ste 330
Plano, TX 75093-0005

Mailing address

520 Lavaine LN
Lewisville, TX 75056-4229
Phone (972) 394-0487

Other practice location 1

520 Lavaine Ln
Lewisville, TX 75056-4229
Phone (972) 394-0487

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

State licenses

LicenseStateTypeSpecialty
668514TXMDMaternal Newborn Registered Nurse
AP139305TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Women's Care, PA CurrentSince Aug 1, 2021 Accepting new patients

Locations

6020 W Parker Rd
Ste 330
Plano, TX 75093
Phone (469) 367-0225

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/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, 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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1851875512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 LAVAINE LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750564229",
            "telephone_number": "972-394-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 330",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930005",
            "telephone_number": "469-367-0225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Lavaine Ln",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750564229",
            "country_code": "US",
            "telephone_number": "972-394-0487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIJI",
        "first_name": "SONY",
        "middle_name": "VELLAVOOR",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "TX",
            "license": "668514",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.