Active NPI
Audrey Roodhuyzen
- Family Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 773736
- Practice address
- 3500 Gaston Ave
Dallas, TX 75246-2017 - Phone
- (214) 820-2505
- Fax
- (214) 712-2444
- NPI assigned
- Mar 12, 2014
- Last updated
- Mar 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 773736 | TX | Primary |
Addresses
Primary practice location
3500 Gaston Ave
Dallas, TX 75246-2017
Mailing address
3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-2505
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
950 W Bethany Dr
Suite 570
Allen, TX 75013-3845
Phone (844) 941-3087
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 773736 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Health Partners PLLC | Current | Accepting new patients | |
| Century Integrated Partners, Inc | Current | Accepting new patients | |
| Meridian Health Post Acute PLLC | Current | Accepting new patients | |
| Arze Medical PLLC | Current | Accepting new patients | |
| Clinic at C. C. Young | Past | Accepting new patients |
Locations
950 W Bethany Dr
Ste 570
Allen, TX 75013
Phone (402) 651-5338
405 Duncan Perry Rd
Arlington, TX 76011
Phone (817) 649-3366
13001 Hillcrest Rd
Dallas, TX 75240
Phone (972) 385-5267
3500 Gaston Ave
Dallas, TX 75246
4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366
4847 W Lawther Dr
Ste 100
Dallas, TX 75214
Phone (214) 827-8080
5515 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 361-8923
8130 Meadow Rd
Dallas, TX 75231
Phone (214) 765-3300
9715 Plano Rd
Dallas, TX 75238
Phone (214) 343-7445
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
4201 Stonegate Blvd
Ft Worth, TX 76109
Phone (817) 924-5440
5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000
701 FM 685
Pflugerville, TX 78660
Phone (512) 649-1474
701 FM 685
Ste 600
Pflugerville, TX 78660
Phone (512) 808-0190
3100 S Rigsbee Dr
Plano, TX 75074
Phone (972) 423-6217
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
5242 Medical Dr
Rockwall, TX 75032
Phone (469) 248-5853
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Liberty Hill, TX
- NPI 1215533807
-
- Internal Medicine Physician
- Allen, TX
- NPI 1609731819
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
dba Community Clinic at C. C. Young
- Adult Medicine Physician
- Dallas, TX
- NPI 1104371442
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Addison, TX
- NPI 1912987611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394582400000",
"number": "1861818098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017",
"telephone_number": "214-820-2505",
"fax_number": "214-712-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017",
"telephone_number": "214-820-2505",
"fax_number": "214-712-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROODHUYZEN",
"first_name": "AUDREY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-12",
"last_updated": "2014-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "773736",
"primary": true
}
],
"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 Mar 12, 2014; 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.