Individual provider Active NPI

Audrey Roodhuyzen

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1861818098
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
773736 Issued in TX
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140528000511 TX Practitioner - Nurse Practitioner 2365665064 Reassigns benefits to 4 organizations

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
Meridian Health Post Acute PLLCGroup PAC ID 0648750679, 55 clinicians
Meridian Health Partners PLLCGroup PAC ID 5597170878, 66 clinicians

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

LicenseStateTypeSpecialty
773736TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Partners PLLC CurrentSince Mar 15, 2021 Accepting new patients
Century Integrated Partners, Inc CurrentSince Jan 1, 2016 Accepting new patients
Meridian Health Post Acute PLLC CurrentSince Dec 21, 2025 Accepting new patients
Arze Medical PLLC CurrentSince Jul 1, 2020 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.