Individual provider Active NPI

Merin Mathew, FNP

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1861844276
Registry record updated Jul 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131044 Issued in TX
Practice address
14725 Lebanon Rd
Suite 100
Frisco, TX 75035-5507
Phone
(214) 705-9000
NPI assigned
Jul 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2016

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 AP131044 TX Primary

Addresses

Primary practice location

14725 Lebanon Rd
Suite 100
Frisco, TX 75035-5507

Mailing address

12502 Botanical LN
Frisco, TX 75035-0433
Phone (469) 312-8135

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
I20170301002318 TX Practitioner - Nurse Practitioner 1658655196 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP131044TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Endocrinology and Diabetes Center, P.a. CurrentSince Dec 18, 2016 Accepting new patients
Taking Health to Heart, PLLC PastSince Dec 18, 2016 Accepting new patients

Locations

14725 Lebanon Rd
Ste 1
Frisco, TX 75035

4500 Hillcrest Rd
Ste 140
Frisco, TX 75035
Phone (214) 705-9000

14725 Lebanon Rd
Ste 100
Frisco, TX 75035
Phone (214) 705-9000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468022400000",
    "number": "1861844276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 BOTANICAL LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350433",
            "telephone_number": "469-312-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14725 LEBANON RD",
            "address_2": "SUITE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355507",
            "telephone_number": "214-705-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "MERIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-09",
        "last_updated": "2016-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.