Individual provider Active NPI

Blessings Wiyeh Fanka

  • Gerontology Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1861883910
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP127164 Issued in TX
Practice address
3400 Interstate Highway 30 Ste 180
Mesquite, TX 75150-2601
Phone
(866) 552-4866
NPI assigned
Feb 11, 2015
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP127164 TX
Gerontology Nurse Practitioner 363LG0600X AP127164 TX Primary
Registered Nurse 163W00000X 718250 TX

Addresses

Primary practice location

3400 Interstate Highway 30 Ste 180
Mesquite, TX 75150-2601

Mailing address

1815 Edwards Church Rd
Mesquite, TX 75181-1825

Other practice location 1

630 N Bishop Ave
Dallas, TX 75208-4335
Phone (469) 320-1267

Other practice location 2

1919 S Shiloh Rd Ste 400
Garland, TX 75042-8211
Phone (469) 320-1267

Other practice location 3

530 Clara Barton Blvd Ste 170
Garland, TX 75042-5752
Phone (469) 436-3650

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
I20150803000676 TX Practitioner - Nurse Practitioner 6002120144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Partners PLLCGroup PAC ID 6800173204, 95 clinicians

Practice addresses (Care Compare)

2150 N Josey LN
Suite 202
Carrollton, TX 75006-2912
Phone (972) 242-0660

3400 Interstate Hwy 30
Suite 180
Mesquite, TX 75150-2601
Phone (866) 552-4866

400 W Arbrook Blvd
Suite 201
Arlington, TX 76014-3176
Phone (817) 467-1990

400 W Arbrook Blvd
Suite 320
Arlington, TX 76014-3180
Phone (866) 552-4866

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
718250TXMDRegistered Nurse
AP127164TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cares of Blessings Gerontology CurrentSince Jul 10, 2022 Accepting new patients
Interventional Partners PLLC CurrentSince Aug 21, 2024 Accepting new patients
Interventional Partners PLLC CurrentSince Aug 21, 2024 Accepting new patients

Locations

400 W Arbrook Blvd
Ste 20
Arlington, TX 76014
Phone (817) 467-1990

2150 N Josey Ln
Carrollton, TX 75006
Phone (972) 242-0660

2701 S Hampton Rd
Ste 220B
Dallas, TX 75224

3107 W Camp Wisdom Rd
Ste 110
Dallas, TX 75237
Phone (214) 765-2222

630 N Bishop Ave
Dallas, TX 75208
Phone (214) 942-5673

5575 Warren Pkwy
Ste 101
Frisco, TX 75034
Phone (972) 712-4161

3930 Naaman School Rd
Ste C
Garland, TX 75040
Phone (972) 414-9800

3400 Interstate 30
Ste 180
Mesquite, TX 75150

251 W Medical Center Blvd
Ste 200
Webster, TX 77598
Phone (214) 838-6440

Interoperability endpoints

  • Direct secure messaging: blessings.fanka.1@2477.direct.athenahealth.com

Organizations & group practices 3

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": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1861883910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 EDWARDS CHURCH RD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751811825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 INTERSTATE HIGHWAY 30 STE 180",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502601",
            "telephone_number": "866-552-4866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 N Bishop Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752084335",
            "country_code": "US",
            "telephone_number": "469-320-1267",
            "fax_number": "945-242-8020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 S Shiloh Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750428211",
            "country_code": "US",
            "telephone_number": "469-320-1267",
            "fax_number": "945-242-8020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Clara Barton Blvd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750425752",
            "country_code": "US",
            "telephone_number": "469-436-3650",
            "fax_number": "844-846-8853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANKA",
        "first_name": "BLESSINGS",
        "middle_name": "WIYEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP127164",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP127164",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "718250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.