Active NPI
Blessings Wiyeh Fanka
- Gerontology Nurse Practitioner
- Mesquite, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP127164
- 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, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 718250 | TX | MD | Registered Nurse |
| AP127164 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cares of Blessings | Gerontology | Current | Accepting new patients |
| Interventional Partners PLLC | Current | Accepting new patients | |
| Interventional Partners PLLC | Current | 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
- 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.
-
dba Stride Healthcare
- Vascular & Interventional Radiology Physician
- Addison, TX
- NPI 1750814737
-
- Gerontology Nurse Practitioner
- Mesquite, TX
- NPI 1437882792
-
dba StrideCare
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1891513677
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
- Family and Child Guidance Center (Child and Family Guidance Center)
- Family and Wound Care Associates PA
- Family First Primary Care Inc
- Family Medical Clinic of Mesquite, PA
- Family Priority Counseling Center
- Sarah Fanka
- Fannin County Hospital Authority (Avir at Wiggins Parkway)
- Scott Andrew Farley, DO
- Laura Marjorie Farnum
- Hussem Alejandro Farrach, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.