Individual provider Active NPI

Ligy Rubin Philip, APRN, FNP-C

  • Family Nurse Practitioner
  • North Richland Hills, TX
National Provider Identifier
1871298307
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1098961 Issued in TX
Practice address
6331 Boulevard 26 Ste 220
North Richland Hills, TX 76180-1592
Phone
(817) 628-0284
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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 1098961 TX Primary

Addresses

Primary practice location

6331 Boulevard 26 Ste 220
North Richland Hills, TX 76180-1592

Mailing address

1600 Waters Ridge Dr Ste a
Lewisville, TX 75057-6039
Phone (972) 219-0558

Other practice location 1

10700 Victoria Ash Dr
Fort Worth, TX 76244-6392
Phone (817) 628-0284

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
I20230802002013 TX Practitioner - Nurse Practitioner 8426419763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10700 Victoria Ash Dr
Fort Worth, TX 76244-6392
Phone (817) 380-4167

3315 Colorado Blvd
Suite 102
Denton, TX 76210-6885
Phone (940) 320-1708

6331 Boulevard
26 Suite 220
North Richland Hills, TX 76180-1592
Phone (817) 628-0284

Merit-based Incentive Payment System (MIPS)

Final score
91.66 of 100Reported as group
Quality
78.39
Promoting interoperability
100
Improvement activities
40
Cost
77.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1098961TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Kidney Disease Associates CurrentSince Jul 5, 2023 Accepting new patients
North Texas Kidney Disease Associates CurrentSince Jul 5, 2023 Accepting new patients

Locations

3315 Colorado Blvd
Ste 102
Denton, TX 76210
Phone (940) 320-1708

10700 Victoria Ash Dr
Fort Worth, TX 76244
Phone (817) 283-5166

1600 Waters Ridge Dr
Ste A
Lewisville, TX 75057
Phone (940) 320-1708

6331 Boulevard 26
Ste 220
North Richland Hills, TX 76180
Phone (817) 628-0284

Interoperability endpoints

  • Direct secure messaging: ligy.philip.1@23918.direct.athenahealth.com

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1871298307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WATERS RIDGE DR STE A",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576039",
            "telephone_number": "972-219-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6331 BOULEVARD 26 STE 220",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761801592",
            "telephone_number": "817-628-0284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 Victoria Ash Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762446392",
            "country_code": "US",
            "telephone_number": "817-628-0284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "LIGY",
        "middle_name": "RUBIN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1098961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.