Active NPI
Aji Anta Deen, FNP-C
- Family Nurse Practitioner
- Mesquite, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1066529
- Practice address
- 1420 N Galloway Ave
Mesquite, TX 75149-2326 - Phone
- (972) 285-6703
- Fax
- (972) 285-3966
- NPI assigned
- Jun 8, 2024
- Last updated
- Oct 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1066529 | TX | Primary |
Addresses
Primary practice location
1420 N Galloway Ave
Mesquite, TX 75149-2326
Mailing address
1420 N Galloway Ave
Mesquite, TX 75149-2326
Phone (972) 285-6703
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1420 N Galloway Ave
Suite B
Mesquite, TX 75149-2326
Phone (972) 285-6703
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1066529 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesquite Chiropractic Health Center | Current | Accepting new patients | |
| Regenerative Medicine of Texas, PLLC | Current | Accepting new patients |
Locations
1420 N Galloway Ave
Mesquite, TX 75149
Phone (972) 285-6703
1420 N Galloway Ave
Ste B
Mesquite, TX 75149
Phone (972) 285-6703
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Mesquite, TX
- NPI 1891264248
-
- Chiropractor
- Mesquite, TX
- NPI 1578756219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1871335125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 N GALLOWAY AVE",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751492326",
"telephone_number": "972-285-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 N GALLOWAY AVE",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751492326",
"telephone_number": "972-285-6703",
"fax_number": "972-285-3966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEEN",
"first_name": "AJI",
"middle_name": "ANTA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-08",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1066529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.