Individual provider Active NPI

Wendy Kareen Joseph, PA

  • Physician Assistant
  • Trophy Club, TX
National Provider Identifier
1871567784
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04512 Issued in TX
Practice address
2800 E Texas Highway 114
Ste 350
Trophy Club, TX 76262-5033
Phone
(855) 204-2502
NPI assigned
Feb 15, 2006
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04512 TX Primary

Addresses

Primary practice location

2800 E Texas Highway 114
Ste 350
Trophy Club, TX 76262-5033

Mailing address

2800 E Texas Highway 114
Ste 350
Trophy Club, TX 76262
Phone (855) 204-2502

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
I20060127000479 TX Practitioner - Physician Assistant 5092729103 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Urgent Care, P.a. CurrentSince Dec 15, 2023 Accepting new patients
North Texas Urgent Care, P.a. CurrentSince Dec 15, 2023 Accepting new patients
North Texas Inpatient and Geriatric Associates PA Past Accepting new patients
Dallas County Hospital District Past Accepting new patients
Vickery Health Center Past Accepting new patients
Medhealth Past Accepting new patients

Locations

7367 N Beach St
Ft Worth, TX 76137
Phone (682) 204-0042

1669 S 9th St
Ste 100
Midlothian, TX 76065
Phone (817) 473-9473

Organizations & group practices 8

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1871567784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E TEXAS HIGHWAY 114",
            "address_2": "STE 350",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "76262",
            "telephone_number": "855-204-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E TEXAS HIGHWAY 114",
            "address_2": "STE 350",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625033",
            "telephone_number": "855-204-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "WENDY",
        "middle_name": "KAREEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-08-02",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trophy Club, TX

Sources for this page

Verify at the official NPI Registry.