Individual provider Active NPI

Katelyn Manuel, APRN, FNP-C

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1891488177
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1119118 Issued in TX
Practice address
1651 W Rosedale St Ste 200
Fort Worth, TX 76104-7437
Phone
(817) 335-4316
NPI assigned
Jun 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1119118 TX Primary

Addresses

Primary practice location

1651 W Rosedale St Ste 200
Fort Worth, TX 76104-7437

Mailing address

411 Lake Vis E
Highland Village, TX 75077-6811
Phone (214) 675-5541

Other practice location 1

4375 Booth Calloway Rd Ste 201
North Richland Hills, TX 76180-8361
Phone (877) 314-8990

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
I20231108003220 TX Practitioner - Nurse Practitioner 8325495674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Orthopaedics of Irving PLLCGroup PAC ID 3779667092, 57 clinicians
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

1210 N Kimball Ave
Suite 100
Southlake, TX 76092-4753
Phone (877) 314-8990

1650 W Rosedale St
Suite 120
Fort Worth, TX 76104-7400
Phone (877) 314-8990

350 Mercedes St
Benbrook, TX 76126-2593
Phone (817) 717-5390

4375 Booth Calloway Rd
Suite 201
North Richland Hills, TX 76180-8361
Phone (877) 314-8990

4401 Booth Calloway Rd
North Richland Hills, TX 76180-7371
Phone (817) 255-1000

4444 Heritage Trace Pkwy
Suite 408
Fort Worth, TX 76244-8944
Phone (817) 283-5252

6800 N Macarthur Blvd
Las Colinas Medical Center
Irving, TX 75039-2422
Phone (972) 969-2000

900 8TH Ave
Fort Worth, TX 76104-3902
Phone (817) 877-5292

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Orthopaedics of Irving PLLC CurrentSince Sep 26, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

3025 N Tarrant Pkwy
Ste 140
Fort Worth, TX 76177
Phone (817) 697-3900

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

4351 Booth Calloway Rd
Ste 303
North Richland Hills, TX 76180
Phone (214) 496-9701

4375 Booth Calloway Rd
Ste 201
North Richlnd Hls, TX 76180
Phone (682) 463-0400

4300 City Point Dr
Ste 102
Richland Hills, TX 76180
Phone (682) 253-3999

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1891488177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 LAKE VIS E",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750776811",
            "telephone_number": "214-675-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 W ROSEDALE ST STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047437",
            "telephone_number": "817-335-4316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4375 Booth Calloway Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761808361",
            "country_code": "US",
            "telephone_number": "877-314-8990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "KATELYN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1119118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.