Individual provider Active NPI

Shicobie Adams, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1902239387
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
745607 Issued in TX
Practice address
2909 Mitchell Blvd
Fort Worth, TX 76105-4642
Phone
(817) 916-4333
Fax
(817) 916-4338
NPI assigned
Aug 20, 2013
Last updated
Apr 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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 745607 TX Primary

Addresses

Primary practice location

2909 Mitchell Blvd
Fort Worth, TX 76105-4642

Mailing address

6020 Flat Wood LN
Arlington, TX 76018-3100
Phone (972) 977-1611

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
I20180614002027 TX Practitioner - Nurse Practitioner 5496077570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

294 Uptown Blvd
Cedar Hill, TX 75104-3537

4001 Worth St
Dallas, TX 75246-1608

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince May 16, 2022 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Acclaim Physician Group, Inc CurrentSince Jul 16, 2018 Accepting new patients
Healthtexas Provider Network CurrentSince May 16, 2022 Accepting new patients
North Texas Area Community Health Centers, Inc Past Accepting new patients
North Texas Area Community Health Centers, Inc PastSince Nov 3, 2024 Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sadams1054588@direct.sw.org

Organizations & group practices 6

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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1902239387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 FLAT WOOD LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760183100",
            "telephone_number": "972-977-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 MITCHELL BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761054642",
            "telephone_number": "817-916-4333",
            "fax_number": "817-916-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SHICOBIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "745607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.