Nancy Ekuka Tabot, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP144312 Issued in TX

Practice address

8520 Gatlinburg Dr
Fort Worth, TX 76123-1744

Phone

(720) 366-4039

NPI assigned

Dec 6, 2019

Last updated

Feb 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nancy.tabot@229366056681476.direct.elationemr.com

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.

• Bellehaven Care PLLC

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1568214997
  Medicare reassignment Authorized official
• Clinical Bridges PLLC

  • Adult Health Nurse Practitioner
  • Kerens, TX
  • NPI 1982024766
  NPD

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1902443062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SAINT LYNDA DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634857",
            "telephone_number": "817-687-9138",
            "fax_number": "817-549-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 GATLINBURG DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231744",
            "telephone_number": "720-366-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOT",
        "first_name": "NANCY",
        "middle_name": "EKUKA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Elad Tabe, PHARM D
• Bannie Lee Tabor, M.D.
• Lauren Tabor, M.D.
• Paige Tabor
• Sarah R Tabor, FNP-C
• Christiana Tabugbo, LMSW
• Halie Michele Tackitt, CRNA
• Tsedey Aberra Tadesse, APRN, BC
• Azita Kazemini M Tadjali, M.D.
• Valorie Tadlock, APRN

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.

Verify at the official NPI Registry.