Individual provider Active NPI

Parisa Pakrad

  • Primary Care Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1912529686
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1129667 Issued in TX
Practice address
201 W Randol Mill Rd
Arlington, TX 76011-5857
Phone
(817) 987-1805
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 989518 TX
Primary Care Nurse Practitioner 363LP2300X 1129667 TX Primary

Addresses

Primary practice location

201 W Randol Mill Rd
Arlington, TX 76011-5857

Mailing address

201 W Randol Mill Rd
Arlington, TX 76011-5857
Phone (817) 987-1805

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
I20240102002412 TX Practitioner - Nurse Practitioner 8123478294 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
Global Institute of Spine and Joint Care LLCGroup PAC ID 3072787944, 2 clinicians

Practice addresses (Care Compare)

201 W Randol Mill Rd
Arlington, TX 76011-5857
Phone (817) 987-1805

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
989518TXMDRegistered Nurse
1129667TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Institute of Spine & Joint Care LLC CurrentSince Aug 23, 2023 Accepting new patients

Locations

201 W Randol Mill Rd
Arlington, TX 76011
Phone (817) 795-3737

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1912529686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115857",
            "telephone_number": "817-987-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115857",
            "telephone_number": "817-987-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKRAD",
        "first_name": "PARISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "989518",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1129667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.