Individual provider Active NPI

Deborah Radaford, FNP-C, AAHIVMS

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1942434758
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
248359 Issued in TX
Practice address
1101 S Main St
Room 1500
Fort Worth, TX 76104-4802
Phone
(817) 321-4850
Fax
(817) 321-4809
NPI assigned
May 7, 2009
Last updated
Mar 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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 248359 TX Primary

Addresses

Primary practice location

1101 S Main St
Room 1500
Fort Worth, TX 76104-4802

Mailing address

1101 S Main St
Room 1500
Fort Worth, TX 76104-4802
Phone (817) 321-4850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tarrant County Public Health Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1942434758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S MAIN ST",
            "address_2": "ROOM 1500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044802",
            "telephone_number": "817-321-4850",
            "fax_number": "817-321-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S MAIN ST",
            "address_2": "ROOM 1500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044802",
            "telephone_number": "817-321-4850",
            "fax_number": "817-321-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADAFORD",
        "first_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, AAHIVMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "248359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.