Individual provider Active NPI

Gaudensia Awuor, FNP

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1952664328
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
737819 Issued in TX
Practice address
5500 N Macarthur Blvd
Irving, TX 75038-2603
Phone
(972) 518-1325
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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 737819 TX Primary

Addresses

Primary practice location

5500 N Macarthur Blvd
Irving, TX 75038-2603

Mailing address

1100 E Lamar Blvd
Apt 59
Arlington, TX 76011-4347
Phone (817) 903-7723

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
I20120905000783 TX Practitioner - Nurse Practitioner 8628225166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Odette Louise Campbell, MD, PAGroup PAC ID 9335301829, 14 clinicians

Practice addresses (Care Compare)

5072 W Plano Pkwy
Suite 220
Plano, TX 75093-4475
Phone (469) 671-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Odette Louise Campbell MD PA CurrentSince Apr 27, 2021 Accepting new patients
Perfection Hospice Care Incorporated CurrentSince Mar 9, 2017 Accepting new patients
Premier Hospitalists of North Texas, PLLC PastSince Aug 2, 2020 Accepting new patients

Locations

5072 W Plano Pkwy
Ste 220
Plano, TX 75093
Phone (469) 671-0900

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Perfection Hospice Care IncorporatedGrand Prairie, TX, CCN 971513 Hospice 5% Or Greater Direct Ownership Interest (50%)
5% Or Greater Security Interest (50%)
General Partnership Interest (50%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Operational/Managerial Control (100%)
Mar 9, 2017
Mar 9, 2017
Mar 9, 2017
Mar 9, 2017
Mar 9, 2017
Mar 9, 2017
Mar 9, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1952664328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E LAMAR BLVD",
            "address_2": "APT 59",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114347",
            "telephone_number": "817-903-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382603",
            "telephone_number": "972-518-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWUOR",
        "first_name": "GAUDENSIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "737819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.