Individual provider Active NPI

Jacqueline Ary

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1972003747
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016032540 Issued in TX
Practice address
2400 Mall Cir Ste 111
Fort Worth, TX 76116-1544
Phone
(682) 321-2582
NPI assigned
Feb 18, 2018
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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 2016032540 TX Primary

Addresses

Primary practice location

2400 Mall Cir Ste 111
Fort Worth, TX 76116-1544

Mailing address

PO Box 33471
Fort Worth, TX 76162-3471
Phone (682) 321-2582

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016032540TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ary Clinic, PLLC Family CurrentSince Sep 20, 2022 Accepting new patients

Locations

2400 Mall Cir
Ste 111
Fort Worth, TX 76116
Phone (682) 321-2582

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": "1518912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1972003747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33471",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761623471",
            "telephone_number": "682-321-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MALL CIR STE 111",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161544",
            "telephone_number": "682-321-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARY",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-18",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "2016032540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.