Individual provider Active NPI

Juliana M Cruz, APRN, FNP-C

  • Family Nurse Practitioner
  • Allen, TX
National Provider Identifier
1972071066
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139259 Issued in TX
Practice address
600 W McDermott Dr Ste B
Allen, TX 75013-2700
Phone
(972) 359-0000
Fax
(972) 359-1000
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139259 TX Primary
Family Medicine Physician 207Q00000X AP139259 TX

Addresses

Primary practice location

600 W McDermott Dr Ste B
Allen, TX 75013-2700

Mailing address

600 W McDermott Dr Ste B
Allen, TX 75013-2700
Phone (972) 359-0000

Other identifiers 2

IdentifierTypeStateIssuer
AP139259OtherTXAPRN
F09181368OtherFAMILY NURSE PRACTITIONER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address juliana.cruz.1@13711.direct.athenahealth.com

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
I20200409003320 TX Practitioner - Nurse Practitioner 1759710858 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP139259TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas PLLC CurrentSince Mar 19, 2021 Accepting new patients
Medical Clinic of North Texas, PLLC Family Medicine CurrentSince Mar 19, 2021 Accepting new patients

Locations

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

Interoperability endpoints

  • Direct secure messaging: juliana.cruz.1@13711.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1972071066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W MCDERMOTT DR STE B",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132700",
            "telephone_number": "972-359-0000",
            "fax_number": "972-359-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W MCDERMOTT DR STE B",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132700",
            "telephone_number": "972-359-0000",
            "fax_number": "972-359-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JULIANA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139259",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP139259",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "AP139259",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "F09181368",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juliana.cruz.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "4130 Legacy Dr",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750243404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.