Individual provider Active NPI

Tashi Doma Sherpa, FNP-BC

  • Family Nurse Practitioner
  • Hurst, TX
National Provider Identifier
1982075875
Registry record updated Oct 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127666 Issued in TX
Practice address
1615 Precinct Line Rd
Suite 103
Hurst, TX 76054-3345
Phone
(817) 281-4910
Fax
(817) 281-3107
NPI assigned
Oct 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2015

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 AP127666 TX Primary

Addresses

Primary practice location

1615 Precinct Line Rd
Suite 103
Hurst, TX 76054-3345

Mailing address

1615 Precinct Line Rd
Suite 103
Hurst, TX 76054-3345
Phone (817) 281-4910

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
I20160217000172 TX Practitioner - Nurse Practitioner 7810292679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Basanti Vrushab MD PLLCGroup PAC ID 1153517743, 2 clinicians

Practice addresses (Care Compare)

1615 Precinct Line Rd
Suite 103
Hurst, TX 76054-3345
Phone (817) 281-4910

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Basanti Vrushab MD PLLC CurrentSince Feb 15, 2016 Accepting new patients

Locations

1615 Precinct Line Rd
Ste 103
Hurst, TX 76054
Phone (817) 281-4910

1615 Precinct Line Rd
Ste 101
Hurst, TX 76054
Phone (817) 281-4910

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": "1445126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445126400000",
    "number": "1982075875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 PRECINCT LINE RD",
            "address_2": "SUITE 103",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543345",
            "telephone_number": "817-281-4910",
            "fax_number": "817-281-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 PRECINCT LINE RD",
            "address_2": "SUITE 103",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543345",
            "telephone_number": "817-281-4910",
            "fax_number": "817-281-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERPA",
        "first_name": "TASHI",
        "middle_name": "DOMA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-18",
        "last_updated": "2015-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.