Active NPI
Rashonda L Waites, NP
- Primary Care Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1170962
- Practice address
- 4701 Boat Club Rd Ste 325
Fort Worth, TX 76135-2120 - Phone
- (817) 238-1950
- NPI assigned
- Jul 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1170962 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | 1170962 | TX | Primary |
Addresses
Primary practice location
4701 Boat Club Rd Ste 325
Fort Worth, TX 76135-2120
Mailing address
4701 Boat Club Rd Ste 325
Fort Worth, TX 76135-2120
Phone (817) 238-1950
Other practice location 1
12001 South Fwy Ste 208
Burleson, TX 76028-7214
Phone (817) 293-1180
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
12001 South Fwy
Ste 208
Burleson, TX 76028
Phone (817) 293-1180
4701 Boat Club Rd
Ste 325
Fort Worth, TX 76135
Phone (817) 238-1950
6048 Lake Worth Blvd
Fort Worth, TX 76135
Phone (817) 238-1950
Interoperability endpoints
- rlee197955@direct.texashealth.org
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1982432449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 BOAT CLUB RD STE 325",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761352120",
"telephone_number": "817-238-1950",
"fax_number": "817-238-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 BOAT CLUB RD STE 325",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761352120",
"telephone_number": "817-238-1950"
}
],
"practiceLocations": [
{
"address_1": "12001 South Fwy Ste 208",
"address_purpose": "LOCATION",
"city": "Burleson",
"state": "TX",
"postal_code": "760287214",
"country_code": "US",
"telephone_number": "817-293-1180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAITES",
"first_name": "RASHONDA",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-24",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1170962",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "1170962",
"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 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.