Individual provider Active NPI

Rashonda L Waites, NP

  • Primary Care Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1982432449
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1170962 Issued in TX
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

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119000415 TX Practitioner - Nurse Practitioner 6204361926 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Dec 1, 2024 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Dec 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.