Individual provider Active NPI

Sandra A Carey, NP

  • Adult Health Nurse Practitioner
  • Grapevine, TX
National Provider Identifier
1982671319
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
609150 Issued in TX
Practice address
1643 Lancaster Dr
Suite 203
Grapevine, TX 76051-3593
Phone
(817) 329-7670
Fax
(817) 416-0145
NPI assigned
Mar 3, 2006
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 609150 TX Primary

Addresses

Primary practice location

1643 Lancaster Dr
Suite 203
Grapevine, TX 76051-3593

Mailing address

1650 W College St
Grapevine, TX 76051-3565
Phone (214) 886-1529

Other identifiers 1

IdentifierTypeStateIssuer
175936702MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scarey467107@direct.sw.org

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
I20050907000418 TX Practitioner - Nurse Practitioner 8224060637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100

4001 Worth St
Dallas, TX 75246-1608

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Mar 4, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Mar 4, 2019 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Cardiovascular Specialty Associates of North Texas, PA Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

3410 Worth St
Ste 250
Dallas, TX 75246
Phone (214) 820-6856

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4461 Coit Rd
Ste 101
Frisco, TX 75035
Phone (844) 557-4263

1643 Lancaster Dr
Ste 203
Grapevine, TX 76051
Phone (817) 329-7670

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

Interoperability endpoints

  • Direct secure messaging: scarey467107@direct.sw.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1982671319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W COLLEGE ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513565",
            "telephone_number": "214-886-1529",
            "fax_number": "817-424-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 LANCASTER DR",
            "address_2": "SUITE 203",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513593",
            "telephone_number": "817-329-7670",
            "fax_number": "817-416-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "SANDRA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "609150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175936702",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scarey467107@direct.sw.org",
            "affiliation": "N",
            "address_1": "3410 Worth St Ste 250",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752462073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.