Individual provider Active NPI

Mary A Rather, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1982842217
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP117624 Issued in TX
Practice address
5701 Bryant Irvin Rd Ste 201
Fort Worth, TX 76132-4026
Phone
(817) 263-2500
Fax
(817) 346-4006
NPI assigned
Jan 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 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 AP117624 TX Primary

Addresses

Primary practice location

5701 Bryant Irvin Rd Ste 201
Fort Worth, TX 76132-4026

Mailing address

5701 Bryant Irvin Rd Ste 201
Fort Worth, TX 76132-4026
Phone (817) 263-2500

Other names 1

  • Mary Keyworth, Nanny Former name

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
I20090917000398 TX Practitioner - Nurse Practitioner 6002962990 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP117624TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jill Gramer DO PA CurrentSince Apr 9, 2024 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Jun 20, 2016 Accepting new patients
Goodside Health Medical, PLLC Past Accepting new patients
Lake Country Family Medicine, P.a. PastSince Jul 1, 2010 Accepting new patients

Locations

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

8101 Boat Club Rd
Ste 240
Fort Worth, TX 76179
Phone (817) 694-2449

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

8465 Boat Club Rd
Ste 115
Ft Worth, TX 76179
Phone (817) 260-0535

Interoperability endpoints

  • Direct secure messaging: mary.rather.1@18546.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1982842217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BRYANT IRVIN RD STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324026",
            "telephone_number": "817-263-2500",
            "fax_number": "817-346-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BRYANT IRVIN RD STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324026",
            "telephone_number": "817-263-2500",
            "fax_number": "817-346-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHER",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP117624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KEYWORTH, NANNY",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.