Michelle Vasquez, APRN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1018954 Issued in TX

Practice address

669 Airport Fwy Ste 309
Hurst, TX 76053-3984

Phone

(817) 222-9907

Fax

(817) 222-9909

NPI assigned

Apr 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• P Raju Indukuri MD PA

  • Specialist
  • Fort Worth, TX
  • NPI 1932382165
  NPD

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1992386460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 NORTHLAND DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761376373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 AIRPORT FWY STE 309",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533984",
            "telephone_number": "817-222-9907",
            "fax_number": "817-222-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "MICHELLE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1018954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "michelle.indukuri@gmail.com",
            "affiliation": "N",
            "address_1": "669 Airport Fwy Ste 309",
            "city": "Hurst",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760533984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ana S Vallejo, SLP-CCC
• Marvin E. Van Hal, M.D.
• Laura C Varnell, FNP-C
• Vascular Physicians and Surgeons, PLLC
• Dennese Vasquez, PTA
• Regina Vasquez, PTA
• Morgan Jewell Hill Vaught, SLP
• Steven R. Vazquez, PHD, LPC, LMFT
• Adriana Vela
• Eddie Vela

• Family Nurse Practitioner in Hurst, TX
• Providers in Hurst, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.