180 Health Clinic, PLLC
NPI 1841069309ActiveOrganization· Nurse Practitioner, Primary Care· Fort Worth, TX
Nurse Practitioner, Primary Care in Fort Worth, Texas, registered in NPPES in December 2023. The authorized official on file is April La Shonda Phillips, APRN-C, AGPCNP-C, Owner/Np. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1841069309 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 26, 2023 |
| Last updated in NPPES | Dec 26, 2023 |
| Certified by provider | Jun 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — | — |
| Nurse Practitioner, Gerontology | 363LG0600X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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