MARY KAY BASS NP NPI 1538240650

NPI Information

NPI: 1538240650
Provider Name: MARY KAY BASS, NP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
855 MONTGOMERY ST
DEPT OF OB/GYN
FORT WORTH, TX
ZIP 76107
Phone: (817) 927-1065
Get Directions

Mary Kay Bass, NP is a women's health nurse practitioner in Fort Worth, TX. Mary Kay Bass, NP NPI is 1538240650. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

855 MONTGOMERY ST
DEPT OF OB/GYN
FORT WORTH, TX
ZIP 76107-553
Phone: (817) 927-1065
Fax: (817) 927-1065

The enumeration date for this NPI number is 10/17/2006 and was last updated on 9/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	426139	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8N8816	OTHER	TEXAS	BCBS
2	8D9107	MEDICARE PIN	TEXAS
3	P16717	MEDICARE UPIN	TEXAS
4	044360804	MEDICAID	TEXAS
5	P00415573	OTHER	TEXAS	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »