FERNANDO ACOSTA (NPI# 1790714145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790714145 |
| Entity Type | Individual |
| Full Name | FERNANDO ACOSTA |
| Credential | M.D. |
| Practice Address |
1500 Cooper St Fort Worth TX 76104-2710 |
| Mailing Address |
Po Box 99371 Fort Worth TX 76199-0371 |
| Practice Telephone | 6828852500 |
| Practice Fax Number | 6828852510 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828854764 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2012-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
M2524 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 177654402 | 05 | |
| MEDICARE GROUP | 00U87Z | 01 | |
| TX | CSHCN GROUP | 137345810 | 01 |
| BCBS | 8A9118 | 01 | |
| TX | MEDICAID GROUP | 140442852 | 01 |
| CSHCN | 177654404 | 01 | |
| TX | BCBS | 8R6143 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902432966 | Fernando Acosta | Technician | 4820 Cannon Cir, Las Vegas, NV 89108-1317 | 2020-03-20 |
| 1467943456 | Fernando Barbaro Acosta | Counselor | 281 W 24th St, Yuma, AZ 85364-8500 | 2018-05-24 |
| 1467839977 | Fernando Acosta | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Suite Msb 2.136, Houston, TX 77030-1501 | 2015-05-05 |
| 1972744399 | Fernando Acosta | Physician Assistant | 245 Terracina Blvd Ste 202, Redlands, CA 92373-4867 | 2009-03-14 |
| 1649416918 | Fernando Acosta | Dental Assistant | 15350 Nordhoff St, No Hills, CA 91343 | 2008-12-17 |
| Street Address |
1500 COOPER ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747653 | Luciana Rochetti | Physician Assistant | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2005-08-15 |
| 1821696493 | Leekelli Kennedy | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-10-15 |
| 1871109124 | Caitlyn R Praytor | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-09-22 |
| 1497389126 | Chelsea Barrow | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-03-03 |
| 1386281871 | Emily Susan Larkin | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-12-04 |
| 1508416629 | Christa Standefer | Family Medicine | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-09-19 |
| 1972153112 | Alexis Courtney | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-09-19 |
| 1366099376 | Haley Tullos | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-08-23 |
| 1538716139 | Amanda Rae Macdonald | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-08-20 |
| 1730731498 | Erin Walkley | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457444549 | Samuel M Laney | Psychiatry & Neurology | 901 Seventh Ave, Ste 120, Fort Worth, TX 76104 | 2006-10-02 |
| 1730422312 | Rebecca Repasky Luke | Psychiatry & Neurology | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2013-04-01 |
| 1003177536 | Elora Pattanaik Corbin | Psychiatry & Neurology | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2012-05-31 |
| 1134419864 | Dave Naresh Shahani | Psychiatry & Neurology | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2011-04-14 |
| 1770798258 | Cynthia Guadalupe Keator | Psychiatry & Neurology | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2007-05-10 |
| 1902025232 | Adrian Lacy | Psychiatry & Neurology | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2007-04-25 |
| 1336232420 | Saleem I Malik | Psychiatry & Neurology | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-02 |
| 1811080591 | Brian D Ryals | Psychiatry & Neurology | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-02 |
| 1821181918 | Howard M Kelfer | Psychiatry & Neurology | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-02 |
| 1104921873 | Jeffery C Mcglothlin | Psychiatry & Neurology | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-09-14 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on FERNANDO ACOSTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.