Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Atiya Begum Modak

Individual provider Adult Health Nurse Practitioner · NPI 1366243701

Atiya Begum Modak is a Nurse Practitioner in Richardson, Texas. Qualified in 2024, 2 years ago. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2025
Specialties on file
8
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Practice location Address checks out

414 Birch Ln
Richardson, TX 75081-5526
Phone: (929) 282-8881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1192460 (TX)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 1192460 (TX)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 1192460 (TX)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence 1192460 (TX)
Community Health Nurse Practitioner Taxonomy 363LC1500X · Licence 1192460 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 1192460 (TX)
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X · Licence 1192460 (TX)
Occupational Health Nurse Practitioner Taxonomy 363LX0106X · Licence 1192460 (TX)

Record details

NPI number1366243701
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2025
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025
Mailing address414 Birch Ln, Richardson, TX 75081-5526

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Richardson