Active NPI
Barbara Faulkner, PA-C
- Physician Assistant
- Ladonia, TX
National Provider Identifier
1003903394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02653
- Practice address
- 8 East Side Plaza
Ladonia, TX 75449 - Phone
- (903) 367-7213
- Fax
- (903) 367-7215
- NPI assigned
- Oct 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02653 | TX | Primary |
Addresses
Primary practice location
8 East Side Plaza
Ladonia, TX 75449
Mailing address
PO Box 1908
Greenville, TX 75403-1908
Phone (903) 455-5986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA02653 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Service Agency, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carevide
- Federally Qualified Health Center (FQHC)
- Sulphur Springs, TX
- NPI 1184275711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003903394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1908",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754031908",
"telephone_number": "903-455-5986",
"fax_number": "903-454-4621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 EAST SIDE PLAZA",
"city": "LADONIA",
"state": "TX",
"postal_code": "75449",
"telephone_number": "903-367-7213",
"fax_number": "903-367-7215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKNER",
"first_name": "BARBARA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ladonia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.