Active NPI
Tommy Caldwell
- Family Nurse Practitioner
- Texarkana, AR
National Provider Identifier
1023461399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP131459
- Practice address
- 1205 E 35TH St
Texarkana, AR 71854-2746 - Phone
- (903) 614-5355
- Fax
- (903) 614-5399
- NPI assigned
- Jul 21, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP131459 | TX | Primary |
Addresses
Primary practice location
1205 E 35TH St
Texarkana, AR 71854-2746
Mailing address
PO Box 5637
Texarkana, TX 75505-5637
Phone (903) 831-7270
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP131459 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482796800000",
"number": "1023461399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5637",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755055637",
"telephone_number": "903-831-7270",
"fax_number": "903-794-0496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 E 35TH ST",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718542746",
"telephone_number": "903-614-5355",
"fax_number": "903-614-5399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "TOMMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-21",
"last_updated": "2016-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP131459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.