Organization Active NPI

Hnpiom Pro, PLLC

  • Family Nurse Practitioner
  • Rowlett, TX
National Provider Identifier
1023668100
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HNPIOM PRO, PLLC
Practice address
3526 Lakeview Pkwy Ste B257
Rowlett, TX 75088-4176
Phone
(972) 412-5299
Fax
(469) 453-3374
NPI assigned
Sep 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carol Hedtke, NP
Title
Sole Member
Phone
(972) 412-5299

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 204R00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3526 Lakeview Pkwy Ste B257
Rowlett, TX 75088-4176

Mailing address

3526 Lakeview Pkwy Ste B257
Rowlett, TX 75088-4176
Phone (972) 412-5299

National Provider Directory

National Provider Directory

Locations

3526 Lakeview Pkwy
Ste B257
Rowlett, TX 75088

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1023668100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 LAKEVIEW PKWY STE B257",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884176",
            "telephone_number": "972-412-5299",
            "fax_number": "469-453-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 LAKEVIEW PKWY STE B257",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884176",
            "telephone_number": "972-412-5299",
            "fax_number": "469-453-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HNPIOM PRO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "HEDTKE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "972-412-5299",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.