Active NPI
Helen Clabaugh
- Community Health Registered Nurse
- Fort Worth, TX
National Provider Identifier
1033596523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 849052
- Practice address
- 6551 Granbury Rd
Fort Worth, TX 76133-4926 - Phone
- (817) 370-4530
- Fax
- (817) 370-4522
- NPI assigned
- May 4, 2015
- Last updated
- May 4, 2015
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 849052 | TX | Primary |
Addresses
Primary practice location
6551 Granbury Rd
Fort Worth, TX 76133-4926
Mailing address
6551 Granbury Rd
Fort Worth, TX 76133-4926
Phone (817) 370-4530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163W00000X | Medicaid | TX |
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 |
|---|---|---|---|
| 849052 | TX | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430697600000",
"number": "1033596523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6551 GRANBURY RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761334926",
"telephone_number": "817-370-4530",
"fax_number": "817-370-4522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6551 GRANBURY RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761334926",
"telephone_number": "817-370-4530",
"fax_number": "817-370-4522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLABAUGH",
"first_name": "HELEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-04",
"last_updated": "2015-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "TX",
"license": "849052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163W00000X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.