Active NPI
Rachel B. Head, MD, PLLC
- Urology Physician
- Nacogdoches, TX
National Provider Identifier
1043680374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- P8911
- Legal business name
- RACHEL B. HEAD, MD, PLLC
- Practice address
- 1320 N University Dr
Nacogdoches, TX 75961-4269 - Phone
- (936) 560-5200
- NPI assigned
- Sep 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rachel Baublet Head, MD
- Title
- Urologist
- Phone
- (936) 560-5200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | P8911 | TX | Primary |
Addresses
Primary practice location
1320 N University Dr
Nacogdoches, TX 75961-4269
Mailing address
440 Spring Creek Dr
Nacogdoches, TX 75965-6960
Phone (769) 226-3001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/18709/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Nacogdoches, TX
- NPI 1407084114
-
- Family Nurse Practitioner
- Nacogdoches, TX
- NPI 1477162584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443484800000",
"number": "1043680374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 SPRING CREEK DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759656960",
"telephone_number": "769-226-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 N UNIVERSITY DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614269",
"telephone_number": "936-560-5200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RACHEL B. HEAD, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-29",
"last_updated": "2015-09-29",
"status": "A",
"authorized_official_last_name": "HEAD",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "BAUBLET",
"authorized_official_title_or_position": "UROLOGIST",
"authorized_official_telephone_number": "936-560-5200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "TX",
"license": "P8911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.