Texas Online Center for Depression and Anxiety

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TEXAS ONLINE CENTER FOR DEPRESSION AND ANXIETY

Practice address

106 Glen Rose TRL
White Oak, TX 75693-3920

Phone

(903) 831-7270

NPI assigned

Jun 30, 2021

Last updated

Jun 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hillary Mitchell, NP

Title

Provider

Phone

(903) 831-7270

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1053981084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 GLEN ROSE TRL",
            "city": "WHITE OAK",
            "state": "TX",
            "postal_code": "756933920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GLEN ROSE TRL",
            "city": "WHITE OAK",
            "state": "TX",
            "postal_code": "756933920",
            "telephone_number": "903-831-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ONLINE CENTER FOR DEPRESSION AND ANXIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "903-831-7270",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in White Oak, TX
• Providers in White Oak, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.