Organization Active NPI

Professionals Inserting Central Catheters, Inc.

  • Acute Care Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1063644227
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
571896 Issued in TX
Legal business name
PROFESSIONALS INSERTING CENTRAL CATHETERS, INC.
Practice address
4309 Lavaca River CT
Corpus Christi, TX 78410
Phone
(361) 548-0105
NPI assigned
Aug 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Tammy J. Pattillo, ACNP-BC
Title
Owner
Phone
(361) 548-0105

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163W00000X 571896 TX
Acute Care Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LA2100X 571896 TX Primary

Addresses

Primary practice location

4309 Lavaca River CT
Corpus Christi, TX 78410

Mailing address

4309 Lavaca River CT
Corpus Christi, TX 78410
Phone (361) 548-0105

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1063644227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 LAVACA RIVER CT",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78410",
            "telephone_number": "361-548-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 LAVACA RIVER CT",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78410",
            "telephone_number": "361-548-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONALS INSERTING CENTRAL CATHETERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "PATTILLO",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-548-0105",
        "authorized_official_credential": "ACNP-BC"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "571896",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "571896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.