Organization Active NPI

Ferrell Roper Clinic, PLLC

  • Family Nurse Practitioner
  • Bullard, TX
National Provider Identifier
1073698585
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226114 Issued in TX
Legal business name
FERRELL ROPER CLINIC, PLLC
Practice address
105 North Phillips Street
Bullard, TX 75757
Phone
(903) 894-7206
Fax
(903) 894-6119
NPI assigned
Oct 25, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Mrs. Linda Gaido Roper, RN FNPNPI 1346290723
Title
Partner
Phone
(903) 894-7206

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)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 226114 TX Primary

Addresses

Primary practice location

105 North Phillips Street
Bullard, TX 75757

Mailing address

PO Box 195
Bullard, TX 75757-0195
Phone (903) 894-7206

Other identifiers 1

IdentifierTypeStateIssuer
Q41462OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

105 N Phillips St
Bullard, TX 75757
Phone (903) 894-7206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1073698585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757570195",
            "telephone_number": "903-894-7206",
            "fax_number": "903-894-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NORTH PHILLIPS STREET",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "75757",
            "telephone_number": "903-894-7206",
            "fax_number": "903-894-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERRELL ROPER CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "ROPER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "GAIDO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "903-894-7206",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "226114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "Q41462",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullard, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.