Active NPI
Helen Joann Detlefsen, LVN
- Licensed Vocational Nurse
- Sulphur Springs, TX
National Provider Identifier
1093215683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 325386
- Practice address
- 120 Moore St N
Sulphur Springs, TX 75482-2422 - Phone
- (903) 335-5555
- NPI assigned
- Feb 20, 2018
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 325386 | TX | Primary |
Addresses
Primary practice location
120 Moore St N
Sulphur Springs, TX 75482-2422
Mailing address
120 Moore St N
Sulphur Springs, TX 75482-2422
Phone (903) 335-5555
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 |
|---|---|---|---|
| 325386 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1093215683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MOORE ST N",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754822422",
"telephone_number": "903-335-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MOORE ST N",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754822422",
"telephone_number": "903-335-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETLEFSEN",
"first_name": "HELEN",
"middle_name": "JOANN",
"name_prefix": "Ms.",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "325386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sulphur Springs, TX
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- Dept of State Health Services Wic
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- Diagnostic Swallowing Services LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.