Organization Active NPI

Baylor Medical Centers at Garland and McKinney

  • Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1104286442
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BAYLOR MEDICAL CENTERS AT GARLAND AND MCKINNEY
Practice address
5236 W University Dr
Ste 1500
McKinney, TX 75071-7889
Phone
(469) 764-2273
NPI assigned
Feb 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Timothy Bowen
Title
Ceo
Phone
(870) 223-1301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

5236 W University Dr
Ste 1500
McKinney, TX 75071-7889

Mailing address

PO Box 847051
Dallas, TX 75284-7051

Other names 1

  • BAYLOR SCOTT & WHITE MEDICAL CENTER TRANSITIONAL CARE CLINIC -MCKINNEY Doing business as

National Provider Directory

National Provider Directory

Locations

5236 W University Dr
Ste 1
McKinney, TX 75071
Phone (469) 764-1000

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1104286442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847051",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5236 W UNIVERSITY DR",
            "address_2": "STE 1500",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717889",
            "telephone_number": "469-764-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR MEDICAL CENTERS AT GARLAND AND MCKINNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-223-1301"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYLOR SCOTT & WHITE MEDICAL CENTER TRANSITIONAL CARE CLINIC -MCKINNEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.