Organization Active NPI

Entrust Health Care LLC

  • Primary Care Clinic/Center
  • Tyler, TX
National Provider Identifier
1144860909
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ENTRUST HEALTH CARE LLC
Practice address
112 E Line St Ste 300
Tyler, TX 75702-5760
Phone
(903) 969-3768
NPI assigned
Jan 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Kimberly Catlin, NP
Title
Chief NP
Phone
(903) 969-3768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

112 E Line St Ste 300
Tyler, TX 75702-5760

Mailing address

112 E Line St Ste 300
Tyler, TX 75702-5760
Phone (903) 969-3768

National Provider Directory

National Provider Directory

Locations

112 E Line St
Ste 300
Tyler, TX 75702
Phone (903) 969-3768

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1144860909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E LINE ST STE 300",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025760",
            "telephone_number": "903-969-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E LINE ST STE 300",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025760",
            "telephone_number": "903-969-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTRUST HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "CATLIN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CHIEF NP",
        "authorized_official_telephone_number": "903-969-3768",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.