Patricia Egdorf, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

459270 Issued in TX

Practice address

2000 Pine St
Abilene, TX 79601-2434

Phone

(325) 673-0100

Fax

(325) 670-6174

NPI assigned

Mar 20, 2006

Last updated

Oct 24, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hendrick Provider Network

  • Internal Medicine Physician
  • Abilene, TX
  • NPI 1396961322
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1154380269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012434",
            "telephone_number": "325-673-0100",
            "fax_number": "325-670-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012434",
            "telephone_number": "325-673-0100",
            "fax_number": "325-670-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGDORF",
        "first_name": "PATRICIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "459270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041580403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Educare Community Living Limited Partnership
• Alexis Brie Edwards
• Jeffrey Darren Edwards, M.D.
• Lauren Oglesby Edwards, DDS
• Lillian Edwards
• Allison Nicole Eggena, ATC
• Princess Dashae Eghianruwa, PMHNP
• Eh of West Texas, LP (Enhabit Hospice)
• Eh of West Texas, LP (Enhabit Home Health)
• Timothy John Ehrhart, LMFT

• Family Nurse Practitioner in Abilene, TX
• Providers in Abilene, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.