Individual provider Active NPI

Nita L Patterson, APRN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Vernon, TX
National Provider Identifier
1154559789
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
240741 Issued in TX
Practice address
4730 College Dr
Vernon, TX 76384-4009
Phone
(940) 552-9901
Fax
(940) 553-2523
NPI assigned
Jun 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 240741 TX Primary

Addresses

Primary practice location

4730 College Dr
Vernon, TX 76384-4009

Mailing address

4730 College Dr
Vernon, TX 76384-4009
Phone (940) 552-9901

Other identifiers 1

IdentifierTypeStateIssuer
240741OtherTXAPRN TEXAS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000449 TX Practitioner - Nurse Practitioner 7911031885 Reassigns benefits to 1 organization
Practice locations: Wichita Falls, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Helen Farabee CentersGroup PAC ID 8729042916, 13 clinicians

Practice addresses (Care Compare)

1000 Brook Ave
Wichita Falls, TX 76301-5007
Phone (940) 397-3143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
240741TXMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Farabee Centers CurrentSince Nov 1, 2018 Accepting new patients

Locations

8150 US Highway 287
Childress, TX 79201
Phone (940) 536-3644

1720 4th St
Graham, TX 76450
Phone (940) 549-4896

510 King St
Quanah, TX 79252
Phone (940) 536-3644

301 N Washington St
Seymour, TX 76380
Phone (940) 889-2277

2500 Wilbarger St
Vernon, TX 76384
Phone (940) 553-4002

1000 Brook Ave
Wichita Falls, TX 76301
Phone (940) 397-3100

516 Denver St
Wichita Falls, TX 76301
Phone (940) 720-3500

500 Broad St
Wichita Falls, TX 76301
Phone (940) 397-3300

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1154559789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 COLLEGE DR",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763844009",
            "telephone_number": "940-552-9901",
            "fax_number": "940-553-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 COLLEGE DR",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763844009",
            "telephone_number": "940-552-9901",
            "fax_number": "940-553-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "NITA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "240741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN TEXAS LICENSE",
            "identifier": "240741",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, TX

Sources for this page

Verify at the official NPI Registry.