Organization Active NPI

Geriatric Telemedicine and Oncall Consultants LLC.

  • Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1164067393
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
GERIATRIC TELEMEDICINE AND ONCALL CONSULTANTS LLC.
Practice address
222 Genoa Ave
Lubbock, TX 79416-1708
Phone
(806) 441-6108
NPI assigned
Nov 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Patricia Durham, FNP
Title
Adminstrator
Phone
(806) 441-6108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

222 Genoa Ave
Lubbock, TX 79416-1708

Mailing address

222 Genoa Ave
Lubbock, TX 79416-1708
Phone (806) 441-6108

Other names 1

  • Geriatric Telemedicine and oncall consultants Former legal business name

National Provider Directory

National Provider Directory

Locations

4620 71st St
Lubbock, TX 79424
Phone (806) 784-0722

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1164067393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 GENOA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794161708",
            "telephone_number": "806-441-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 GENOA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794161708",
            "telephone_number": "806-441-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC TELEMEDICINE AND ONCALL CONSULTANTS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "806-441-6108",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geriatric Telemedicine and oncall consultants",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Geriatric Telemedicine and oncall consultants",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

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