Active NPI
Geriatric Telemedicine and Oncall Consultants LLC.
- Nurse Practitioner
- Lubbock, TX
National Provider Identifier
1164067393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.