Plainview Foundation for Rural Health Advancement

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K7364 Issued in TX

Legal business name

PLAINVIEW FOUNDATION FOR RURAL HEALTH ADVANCEMENT

Practice address

708 Second Street
P.O. 727
Hart, TX 79043

Phone

(806) 938-2299

Fax

(806) 938-2299

NPI assigned

Feb 5, 2007

Organization subpart

Yes

Parent organization

PLAINVIEW FOUNDATION FOR RURAL HEALTH ADVNCEMENTAs reported in NPPES

Name

Mrs. Retta Knox, R.N.

Title

Program Director

Phone

(806) 938-2299

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Plainview Foundation for Rural Health Advancement

  • Family Medicine Physician
  • Turkey, TX
  • NPI 1023242906

  O20091117000327

  Same enrollment
• Plainview Foundation for Rural Health Advancement

  • Family Medicine Physician
  • Earth, TX
  • NPI 1174757223

  O20091117000327

  Same enrollment

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steve B Alley, M D

  • Family Medicine Physician
  • Crosbyton, TX
  • NPI 1275617177

  Family Medicine, TX

  Medicare reassignment NPD
• Sidney Charles Ontai, M.D.

  • Family Medicine Physician
  • Victoria, TX
  • NPI 1225240443

  Family Medicine, TX

  Medicare reassignment NPD
• Shayla Kay Hartman, APN

  • Family Nurse Practitioner
  • Hart, TX
  • NPI 1164912721
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

Plainview Foundation for Rural Health Advancement

• Hart School Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 20, 2009.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1215075734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 SECOND STREET",
            "address_2": "P.O. BOX 727",
            "city": "HART",
            "state": "TX",
            "postal_code": "79043",
            "telephone_number": "806-938-2299",
            "fax_number": "806-938-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 SECOND STREET",
            "address_2": "P.O. 727",
            "city": "HART",
            "state": "TX",
            "postal_code": "79043",
            "telephone_number": "806-938-2299",
            "fax_number": "806-938-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINVIEW FOUNDATION FOR RURAL HEALTH ADVANCEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLAINVIEW FOUNDATION FOR RURAL HEALTH ADVNCEMENT",
        "enumeration_date": "2007-02-05",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "RETTA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "806-938-2299",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "004447",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "15727",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "14975",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "0009405",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "222624",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7364",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J2653",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J8480",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J5095",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L5161",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "D6154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091324602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192116501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192116502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091324601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091324603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192116503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hart School Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hart Independent School District
• Shayla Kay Hartman, APN
• Kellie Oconnor

• All providers in Hart, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.