Individual provider Active NPI

Erica Fontenot McPhatter

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1225713647
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1126441 Issued in TX
Practice address
3480 College St
Beaumont, TX 77701-4612
Phone
(409) 813-1677
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1126441 TX Primary

Addresses

Primary practice location

3480 College St
Beaumont, TX 77701-4612

Mailing address

1709 Green Oaks Dr
Port Neches, TX 77651-3445
Phone (409) 527-1230

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
I20230928002591 TX Practitioner - Nurse Practitioner 1759735426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broussard Family Practice, PLLCGroup PAC ID 4385885672, 2 clinicians

Practice addresses (Care Compare)

7675 Folsom Dr
Suite 300B
Beaumont, TX 77706-7299
Phone (409) 833-0342

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Broussard Family Practice, PLLC Family CurrentSince Dec 3, 2023 Accepting new patients
Baptist Physician Network Past Accepting new patients

Locations

7675 Folsom Dr
Ste 300B
Beaumont, TX 77706
Phone (409) 833-0342

810 Hospital Dr
Ste 100
Beaumont, TX 77701
Phone (409) 212-5933

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAGHAD/Endpoint/AAGHAD

Organizations & group practices 2

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1225713647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 GREEN OAKS DR",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776513445",
            "telephone_number": "409-527-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-813-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHATTER",
        "first_name": "ERICA",
        "middle_name": "FONTENOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1126441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.