Active NPI
Erica Fontenot McPhatter
- Family Nurse Practitioner
- Beaumont, TX
National Provider Identifier
1225713647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1126441
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broussard Family Practice, PLLC | Family | Current | 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
- 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.
-
- Specialist
- Beaumont, TX
- NPI 1558485532
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.