Individual provider Active NPI

Lcena D Bateman

  • Gerontology Nurse Practitioner
  • Plano, TX
National Provider Identifier
1245003557
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1140488 Issued in TX
Practice address
7240 Chase Oaks Blvd
Plano, TX 75025-5901
Phone
(844) 999-0019
Fax
(888) 678-6794
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1140488 TX Primary

Addresses

Primary practice location

7240 Chase Oaks Blvd
Plano, TX 75025-5901

Mailing address

1884 Eastline Rd
Bells, TX 75414-2842
Phone (903) 294-8554

Other practice location 1

101 S Broadway St
Bells, TX 75414-2696
Phone (903) 965-7700

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
I20231212000568 TX Practitioner - Nurse Practitioner 2567602584 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce E Maniet DO PA CurrentSince Nov 8, 2023 Accepting new patients

Locations

101 S Broadway St
Bells, TX 75414
Phone (903) 965-7700

Interoperability endpoints

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

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1245003557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 EASTLINE RD",
            "city": "BELLS",
            "state": "TX",
            "postal_code": "754142842",
            "telephone_number": "903-294-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 CHASE OAKS BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750255901",
            "telephone_number": "844-999-0019",
            "fax_number": "888-678-6794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Bells",
            "state": "TX",
            "postal_code": "754142696",
            "country_code": "US",
            "telephone_number": "903-965-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "LCENA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1140488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.