Port Neches Family Medicine

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PORT NECHES FAMILY MEDICINE

Practice address

2246 Nall St
Port Neches, TX 77651

Phone

(409) 344-4010

NPI assigned

Oct 15, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Yancey R Foster Jr., ENPNPI 1255343745

Title

Enp/Owner

Phone

(409) 344-4010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 3

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

• Kaci Lee Cinnamon-Burton, FNP-C

  • Family Nurse Practitioner
  • Port Neches, TX
  • NPI 1972917474
  Medicare reassignment Care Compare group NPD
• Madison Leigh Krautz, FNP-C

  • Family Nurse Practitioner
  • Port Neches, TX
  • NPI 1245044981
  Medicare reassignment Care Compare group NPD
• Yancey Roy Foster, FNP

  • Nurse Practitioner
  • Beaumont, TX
  • NPI 1255343745
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645228800000",
    "number": "1245993385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "77651",
            "telephone_number": "409-540-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "77651",
            "telephone_number": "409-344-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT NECHES FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "YANCEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ENP/OWNER",
        "authorized_official_telephone_number": "409-344-4010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ENP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pete Edward O'Donald, D.P.M.
• Osteopractic Physical Therapy of East Texas, LLC
• Vijesh K Patel, M.D.
• Lateefah Kamynae Perry
• Pete O'Donald DPM, PLLC
• Sharon Portillo, LCSW
• Angela R Prince, LPC
• Ignacio Mark Ramirez, MSN FNP-C
• Stephen Larry Reid, FNP
• Retail Investors of Texas, LTD.

• Nurse Practitioner in Port Neches, TX
• Providers in Port Neches, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; 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.