Active NPI
Phyllis F. McNiel, CPO
- Prosthetist
- Gainesville, TX
National Provider Identifier
1265792089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 121
- Practice address
- 800 E California St
Suite 1
Gainesville, TX 76240-4281 - Phone
- (940) 668-1118
- Fax
- (940) 668-1123
- NPI assigned
- May 26, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 121 | TX | |
| Prosthetist | 224P00000X | 121 | TX | Primary |
Addresses
Primary practice location
800 E California St
Suite 1
Gainesville, TX 76240-4281
Mailing address
800 E California St
Suite 1
Gainesville, TX 76240-4281
Phone (940) 668-1118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121 | Other | TX | TEXAS BOARD OF ORTHOTICS/PROSTHETICS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121 | TX | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337990400000",
"number": "1265792089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E CALIFORNIA ST",
"address_2": "SUITE 1",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "762404281",
"telephone_number": "940-668-1118",
"fax_number": "940-668-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E CALIFORNIA ST",
"address_2": "SUITE 1",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "762404281",
"telephone_number": "940-668-1118",
"fax_number": "940-668-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNIEL",
"first_name": "PHYLLIS",
"middle_name": "F.",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-26",
"last_updated": "2012-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "TX",
"license": "121",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TX",
"license": "121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF ORTHOTICS/PROSTHETICS",
"identifier": "121",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.