Individual provider Active NPI

Reba Lashelle Givens, FNP-BC

  • Family Nurse Practitioner
  • Waco, TX
National Provider Identifier
1275706129
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
588963 Issued in TX
Practice address
4800 Lakewood Dr
Suite 5
Waco, TX 76710-2966
Phone
(254) 772-7037
Fax
(254) 776-7188
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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 588963 TX Primary

Addresses

Primary practice location

4800 Lakewood Dr
Suite 5
Waco, TX 76710-2966

Mailing address

4800 Lakewood Dr
Suite 5
Waco, TX 76710-2966
Phone (254) 772-7037

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
I20080610000810 TX Practitioner - Nurse Practitioner 6507937091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Nephrology Associates, P.a.Group PAC ID 7618948571, 14 clinicians

Practice addresses (Care Compare)

1507 Hillview Dr
Hillsboro, TX 76645-2746
Phone (254) 582-5442

5940 Crosslake Pkwy
Waco, TX 76712-6986
Phone 25466689882103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
588963TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Nephrology Associates, P.a. CurrentSince Nov 15, 2017 Accepting new patients

Locations

625 W Central Texas Expy
Harker Heights, TX 76548
Phone (254) 690-0613

1507 Hillview Dr
Hillsboro, TX 76645
Phone (254) 582-5442

5940 Crosslake Pkwy
Waco, TX 76712
Phone (254) 666-2999

2329 N 39th St
Waco, TX 76708
Phone (254) 752-5503

Interoperability endpoints

  • Direct secure messaging: rgivens75170@direct.acumenmd.com

Organizations & group practices 1

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1275706129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 LAKEWOOD DR",
            "address_2": "SUITE 5",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102966",
            "telephone_number": "254-772-7037",
            "fax_number": "254-776-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LAKEWOOD DR",
            "address_2": "SUITE 5",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102966",
            "telephone_number": "254-772-7037",
            "fax_number": "254-776-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "REBA",
        "middle_name": "LASHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "588963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.