Family Healthcare Clinic, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

785855 Issued in TX

Legal business name

FAMILY HEALTHCARE CLINIC, PLLC

Practice address

123 Santa Anna Ave
Coleman, TX 76834-7409

Phone

(325) 625-9000

Fax

(325) 625-9010

NPI assigned

Nov 8, 2013

Organization subpart

No

Name

Elizabeth Ann Young, FNP-CNPI 1972932051

Title

FNP-C

Phone

(325) 823-7575

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

• Elizabeth Ann Young, FNP-C

  • Nurse Practitioner
  • Coleman, TX
  • NPI 1972932051

  TX

  Medicare reassignment Authorized official
• James Keith Roland, MD

  • Family Medicine Physician
  • Weatherford, TX
  • NPI 1255348793

  TX

  Medicare reassignment

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

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2021.

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1285063370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SANTA ANNA AVE",
            "city": "COLEMAN",
            "state": "TX",
            "postal_code": "768347409",
            "telephone_number": "325-823-7575",
            "fax_number": "325-455-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SANTA ANNA AVE",
            "city": "COLEMAN",
            "state": "TX",
            "postal_code": "768347409",
            "telephone_number": "325-625-9000",
            "fax_number": "325-625-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "325-823-7575",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "785855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coleman Medical Associates PA
• Colemancounty Medical Center
• Coryell County Memorial Hospital Authority
• Darron T Atwood MD PA
• William Clarence Earp, RPH
• Reagan Hadden, M.S. CCC-SLP
• Hamilton County Hospital District
• Holiday Hill, Inc.
• J Paul Reynolds, MD, PA
• Jackson Paul Reynolds MD PLLC

• All providers in Coleman, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.