Individual provider Active NPI

Deanna Robin Padgett, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1285148585
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP135964 Issued in TX
Practice address
2435 College Dr
Texarkana, TX 75501-2788
Phone
(903) 831-7585
NPI assigned
Nov 22, 2017
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A005380 AR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP135964 TX Primary

Addresses

Primary practice location

2435 College Dr
Texarkana, TX 75501-2788

Mailing address

912 Rolling Ridge Dr
Texarkana, AR 71854-9030
Phone (903) 701-3700

Other practice location 1

4323 Jefferson Ave
Texarkana, AR 71854-1515
Phone (870) 773-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180531002431 AR Practitioner - Nurse Practitioner 1254696826 Reassigns benefits to 1 organization
I20200914002576 TX Practitioner - Nurse Practitioner 1254696826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2435 College Dr
Texarkana, TX 75501-2788
Phone (903) 831-7585

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sabine Valley Regional MHMR Center Psychiatric/Mental Health Current Accepting new patients
Sabine Valley Regional MHMR Center CurrentSince Jul 29, 2020 Accepting new patients
Southwest Arkansas Counseling and Mental Health Center, Inc CurrentSince Feb 26, 2020 Accepting new patients

Locations

2904 Arkansas Blvd
Texarkana, AR 71854
Phone (870) 773-4655

107 Woodbine Pl
Longview, TX 75601
Phone (800) 446-8253

1300 N 6th St
Longview, TX 75601
Phone (903) 232-8928

2435 College Dr
Texarkana, TX 75501
Phone (903) 255-1240

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1285148585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 ROLLING RIDGE DR",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718549030",
            "telephone_number": "903-701-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 COLLEGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755012788",
            "telephone_number": "903-831-7585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4323 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718541515",
            "country_code": "US",
            "telephone_number": "870-773-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADGETT",
        "first_name": "DEANNA",
        "middle_name": "ROBIN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005380",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP135964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.