Cedar Ridge Family Medical Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

666524 Issued in TX

Legal business name

CEDAR RIDGE FAMILY MEDICAL CLINIC

Practice address

222 S Cedar Ridge Dr
Duncanville, TX 75116-4529

Phone

(972) 298-6174

Fax

(972) 709-1570

NPI assigned

Jan 15, 2010

Organization subpart

No

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

Authorized official

Name

Jana E Baxter, RN, MSN, CFNPNPI 1780915777

Title

President

Phone

(972) 298-6174

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

Locations

Practitioners 5

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

• Jana E Baxter, RN, MSN, CFNP

  • Family Nurse Practitioner
  • Duncanville, TX
  • NPI 1780915777
  Medicare reassignment Authorized official
• Joseph D Courage, FNP-BC

  • Family Nurse Practitioner
  • Duncanville, TX
  • NPI 1225661135
  Medicare reassignment NPD
• Sondra A Mach, NP

  • Family Nurse Practitioner
  • Ft Worth, TX
  • NPI 1174036024
  Medicare reassignment NPD
• Stephen A Huffman, MD

  • Emergency Medicine Physician
  • Tipp City, OH
  • NPI 1801848338

  TX

  Medicare reassignment NPD
• Don E Christiansen, D.O.

  • Family Medicine Physician
  • Duncanville, TX
  • NPI 1801872361
  NPD (past)

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1295066280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S CEDAR RIDGE DR",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164529",
            "telephone_number": "972-298-6174",
            "fax_number": "972-709-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S CEDAR RIDGE DR",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164529",
            "telephone_number": "972-298-6174",
            "fax_number": "972-709-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RIDGE FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-298-6174",
        "authorized_official_credential": "RN, MSN, CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "666524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zephyr Leacarol Carson, LCSW
• Carter Medical Equipment & Supplies
• Leah A Carter
• Clifford Castille
• Cedar Ridge Dental Care
• Cedar Ridge Transportation LLC
• William Joseph Chakar, DDS
• Charles L Wagnon MD PA
• Sue CHI
• Chiro One Wellness Center of Duncanville PLLC

• Family Nurse Practitioner in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.