Individual provider Active NPI

Caitlin Joy Veazey, FNP-C

  • Family Nurse Practitioner
  • Port Arthur, TX
National Provider Identifier
1295259679
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134663 Issued in TX
Practice address
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007
Phone
(409) 724-7389
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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 AP134663 TX Primary

Addresses

Primary practice location

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007

Mailing address

1423 Ithaca Ave
Nederland, TX 77627-3839

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
I20221227000274 TX Practitioner - Nurse Practitioner 9436529906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Care Medical, PLLCGroup PAC ID 5799040754, 4 clinicians
Acorn Medical HomeGroup PAC ID 9537536883, 4 clinicians

Practice addresses (Care Compare)

1650 Texas Ave
Suite E
Bridge City, TX 77611-3501
Phone (833) 698-6825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP134663TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acorn Medical Home CurrentSince Sep 1, 2023 Accepting new patients
Total Care Medical, PLLC CurrentSince Jan 17, 2024 Accepting new patients
Total Care Port Arthur LLC Past Accepting new patients

Locations

1650 Texas Ave
Ste G
Bridge City, TX 77611
Phone (833) 698-6825

1650 Texas Ave
Ste B
Bridge City, TX 77611

1650 Texas Ave
Ste E
Bridge City, TX 77611
Phone (409) 313-1154

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1295259679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 ITHACA AVE",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776273839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 JIMMY JOHNSON BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-724-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEAZEY",
        "first_name": "CAITLIN",
        "middle_name": "JOY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.