Active NPI
Mary Eberhart, WHNP-BC, P.L.L.C.
- Women's Health Nurse Practitioner
- Denton, TX
National Provider Identifier
1306007364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 518137
- Legal business name
- MARY EBERHART, WHNP-BC, P.L.L.C.
- Practice address
- 2921 Country Club Rd
Ste 103
Denton, TX 76210-8624 - Phone
- (940) 382-5800
- Fax
- (940) 382-3299
- NPI assigned
- Jun 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary H. Eberhart, WHNP-BC
- Title
- Owner/Provider
- Phone
- (940) 382-5800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 518137 | TX | Primary |
Addresses
Primary practice location
2921 Country Club Rd
Ste 103
Denton, TX 76210-8624
Mailing address
2921 Country Club Rd
Ste 103
Denton, TX 76210-8624
Phone (940) 382-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0062RK | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Crossroads, TX
- NPI 1952318297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237852800000",
"number": "1306007364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 COUNTRY CLUB RD",
"address_2": "STE 103",
"city": "DENTON",
"state": "TX",
"postal_code": "762108624",
"telephone_number": "940-382-5800",
"fax_number": "940-382-3299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2921 COUNTRY CLUB RD",
"address_2": "STE 103",
"city": "DENTON",
"state": "TX",
"postal_code": "762108624",
"telephone_number": "940-382-5800",
"fax_number": "940-382-3299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY EBERHART, WHNP-BC, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-23",
"last_updated": "2009-03-24",
"status": "A",
"authorized_official_last_name": "EBERHART",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "940-382-5800",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "WHNP-BC"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "518137",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0062RK",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.