Individual provider Active NPI

Celeste Hecox, MD

  • Pediatrics Physician
  • Waco, TX
National Provider Identifier
1306040415
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N9063 Issued in TX
Practice address
120 Hillcrest Medical Blvd Ste 100
Waco, TX 76712-8949
Phone
(254) 202-6100
Fax
(254) 202-6195
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 44196 TN
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X N9063 TX Primary

Addresses

Primary practice location

120 Hillcrest Medical Blvd Ste 100
Waco, TX 76712-8949

Mailing address

PO Box 848476
Dallas, TX 75284-8476
Phone (254) 202-4655

Other practice location 1

1910 Nonconnah Blvd
Suite 120
Memphis, TN 38132-2113
Phone (901) 866-8813

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address checox24364@direct.sw.org Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120921000759 TX Practitioner - Pediatric Medicine 4688723414 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44196TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Family Health Center Pediatrics CurrentSince Apr 15, 2013 Accepting new patients
Pediatric Emergency Specialists, PC Past Accepting new patients
Soheil Hekmat, MD, Inc. Past Accepting new patients

Locations

851 N Loop 340
#B
Waco, TX 76705
Phone (254) 202-7500

120 Hillcrest Medical Blvd
Ste 100
Waco, TX 76712
Phone (254) 202-6100

Interoperability endpoints

  • Direct secure messaging: checox24364@direct.sw.org

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1306040415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848476",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848476",
            "telephone_number": "254-202-4655",
            "fax_number": "254-202-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HILLCREST MEDICAL BLVD STE 100",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128949",
            "telephone_number": "254-202-6100",
            "fax_number": "254-202-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Nonconnah Blvd",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381322113",
            "country_code": "US",
            "telephone_number": "901-866-8813",
            "fax_number": "901-302-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HECOX",
        "first_name": "CELESTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "44196",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N9063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "checox24364@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 Hillcrest Medical Blvd Ste 100",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767128949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.