Organization Active NPI

Thresa a. Caldwell Dba Family Network of East Texas

  • Case Management Agency
  • Nacogdoches, TX
National Provider Identifier
1316001266
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
27886 Issued in TX
Legal business name
THRESA A. CALDWELL DBA FAMILY NETWORK OF EAST TEXAS
Practice address
1705 County Road 256
Nacogdoches, TX 75965-0415
Phone
(936) 560-4365
Fax
(936) 560-4365
NPI assigned
Dec 21, 2006
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mrs. Thresa Annette Caldwell, M.A.,LBSWNPI 1265596118
Title
Owner
Phone
(936) 560-4365

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)CodeLicenseStatePrimary
Case Management Agency 251B00000X 27886 TX Primary

Addresses

Primary practice location

1705 County Road 256
Nacogdoches, TX 75965-0415

Mailing address

1705 County Road 256
Nacogdoches, TX 75965-0415
Phone (936) 560-4365

Other identifiers 1

IdentifierTypeStateIssuer
1806713-02MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Family Network of East Texas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1316001266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 COUNTY ROAD 256",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759650415",
            "telephone_number": "936-560-4365",
            "fax_number": "936-560-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 COUNTY ROAD 256",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759650415",
            "telephone_number": "936-560-4365",
            "fax_number": "936-560-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRESA A. CALDWELL DBA FAMILY NETWORK OF EAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "THRESA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-560-4365",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A.,LBSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "27886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1806713-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.