Active NPI
Kelly B Cox, NP
- Nurse Practitioner
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 651988
- Practice address
- 1910 Roseland Blvd
Tyler, TX 75701 - Phone
- (902) 533-0644
- Fax
- (903) 533-0644
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 651988 | TX | Primary |
Addresses
Primary practice location
1910 Roseland Blvd
Tyler, TX 75701
Mailing address
220 Bayhills Dr
Hideaway, TX 75771-5059
Phone (903) 882-5117
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1379 Brad Cir
Suite a
Lindale, TX 75771-6666
Phone (903) 881-5165
Hospital & facility affiliations
- Traditions Health
- Vitalcaring Group
- Christus Mother Frances Hospital
- Ut Health East Texas Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Internal Medicine Associates, P.a. | Nurse Practitioner | Current | Accepting new patients |
| Smith Emergency Medicine Associates PA | Nurse Practitioner | Past | Accepting new patients |
| Athens Emergency Medicine Associates PA | Nurse Practitioner | Past | Accepting new patients |
| East Texas Medical Center Healthcare Associates | Past | Accepting new patients |
Locations
1379 Brad Cir
Lindale, TX 75771
Phone (903) 881-5165
1379 Brad Cir
Ste A
Lindale, TX 75771
Phone (903) 881-5165
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
1910 Roseland Blvd
Tyler, TX 75701
Phone (903) 533-0644
Interoperability endpoints
- kelly.cox@tima.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/ADCFBA
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Tyler, TX
- NPI 1770695850
Nurse Practitioner
-
- Emergency Medicine Physician
- Palestine, TX
- NPI 1073539144
Nurse Practitioner
-
- Emergency Medicine Physician
- Tyler, TX
- NPI 1699719872
-
- Emergency Medicine Physician
- Tyler, TX
- NPI 1861426041
Nurse Practitioner
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Home Health Agency
- Sulphur Springs, TX
- NPI 1467591032
-
- Rehabilitation Hospital
- Tyler, TX
- NPI 1174021695
Inpatient rehabilitation facility
-
- Home Health Agency
- Tyler, TX
- NPI 1447448980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1356489264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 BAYHILLS DR",
"city": "HIDEAWAY",
"state": "TX",
"postal_code": "757715059",
"telephone_number": "903-882-5117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 ROSELAND BLVD",
"city": "TYLER",
"state": "TX",
"postal_code": "75701",
"telephone_number": "902-533-0644",
"fax_number": "903-533-0644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "KELLY",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "651988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.