Cedar Creek Psychiatry, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP100127 Issued in TX

Legal business name

CEDAR CREEK PSYCHIATRY, LLC

Practice address

700 S Palestine St
Athens, TX 75751-3325

Phone

(903) 262-8292

Fax

(903) 675-9577

NPI assigned

Aug 7, 2017

Last updated

Aug 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Hayes, NPNPI 1578968632

Title

Ceo

Phone

(903) 262-8292

Specialties & licenses 1

Addresses

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.

• Linda Hayes, RN FNP

  • Family Nurse Practitioner
  • Athens, TX
  • NPI 1578968632
  Authorized official Same address or phone

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1356866701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118",
            "city": "EUSTACE",
            "state": "TX",
            "postal_code": "751240118",
            "telephone_number": "903-262-8292",
            "fax_number": "903-675-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S PALESTINE ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513325",
            "telephone_number": "903-262-8292",
            "fax_number": "903-675-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREEK PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-262-8292",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP100127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy Mullen Carter, D.C.
• Pamela Christine Carter, M.D.
• William Roy Carter, DC
• Patricia Lynn Casey, LCSW
• Ronald Dwayne Cates, MD PA
• Jammie Jae Chaney, LVN
• Christine Marie Chapin
• Vandana Char, MD
• Charles L. Heaton , M.D. P.a. (Heaton Eye Associates Optical Shop)
• Charter Healthcare of Dallas, LLC (Genesis HospiceCare)

• Nurse Practitioner in Athens, TX
• Providers in Athens, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.