Abilene Family Medical Clinic, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

603150 Issued in TX

Legal business name

ABILENE FAMILY MEDICAL CLINIC, LLC

Practice address

4542 S 14TH St
Abilene, TX 79605-4737

Phone

(325) 701-9961

NPI assigned

May 19, 2014

Last updated

May 19, 2014By 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

Freddie R Johnson, FNP

Title

Owner

Phone

(325) 701-9961

Specialties & licenses 1

Addresses

Locations

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.

• Jami Alicia Adams, M.D.

  • Pediatrics Physician
  • Abilene, TX
  • NPI 1457322109
  NPD (past)

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1376954743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 S 14TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4542 S 14TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054737",
            "telephone_number": "325-701-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILENE FAMILY MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "FREDDIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-701-9961",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "603150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abilene Family Counseling
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• Abilene Family Foot Center, P.a.
• Abilene Family Health Care, P.a.
• Abilene Family Medical Associates LLP
• Abilene Footcare Associates
• Abilene H.O.G. Pharmacy
• Abilene Healthcare Operations LLC
• Abilene Healthcare Operations LLC
• Abilene Helping Hands Inc (Abilene Convalescent Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.