Van Family Medical

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

VAN FAMILY MEDICAL

Practice address

488 W Main St
Ste 101
Van, TX 75790-2608

Phone

(903) 963-6850

NPI assigned

Oct 8, 2021

Last updated

Jun 28, 2022By 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

Loretta Wilson, FNPNPI 1780952580

Title

Owner

Phone

(903) 515-0690

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 22

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.

• Loretta Eve Wilson, FNP

  • Nurse Practitioner
  • Van, TX
  • NPI 1780952580
  Medicare reassignment NPD Authorized official
• Reagan Walls, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Tyler, TX
  • NPI 1134770621
  Medicare reassignment NPD
• Kelsey Nicole Newton, APRN, FNP-C

  • Family Nurse Practitioner
  • Van, TX
  • NPI 1831706530
  NPD
• Jeffory W Beaty, DO

  • Emergency Medicine Physician
  • Longview, TX
  • NPI 1194715888
  NPD (past)
• Jacob W Brown, M.D.

  • Emergency Medicine Physician
  • Longview, TX
  • NPI 1437317807
  NPD (past)
• Brett Allen Burnett, M.D.

  • Emergency Medicine Physician
  • Temple, TX
  • NPI 1871813402
  NPD (past)
• John T Dipasquale, MD

  • Emergency Medicine Physician
  • Longview, TX
  • NPI 1962492645
  NPD (past)
• Christopher L Dunnahoo, MD

  • Emergency Medicine Physician
  • Longview, TX
  • NPI 1790761070
  NPD (past)
• Bradley Efune, M.D.

  • Emergency Medicine Physician
  • Longview, TX
  • NPI 1245521160
  NPD (past)
• Timothy Paul Frank, M.D.

  • Emergency Medicine Physician
  • Longview, TX
  • NPI 1396972592
  NPD (past)
• Jeffrey G McWilliams Sr., MD

  • Emergency Medicine Physician
  • Longview, TX
  • NPI 1104037639
  NPD (past)
• Craig A Meek, MD

  • Emergency Medicine Physician
  • Longview, TX
  • NPI 1447240247
  NPD (past)

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1386306108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 W MAIN ST",
            "address_2": "STE 101",
            "city": "VAN",
            "state": "TX",
            "postal_code": "757902608",
            "telephone_number": "903-963-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 W MAIN ST",
            "address_2": "STE 101",
            "city": "VAN",
            "state": "TX",
            "postal_code": "757902608",
            "telephone_number": "903-963-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN FAMILY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-515-0690",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie Lynn Roberts
• Senior Living Properties LLC (Van Healthcare Center)
• Senior Living Properties LLC (Country Inn Healthcare Center)
• Leah Skow, M.S., CCC-SLP
• South Limestone Hospital District (Van Healthcare)
• Van Health and Wellness, PLLC
• Van Healthcare
• Van Healthcare Partners LLC (Van Healthcare LLC)
• Van Isd
• Van Senior Care LLC (Van Healthcare)

• Family Nurse Practitioner in Van, TX
• Providers in Van, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.