Active NPI
Stacy Lyles Hawkins, D.C.
- Chiropractor
- Rockport, TX
National Provider Identifier
1386746352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6712
- Practice address
- 2011 Highway 35 N
Rockport, TX 78382-3302 - Phone
- (361) 729-2225
- Fax
- (361) 729-2483
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6712 | TX | Primary |
Addresses
Primary practice location
2011 Highway 35 N
Rockport, TX 78382-3302
Mailing address
2011 Highway 35 N
Rockport, TX 78382-3302
Phone (361) 729-2225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0096AH | Medicaid | TX | |
| 80320B | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6712 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Motion, LTD | Chiropractor | Current | Accepting new patients |
| Katharine E. McNamara, PLLC | Current | Accepting new patients | |
| Rockport Physical Medicine PA | Current | Accepting new patients |
Locations
2011 Highway 35 N
Rockport, TX 78382
Phone (361) 356-3110
Organizations & group practices 3
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.
-
- Chiropractor
- Rockport, TX
- NPI 1619090644
-
- Family Medicine Physician
- Rockport, TX
- NPI 1710353214
-
- Family Nurse Practitioner
- Rockport, TX
- NPI 1851745558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1386746352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 HIGHWAY 35 N",
"city": "ROCKPORT",
"state": "TX",
"postal_code": "783823302",
"telephone_number": "361-729-2225",
"fax_number": "361-729-2483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 HIGHWAY 35 N",
"city": "ROCKPORT",
"state": "TX",
"postal_code": "783823302",
"telephone_number": "361-729-2225",
"fax_number": "361-729-2483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "STACY",
"middle_name": "LYLES",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "6712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0096AH",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "80320B",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockport, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.