Callicoat Family Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

610833 Issued in TX

Legal business name

CALLICOAT FAMILY CLINIC

Practice address

1025 Deshong Dr
Paris, TX 75460-9330

Phone

(903) 785-4600

NPI assigned

Feb 19, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Kay Callicoat, RN, MSN, FNP-C

Title

NP

Phone

(903) 737-8095

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1386883007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11135 FARM ROAD 1497",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754623890",
            "telephone_number": "903-737-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 DESHONG DR",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609330",
            "telephone_number": "903-785-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLICOAT FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "CALLICOAT",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "903-737-8095",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "J1535",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "610833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.