Active NPI
Nancy L Storey, RN-FNP
- Family Nurse Practitioner
- Texarkana, AR
National Provider Identifier
1396721213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 564395
- Practice address
- 910 Realtor Ave
Texarkana, AR 71854-1020 - Phone
- (870) 779-2749
- Fax
- (870) 779-2740
- NPI assigned
- Dec 22, 2005
- Last updated
- May 11, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 564395 | TX | Primary |
Addresses
Primary practice location
910 Realtor Ave
Texarkana, AR 71854-1020
Mailing address
910 Realtor Ave
Texarkana, AR 71854-1020
Phone (870) 779-2749
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173821301 | Medicaid | TX | |
| 173821302 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Em-1 Medical Services, PA | Past | Accepting new patients | |
| C H Wilkinson Physician Network | Past | Accepting new patients | |
| New Boston Medical Group LLP | Family | Past | Accepting new patients |
| Four States Emergency Physicians | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHRISTUS Physician Group
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
- Emergency Medicine Physician
- Texarkana, TX
- NPI 1922051440
-
dba New Boston Family Clinic
- Nurse Practitioner
- New Boston, TX
- NPI 1871571737
Family
-
- Physician Assistant
- Texarkana, TX
- NPI 1558314062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1396721213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 REALTOR AVE",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718541020",
"telephone_number": "870-779-2749",
"fax_number": "870-779-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 REALTOR AVE",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718541020",
"telephone_number": "870-779-2749",
"fax_number": "870-779-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOREY",
"first_name": "NANCY",
"middle_name": "L",
"credential": "RN-FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "564395",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173821301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173821302",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.