Active NPI
Kendra Deann Proctor, RN, CFNP
- Nurse Practitioner
- Paris, TX
National Provider Identifier
1396764981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 562744
- Practice address
- 1128 Clarksville St
Ste. 100
Paris, TX 75460-6060 - Phone
- (903) 785-4362
- Fax
- (903) 782-9365
- NPI assigned
- Jul 18, 2006
- Last updated
- Sep 22, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 562744 | TX | Primary |
Addresses
Primary practice location
1128 Clarksville St
Ste. 100
Paris, TX 75460-6060
Mailing address
1128 Clarksville St
Ste. 100
Paris, TX 75460-6060
Phone (903) 785-4362
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112250904 | Medicaid | TX | |
| 144831802 | Other | GROUP TEXAS HEALTH STEPS | |
| 500021734 | Other | TX | INDIVIDUAL RAILROAD MC |
| 88N512 | Other | TX | INDIVIDUAL BLUE CROSS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clinical@parisfamily.directbygreenway.com | Direct | PARIS FAMILY PHYSICIANS,PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1128 Clarksville St
Suite 100
Paris, TX 75460-6074
Phone (903) 669-0800
Hospital & facility affiliations
- Platinum Home Health Inc
- Elara Caring
- Paris Signature Home Health Inc
- Mays Home Health of Paris TX LLC
- Guardian Healthcare
- Paris Regional Medical Center
- Medical City Plano
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paris Family Physicians,PA | Nurse Practitioner | Current | Accepting new patients |
Locations
1128 Clarksville St
Ste 100
Paris, TX 75460
Phone (903) 669-0800
Interoperability endpoints
- clinical@parisfamily.directbygreenway.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72596
Organizations & group practices 1
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.
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Platinum Home Health, Inc.
- Home Health Agency
- Paris, TX
- NPI 1164568705
-
dba Medical City Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
-
dba Paris Regional Medical Center
- General Acute Care Hospital
- Paris, TX
- NPI 1063411767
-
- Home Health Agency
- Paris, TX
- NPI 1033533047
-
- Home Health Agency
- Paris, TX
- NPI 1386879765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1396764981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 CLARKSVILLE ST",
"address_2": "STE. 100",
"city": "PARIS",
"state": "TX",
"postal_code": "754606060",
"telephone_number": "903-785-4362",
"fax_number": "903-782-9365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 CLARKSVILLE ST",
"address_2": "STE. 100",
"city": "PARIS",
"state": "TX",
"postal_code": "754606060",
"telephone_number": "903-785-4362",
"fax_number": "903-782-9365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTOR",
"first_name": "KENDRA",
"middle_name": "DEANN",
"credential": "RN, CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "562744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112250904",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TEXAS HEALTH STEPS",
"identifier": "144831802",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL RAILROAD MC",
"identifier": "500021734",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL BLUE CROSS",
"identifier": "88N512",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clinical@parisfamily.directbygreenway.com",
"affiliation": "Y",
"affiliationName": "PARIS FAMILY PHYSICIANS,PA",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1128 Clarksville St",
"address_2": "STE. 100",
"city": "Paris",
"state": "TX",
"country_code": "US",
"postal_code": "754606060",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.