Donna Kay Callicoat, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

610833 Issued in TX

Practice address

4311 Wesley St
Greenville, TX 75401-5639

Phone

(903) 455-5986

Fax

(903) 454-4621

NPI assigned

Dec 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Donna Kay Butler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1396990628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754610962",
            "telephone_number": "903-785-4600",
            "fax_number": "903-782-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 WESLEY ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015639",
            "telephone_number": "903-455-5986",
            "fax_number": "903-454-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLICOAT",
        "first_name": "DONNA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "610833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "BUTLER",
            "middle_name": "KAY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Hunt Butcher, PHD
• Butterfly Stick Mobile Lab
• Jonathan Cadwell
• David Martin Caldwell, M.A., L.P.C.
• Karly Calender, M.ED, LAT
• Roblyn Kay Calverley
• Peter Joseph Calvi Jr., O.D.
• Raymond Campbell IV, R.D./L.D.
• Hannah Cannon
• Stephen Lafe Cantrall IV, LPC

• Family Nurse Practitioner in Greenville, TX
• Providers in Greenville, 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 Dec 19, 2013; 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.