Organization Active NPI

Twice As Nice Medical Clinic

  • Acute Care Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1407201197
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP121596 Issued in TX
Legal business name
TWICE AS NICE MEDICAL CLINIC
Practice address
6 Woodmont Crossing St
Texarkana, TX 75503-2100
Phone
(903) 826-4404
NPI assigned
Apr 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Candace Ann Chauncy, ACNP-BCNPI 1194090787
Title
Advanced Nurse Practitioner
Phone
(903) 831-0161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X AP121596 TX Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP126756 TX

Addresses

Primary practice location

6 Woodmont Crossing St
Texarkana, TX 75503-2100

Mailing address

6 Woodmont Crossing St
Texarkana, TX 75503-2100
Phone (903) 836-1016

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL twiceasnicemedical@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160620000583 TX Part B Supplier - Clinic/Group Practice 3476844697 Receives reassigned benefits from 1 practitioner
Practice locations: Texarkana, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2113599Twice As Nice Medical Clinic6 Woodmont Crossing Street, Texarkana, TX 75503Certificate of waiverMay 24, 2028

National Provider Directory

National Provider Directory

Locations

5602 Richmond Rd
Ste 104
Texarkana, TX 75503
Phone (903) 826-4400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1407201197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WOODMONT CROSSING ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032100",
            "telephone_number": "903-836-1016",
            "fax_number": "903-831-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WOODMONT CROSSING ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032100",
            "telephone_number": "903-826-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWICE AS NICE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "CHAUNCY",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADVANCED NURSE PRACTITIONER",
        "authorized_official_telephone_number": "903-831-0161",
        "authorized_official_credential": "ACNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP121596",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "twiceasnicemedical@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Twice As Nice Medical",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Reply",
            "address_1": "6 Woodmont Crossing St",
            "city": "Texarkana",
            "state": "TX",
            "country_code": "US",
            "postal_code": "755032100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.