Individual provider Active NPI

Tricia J Clay, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Plainview, TX
National Provider Identifier
1407283153
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
620579 Issued in TX
Practice address
2601 Dimmitt Rd
Suite 104
Plainview, TX 79072-1833
Phone
(806) 291-0297
Fax
(806) 293-7354
NPI assigned
Sep 26, 2013
Last updated
Apr 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 620579 TX Primary

Addresses

Primary practice location

2601 Dimmitt Rd
Suite 104
Plainview, TX 79072-1833

Mailing address

2601 Dimmitt Rd
Suite 104
Plainview, TX 79072-1833
Phone (806) 291-0297

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150612001408 TX Practitioner - Nurse Practitioner 3870572977 Reassigns benefits to 2 organizations
Practice locations: Plainview, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lubbock Regional MHMR CenterGroup PAC ID 6800782376, 23 clinicians

Practice addresses (Care Compare)

1950 Aspen Ave
Lubbock, TX 79404-1211
Phone (806) 740-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
620579TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Current Accepting new patients
Health and Human Services Commission CurrentSince Nov 3, 2017 Accepting new patients
Lubbock Regional MHMR Center CurrentSince Jul 1, 2023 Accepting new patients
Access Serenity of Louisiana, LLC PastSince May 1, 2020 Accepting new patients
Allegiance Behavioral Health Center of Plainview, LLC PastSince Sep 4, 2022 Accepting new patients
Regence Health Network Inc Past Accepting new patients

Locations

1901 N US Highway 87
Big Spring, TX 79720
Phone (432) 267-8216

1950 Aspen Ave
Lubbock, TX 79404
Phone (806) 740-1400

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1407283153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 DIMMITT RD",
            "address_2": "SUITE 104",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721833",
            "telephone_number": "806-291-0297",
            "fax_number": "806-293-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 DIMMITT RD",
            "address_2": "SUITE 104",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721833",
            "telephone_number": "806-291-0297",
            "fax_number": "806-293-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "TRICIA",
        "middle_name": "J",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "620579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, TX

Sources for this page

Verify at the official NPI Registry.