Active NPI
Asu- Sanjacinto School Based Clinic
- Community Health Nurse Practitioner
- San Angelo, TX
National Provider Identifier
1417061128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- License
- 509681
- Legal business name
- ASU- SANJACINTO SCHOOL BASED CLINIC
- Practice address
- 800 Spaulding St
San Angelo, TX 76903-4930 - Phone
- (325) 655-7969
- NPI assigned
- Aug 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Ferguson
- Title
- Director
- Phone
- (325) 655-7969
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | 509681 | TX | Primary |
Addresses
Primary practice location
800 Spaulding St
San Angelo, TX 76903-4930
Mailing address
223 S Abe St
San Angelo, TX 76903-6305
Phone (325) 655-7969
National Provider Directory
National Provider DirectoryLocations
800 Spaulding St
San Angelo, TX 76903
Phone (325) 617-5845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193097600000",
"number": "1417061128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 S ABE ST",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769036305",
"telephone_number": "325-655-7969",
"fax_number": "325-655-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SPAULDING ST",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769034930",
"telephone_number": "325-655-7969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASU- SANJACINTO SCHOOL BASED CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2007-10-23",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "325-655-7969"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": "TX",
"license": "509681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.