Individual provider Active NPI

Tess Nix, APRN, FNP-BC

  • Family Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1417722422
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1141800 Issued in TX
Practice address
608 N Muskingum Ave
Odessa, TX 79761-4539
Phone
(432) 580-9168
Fax
(432) 580-8230
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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 1141800 TX Primary

Addresses

Primary practice location

608 N Muskingum Ave
Odessa, TX 79761-4539

Mailing address

608 N Muskingum Ave
Odessa, TX 79761-4539
Phone (432) 853-3670

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805000032 TX Order and Referring Only - Family PracticePractitioner - Family Practice 0143446625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles a Lively MD PA CurrentSince Nov 26, 2023 Accepting new patients

Locations

608 N Muskingum Ave
Odessa, TX 79761
Phone (432) 580-9168

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23800/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1417722422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 N MUSKINGUM AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614539",
            "telephone_number": "432-853-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N MUSKINGUM AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614539",
            "telephone_number": "432-580-9168",
            "fax_number": "432-580-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIX",
        "first_name": "TESS",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1141800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.