Organization Active NPI

Avere Healthcare Clinics LLC

  • Clinic/Center
  • Denton, TX
National Provider Identifier
1427348168
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AVERE HEALTHCARE CLINICS LLC
Practice address
2535 Charlotte St
Suite 102
Denton, TX 76201-3301
Phone
(940) 387-7300
Fax
(940) 387-1848
NPI assigned
Apr 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Miss Carol Hedtke, NPNPI 1417999848
Title
Managing Member
Phone
(817) 891-8356

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
Clinic/Center 261Q00000X Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 675701 TX

Addresses

Primary practice location

2535 Charlotte St
Suite 102
Denton, TX 76201-3301

Mailing address

2535 Charlotte St
Suite 102
Denton, TX 76201-3301
Phone (940) 387-7300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110916000393 TX Part B Supplier - Clinic/Group Practice 6305017690 Receives reassigned benefits from 1 practitioner
Practice locations: Denton, TX

National Provider Directory

National Provider Directory

Locations

2535 Charlotte St
Denton, TX 76201
Phone (940) 566-1200

Practitioners & affiliated clinicians

Practitioners 1

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": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1427348168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 CHARLOTTE ST",
            "address_2": "SUITE 102",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013301",
            "telephone_number": "940-387-7300",
            "fax_number": "940-387-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 CHARLOTTE ST",
            "address_2": "SUITE 102",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013301",
            "telephone_number": "940-387-7300",
            "fax_number": "940-387-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERE HEALTHCARE CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "HEDTKE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-891-8356",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "675701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.