Organization Active NPI

Patient Access Foundation

  • Public Health or Welfare Agency
  • De Kalb, TX
National Provider Identifier
1427704691
Registry record updated Feb 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PATIENT ACCESS FOUNDATION
Practice address
118 Wood St
De Kalb, TX 75559-2112
Phone
(903) 417-5377
NPI assigned
Feb 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2022

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

Authorized official

Name
Mr. Antonio Denard Ingram, APRN,NP-C,FNP-BC
Title
Ceo
Phone
(903) 417-5377

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary
Community/Behavioral Health Agency 251S00000X
Clinic/Center 261Q00000X

Addresses

Primary practice location

118 Wood St
De Kalb, TX 75559-2112

Mailing address

PO Box 369
De Kalb, TX 75559-0369
Phone (903) 417-5377

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645833600000",
    "number": "1427704691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "DE KALB",
            "state": "TX",
            "postal_code": "755590369",
            "telephone_number": "903-417-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 WOOD ST",
            "city": "DE KALB",
            "state": "TX",
            "postal_code": "755592112",
            "telephone_number": "903-417-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT ACCESS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "DENARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-417-5377",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN,NP-C,FNP-BC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Kalb, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.