Individual provider Active NPI

Whitney Ryon Garland

  • Physician Assistant
  • Stephenville, TX
National Provider Identifier
1457911935
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13354 Issued in TX
Practice address
135 River North Blvd
Stephenville, TX 76401-1804
Phone
(254) 965-2810
Fax
(888) 895-1214
NPI assigned
Jun 18, 2019
Last updated
May 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13354 TX Primary

Addresses

Primary practice location

135 River North Blvd
Stephenville, TX 76401-1804

Mailing address

1100 W. Reynosa Ave.
De Leon, TX 76444
Phone (254) 893-5895

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
I20200310000619 TX Practitioner - Physician Assistant 9931537750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 W Reynosa Ave
De Leon, TX 76444-1630
Phone (254) 893-5895

135 River N Blvd
Stephenville, TX 76401-1804
Phone (254) 965-2810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Timbers Health Clinics, Inc. CurrentSince Feb 10, 2020 Accepting new patients
Cross Timbers Health Clinics, Inc Past Accepting new patients

Locations

1100 W Reynosa Ave
De Leon, TX 76444
Phone (254) 893-5895

Interoperability endpoints

  • Direct secure messaging: whitney.garland@ahctx.eclinicaldirectplus.com

Organizations & group practices 2

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1457911935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W. REYNOSA AVE.",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "76444",
            "telephone_number": "254-893-5895",
            "fax_number": "888-895-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 RIVER NORTH BLVD",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011804",
            "telephone_number": "254-965-2810",
            "fax_number": "888-895-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLAND",
        "first_name": "WHITNEY",
        "middle_name": "RYON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephenville, TX

Sources for this page

Verify at the official NPI Registry.