Twillia Marie Birks

Individual provider Active NPI Licensed Practical Nurse · Melissa, TX

NPI 1467934273 · NPPES record last updated Aug 29, 2018

Key facts

NPI
1467934273
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
26465 (TX)
Practice address
4301 Sycamore Rd
Melissa, TX 75454-2549
Phone
(909) 600-3867
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
26465TXMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 26465 TX Yes

Addresses

Primary practice location

4301 Sycamore Rd
Melissa, TX 75454-2549

Mailing address

4301 Sycamore Rd
Melissa, TX 75454-2549
Phone (909) 600-3867

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 29, 2018.

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1467934273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 SYCAMORE RD",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754542549",
            "telephone_number": "909-600-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 SYCAMORE RD",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754542549",
            "telephone_number": "909-600-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKS",
        "first_name": "TWILLIA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "26465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melissa, TX

All providers in Melissa, TX · Licensed Practical Nurse in Texas

Sources for this page

Verify at the official NPI Registry.