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
| License | State | Type | Specialty |
|---|---|---|---|
| 26465 | TX | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Cassie Marie Barajas
- Brad Barkema
- Angela Bennett
- Pamela Joyce Berner
- Kevin Bierle
- Kolbee Leann Blackmon
- Jennifer Blaylock
- Blessed Hands Senior Home Care LLC
- Michele Renee Blum
- Boal LLC
All providers in Melissa, TX · Licensed Practical Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.