Organization Active NPI

Womens Clinic of Greenville

  • Specialist
  • Greenville, TX
National Provider Identifier
1487790556
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K4932 Issued in TX
Legal business name
WOMENS CLINIC OF GREENVILLE
Practice address
4221 Ridgecrest Rd Ste 109
Greenville, TX 75402-6015
Phone
(903) 455-9582
Fax
(903) 455-5689
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Karen Nalls
Title
Office Manager
Phone
(903) 455-9582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X K4932 TX Primary

Addresses

Primary practice location

4221 Ridgecrest Rd Ste 109
Greenville, TX 75402-6015

Mailing address

4221 Ridgecrest Rd Ste 109
Greenville, TX 75402-6015
Phone (903) 455-9582

National Provider Directory

National Provider Directory

Locations

4818 Wellington St
Ste 5
Greenville, TX 75402
Phone (903) 455-5689

Practitioners & affiliated clinicians

Practitioners 2

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1487790556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 RIDGECREST RD STE 109",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026015",
            "telephone_number": "903-455-9582",
            "fax_number": "903-455-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 RIDGECREST RD STE 109",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026015",
            "telephone_number": "903-455-9582",
            "fax_number": "903-455-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS CLINIC OF GREENVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "NALLS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-455-9582"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K4932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.