Rebecca Donnell Hartsfield, CRANIAL PROSTHESIS

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

1565838 Issued in TX

Practice address

210 Susie St
Lufkin, TX 75904-5077

Phone

(936) 635-8591

NPI assigned

Feb 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ease Prosthetics

  • Customized Equipment (DME)
  • Lufkin, TX
  • NPI 1164274932
  NPD

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710633600000",
    "number": "1497349336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 SHERWOOD RD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759044530",
            "telephone_number": "936-635-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SUSIE ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045077",
            "telephone_number": "936-635-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSFIELD",
        "first_name": "REBECCA",
        "middle_name": "DONNELL",
        "name_prefix": "Ms.",
        "credential": "CRANIAL PROSTHESIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "1565838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek W. Harper, PA
• Consuela Denise Harris, DNP
• Jennifer Lynn Harris, FNP
• Keenon Harris
• Stephen Harris, MD
• Jonathan Mark Hassell, MD
• Silvia Beatriz Hausknecht, ATC
• Emily Kathleen Havard, LPC
• Kaylee Denise Havard
• William Havens Jr., CRNA

• Customized Equipment (DME) in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; 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.