Individual provider Active NPI

April Leann Gaddy, FNP-C

  • Family Nurse Practitioner
  • Nacogdoches, TX
National Provider Identifier
1497411862
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1046980 Issued in TX
Practice address
3900 NE Stallings Dr Ste 101
Nacogdoches, TX 75965-2111
Phone
(936) 559-8770
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1046980 TX Primary

Addresses

Primary practice location

3900 NE Stallings Dr Ste 101
Nacogdoches, TX 75965-2111

Mailing address

3900 NE Stallings Dr Ste 101
Nacogdoches, TX 75965-2111
Phone (936) 559-8770

Other practice location 1

630 Hurst St
Center, TX 75935-3414
Phone (936) 657-1944

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
I20220112002084 TX Practitioner - Nurse Practitioner 4688066160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3900 NE Stallings Dr
Suite 101
Nacogdoches, TX 75965-2111

Hospital & facility affiliations

  • A Pineywoods Home Health Care Inc Home health agency, Lufkin, TX, CCN 677545
  • Nacogdoches Medical Center Hospital, Nacogdoches, TX, CCN 450656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1497411862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NE STALLINGS DR STE 101",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652111",
            "telephone_number": "936-559-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NE STALLINGS DR STE 101",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652111",
            "telephone_number": "936-559-8770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Hurst St",
            "address_purpose": "LOCATION",
            "city": "Center",
            "state": "TX",
            "postal_code": "759353414",
            "country_code": "US",
            "telephone_number": "936-657-1944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADDY",
        "first_name": "APRIL",
        "middle_name": "LEANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1046980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.