Individual provider Active NPI

Glikeria Gaddis, APRN, CNP

  • Family Nurse Practitioner
  • Lampasas, TX
National Provider Identifier
1497446751
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
119225 Issued in TX
Practice address
1205 Central Texas Expy
Lampasas, TX 76550-3388
Phone
(512) 556-5362
Fax
(512) 556-8004
NPI assigned
May 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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 119225 TX Primary

Addresses

Primary practice location

1205 Central Texas Expy
Lampasas, TX 76550-3388

Mailing address

601 N 19TH St
Copperas Cove, TX 76522-1405
Phone (254) 371-0914

Other practice location 1

601 N 19th St
Copperas Cove, TX 76522-1405
Phone (254) 371-0914

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
I20240124003940 TX Practitioner - Nurse Practitioner 3375996556 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
119225TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Seton CurrentSince Nov 14, 2023 Accepting new patients
Happy Health and Wellness of America PA LLC CurrentSince Apr 25, 2025 Accepting new patients
Ascension Seton Current Accepting new patients
Ascension Seton CurrentSince Nov 14, 2023 Accepting new patients

Locations

1205 Central Texas Expy
Lampasas, TX 76550
Phone (512) 556-5362

900 Avenue J
Marble Falls, TX 78654
Phone (830) 214-8637

318 Richland West Cir
Ste A
Waco, TX 76712
Phone (254) 537-6600

318 Richland West Cir
Ste B
Waco, TX 76712
Phone (254) 776-8008

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1497446751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 19TH ST",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765221405",
            "telephone_number": "254-371-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 CENTRAL TEXAS EXPY",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765503388",
            "telephone_number": "512-556-5362",
            "fax_number": "512-556-8004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N 19th St",
            "address_purpose": "LOCATION",
            "city": "Copperas Cove",
            "state": "TX",
            "postal_code": "765221405",
            "country_code": "US",
            "telephone_number": "254-371-0914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "GLIKERIA",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "119225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lampasas, TX

Sources for this page

Verify at the official NPI Registry.