Individual provider Active NPI

Timber Lea Wright, FNP

  • Family Nurse Practitioner
  • Crockett, TX
National Provider Identifier
1497452320
Registry record updated Feb 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1110110 Issued in TX
Practice address
1501 E Loop 304 Ste 50
Crockett, TX 75835-3419
Phone
(936) 544-7223
NPI assigned
Feb 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 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 1110110 TX Primary

Addresses

Primary practice location

1501 E Loop 304 Ste 50
Crockett, TX 75835-3419

Mailing address

1182 E Caney Loop
Chester, TX 75936-6021
Phone (936) 635-6050

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
I20230224000192 TX Practitioner - Nurse Practitioner 5092188938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jr Family Healthcare, PLLCGroup PAC ID 2466889027, 4 clinicians

Practice addresses (Care Compare)

1501 E Loop
304 50 Houston County Family Medical Clinic
Crockett, TX 75835-3417
Phone (936) 544-7223

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jr Family Healthcare, PLLC Family CurrentSince Feb 3, 2023 Accepting new patients
Jr Family Healthcare, PLLC PastSince Feb 3, 2023 Accepting new patients

Locations

1501 E Loop 304
Ste 50
Crockett, TX 75835
Phone (936) 544-7223

Organizations & group practices 2

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 1

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": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676073600000",
    "number": "1497452320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 E CANEY LOOP",
            "city": "CHESTER",
            "state": "TX",
            "postal_code": "759366021",
            "telephone_number": "936-635-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E LOOP 304 STE 50",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758353419",
            "telephone_number": "936-544-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TIMBER",
        "middle_name": "LEA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1110110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crockett, TX

Sources for this page

Verify at the official NPI Registry.