NPIMap

Organization Active NPI

Health Opportunities for the People of East Texas

  • Family Nurse Practitioner
  • Tenaha, TX
National Provider Identifier
1578779658
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
BNE524069 Issued in TX
Legal business name
HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS
Practice address
157 Wall St
Tenaha, TX 75974-5413
Phone
(936) 248-4673
Fax
(936) 248-4646
NPI assigned
May 15, 2007
Last updated
Jun 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Jean Y Diebolt, RN FNPNPI 1487667143
Title
Ceo
Phone
(936) 248-4673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X BNE221153 TX
Family Nurse Practitioner 363LF0000X BNE524069 TX Primary

Addresses

Primary practice location

157 Wall St
Tenaha, TX 75974-5413

Mailing address

P.O. Box 1584
Center, TX 75935-1584
Phone (936) 248-4673

Other identifiers 2

IdentifierTypeStateIssuer
8Y1424OtherTXBCBS ID
0081LJOtherTXBCBS CLINIC ID

National Provider Directory

National Provider Directory
Tax ID family
Health Opportunies6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1578779658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1584",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759351584",
            "telephone_number": "936-248-4673",
            "fax_number": "936-248-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 WALL ST",
            "city": "TENAHA",
            "state": "TX",
            "postal_code": "759745413",
            "telephone_number": "936-248-4673",
            "fax_number": "936-248-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "DIEBOLT",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-248-4673",
        "authorized_official_credential": "RN FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "BNE221153",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "BNE524069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "8Y1424",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CLINIC ID",
            "identifier": "0081LJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenaha, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.