Active NPI
Home Reach Mobile Wound Care Clinic, PLLC
- Family Medicine Physician
- Sherman, TX
National Provider Identifier
1629807375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HOME REACH MOBILE WOUND CARE CLINIC, PLLC
- Practice address
- 115 W Lamberth Rd
Sherman, TX 75092-2658 - Phone
- (877) 258-6331
- Fax
- (718) 362-1651
- NPI assigned
- Jul 31, 2024
- Last updated
- Nov 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily Ault, NP
- Title
- Owner
- Phone
- (580) 775-1820
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
115 W Lamberth Rd
Sherman, TX 75092-2658
Mailing address
115 W. Laberth Rd, Suite E
Sherman, TX 75092-2027
Phone (580) 775-1820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
115 W Lamberth Rd
Ste E
Sherman, TX 75092
Phone (903) 271-4261
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Nurse Practitioner
- Denison, TX
- NPI 1912660762
-
- Family Nurse Practitioner
- Durant, OK
- NPI 1700014867
-
- Family Medicine Physician
- Durant, OK
- NPI 1295911287
-
- Family Medicine Physician
- Durant, OK
- NPI 1124020193
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1962489104
-
- Family Nurse Practitioner
- Durant, OK
- NPI 1154602332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732147200000",
"number": "1629807375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W. LABERTH RD, SUITE E",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750922027",
"telephone_number": "580-775-1820",
"fax_number": "903-213-9263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W LAMBERTH RD",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750922658",
"telephone_number": "877-258-6331",
"fax_number": "718-362-1651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME REACH MOBILE WOUND CARE CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-31",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A",
"authorized_official_last_name": "AULT",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-775-1820",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.