Individual provider Active NPI

Erica Blace Garcia, FNP

  • Family Nurse Practitioner
  • Sweetwater, TX
National Provider Identifier
1649780735
Registry record updated Oct 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135316 Issued in TX
Practice address
301 Jenny George LN
Sweetwater, TX 79556-7152
Phone
(325) 235-6819
NPI assigned
Oct 3, 2017
Last updated
Oct 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2017

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 AP135316 TX Primary

Addresses

Primary practice location

301 Jenny George LN
Sweetwater, TX 79556-7152

Mailing address

301 Jenny George LN
Sweetwater, TX 79556-7152
Phone (325) 235-6819

Other names 1

  • Erica Blace Lambeth Former name

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
I20171206002475 TX Practitioner - Nurse Practitioner 8022375674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Discovery Medical Network Sweetwater LLCGroup PAC ID 6608025176, 9 clinicians

Practice addresses (Care Compare)

301 Jenny George LN
Sweetwater, TX 79556-7152

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Medical Network Sweetwater LLC CurrentSince Oct 3, 2017 Accepting new patients

Locations

301 Jenny George Ln
Sweetwater, TX 79556
Phone (325) 235-0770

301 Jenny George Ln
Ste 6
Sweetwater, TX 79556
Phone (325) 235-3800

301 Jenny George Ln
Ste B6
Sweetwater, TX 79556
Phone (325) 235-6819

301 Jenny George Ln
Ste G
Sweetwater, TX 79556

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507334400000",
    "number": "1649780735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 JENNY GEORGE LN",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567152",
            "telephone_number": "325-235-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 JENNY GEORGE LN",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567152",
            "telephone_number": "325-235-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ERICA",
        "middle_name": "BLACE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "LAMBETH",
            "middle_name": "BLACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sweetwater, TX

Sources for this page

Verify at the official NPI Registry.