Individual provider Active NPI

Linda Lee Herrera, FNP

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1669696258
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP115004 Issued in TX
Practice address
201 Enterprise Row
#12
Conroe, TX 77301-4448
Phone
(936) 760-2784
Fax
(936) 760-1950
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 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 AP115004 TX Primary

Addresses

Primary practice location

201 Enterprise Row
#12
Conroe, TX 77301-4448

Mailing address

201 Enterprise Row Ste 12
Conroe, TX 77301-4448
Phone (936) 760-2784

Other identifiers 1

IdentifierTypeStateIssuer
341799001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240131003037 GA Practitioner - Nurse Practitioner 1052402955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Urgent Care LLCGroup PAC ID 8820305600, 171 clinicians

Practice addresses (Care Compare)

125 Benjamin H Hill Dr SW
Fitzgerald, GA 31750-8606
Phone (205) 545-5088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP115004TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Dec 27, 2023 Accepting new patients
Rural Urgent Care LLC CurrentSince Dec 27, 2023 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033

25 Highland Xing S
Ellijay, GA 30540
Phone (706) 273-1954

125 Benjamin H Hill Dr SW
Fitzgerald, GA 31750
Phone (229) 635-4004

1245 Noah Dr
Jasper, GA 30143
Phone (706) 253-1954

Interoperability endpoints

  • Direct secure messaging: lindaherrera@armp.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1669696258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ENTERPRISE ROW STE 12",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773014448",
            "telephone_number": "936-760-2784",
            "fax_number": "936-760-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ENTERPRISE ROW",
            "address_2": "#12",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773014448",
            "telephone_number": "936-760-2784",
            "fax_number": "936-760-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "LINDA",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341799001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.