Northeast Texas Public Health District

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

NORTHEAST TEXAS PUBLIC HEALTH DISTRICT

Practice address

815 N Broadway Ave
Tyler, TX 75702-4507

Phone

(903) 535-0033

Fax

(903) 535-0052

NPI assigned

Mar 26, 2021

Organization subpart

No

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

Authorized official

Name

Dawn Strickland

Title

Director of Revenue Strategies

Phone

(903) 535-0033

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Northeast Texas Public Health District

  • State or Local Public Health Clinic/Center
  • Tyler, TX
  • NPI 1699745208

  7012984768

  Same PAC ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Valerie B Smith, MD

  • Pediatrics Physician
  • Tyler, TX
  • NPI 1073625737
  NPD
• Gloria Salazar Gray, RN, FNP-C

  • Family Nurse Practitioner
  • Kilgore, TX
  • NPI 1831237775
  NPD (past)
• Justin B Jones, DDS

  • Public Health Dentistry
  • Tyler, TX
  • NPI 1912104464
  NPD (past)
• Bolarinwa Francis Olusola, MD

  • Gastroenterology Physician
  • Tyler, TX
  • NPI 1790775724
  NPD (past)
• Jimmy Glynn Tompkins, DDS

  • General Practice Dentistry
  • Tyler, TX
  • NPI 1457553596
  NPD (past)

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1679150445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757024507",
            "telephone_number": "903-535-0033",
            "fax_number": "903-535-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757024507",
            "telephone_number": "903-535-0033",
            "fax_number": "903-535-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST TEXAS PUBLIC HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE STRATEGIES",
        "authorized_official_telephone_number": "903-535-0033"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Mesa Dental, PC
• Northcreek Healthcare LLC
• Kendra Northcutt
• Rendall Northcutt, FNP
• Northeast Texas Neurology Associates, P.a.
• Northeast Texas Public Health District
• Northland Hearing Centers Inc
• Northridge Healthcare LLC
• Northstone Enterprises LLC
• Arthur Fredrick Norton

• All providers in Tyler, TX
• State or Local Public Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.