Individual provider Active NPI

Carla Renee Densford, FNP

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1679722177
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
513827 Issued in TX
Practice address
3706 22ND PL
Lubbock, TX 79410-1320
Phone
(806) 722-1253
Fax
(806) 722-0268
NPI assigned
Sep 9, 2008
Last updated
Aug 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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 513827 TX Primary

Addresses

Primary practice location

3706 22ND PL
Lubbock, TX 79410-1320

Mailing address

3706 22ND PL
Lubbock, TX 79410-1320
Phone (806) 722-1253

Other names 1

  • Carla Renee Jones 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
I20081230000598 TX Practitioner - Nurse Practitioner 5395807226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronnelle S. Burley, M.D., P.a.Group PAC ID 5799878807, 2 clinicians

Practice addresses (Care Compare)

2215 Nashville
Lubbock, TX 79410

3706 22ND PL
Lubbock, TX 79410-1320
Phone (806) 722-1253

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Apr 15, 2017 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 15, 2017 Accepting new patients
Ronnelle S Burley MD PA CurrentSince Aug 14, 2013 Accepting new patients

Locations

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1679722177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101320",
            "telephone_number": "806-722-1253",
            "fax_number": "806-722-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101320",
            "telephone_number": "806-722-1253",
            "fax_number": "806-722-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSFORD",
        "first_name": "CARLA",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "513827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "JONES",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.