Organization Active NPI

C.M. Speaks, N.P., PLLC

  • Family Nurse Practitioner
  • Kilgore, TX
National Provider Identifier
1689130569
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
C.M. SPEAKS, N.P., PLLC
Practice address
2700 S Henderson Blvd
Kilgore, TX 75662-4033
Phone
(903) 738-5890
Fax
(866) 842-1649
NPI assigned
Feb 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Authorized official

Name
Mrs. Cynthia Speaks, NP
Title
Owner/Provider
Phone
(903) 738-5890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2700 S Henderson Blvd
Kilgore, TX 75662-4033

Mailing address

1202 Jasmine LN
Longview, TX 75604-2836
Phone (903) 738-5890

Other identifiers 1

IdentifierTypeStateIssuer
1700931540OtherTYPE 1 NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1689130569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 JASMINE LN",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042836",
            "telephone_number": "903-738-5890",
            "fax_number": "866-842-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S HENDERSON BLVD",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756624033",
            "telephone_number": "903-738-5890",
            "fax_number": "866-842-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.M. SPEAKS, N.P., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "SPEAKS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "903-738-5890",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1700931540",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilgore, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.