Active NPI
Tamara Nicole Upchurch, AGPCNP-BC
- Community Based Hospice Care Agency
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 1189550
- Practice address
- 5803 Stoneridge Dr
Texarkana, TX 75503-1461 - Phone
- (888) 725-5422
- Fax
- (903) 501-1100
- NPI assigned
- Jan 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1189550 | TX | |
| Community Based Hospice Care Agency | 251G00000X | 1189550 | TX | Primary |
Addresses
Primary practice location
5803 Stoneridge Dr
Texarkana, TX 75503-1461
Mailing address
1125 County Road 1660
Alba, TX 75410-5522
Phone (903) 497-7846
Other practice location 1
724 W SW Loop 323 Ste C
Tyler, TX 75701-9409
Phone (903) 405-3853
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1189550 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pallicare, Inc | Current | Accepting new patients | |
| Eh Home Health of East Texas, LLC | Hospice Care, Community Based | Past | Accepting new patients |
Interoperability endpoints
- tamara.upchurch.1@26850.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Health Nurse Practitioner
- Texarkana, TX
- NPI 1316511884
-
dba Enhabit Hospice
- Community Based Hospice Care Agency
- Texarkana, TX
- NPI 1457807273
Hospice Care, Community Based
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UT Health East Texas Home Health Services
- Home Health Agency
- Athens, TX
- NPI 1760980668
-
- Critical Access Hospital
- Quitman, TX
- NPI 1477061885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768608000000",
"number": "1689487050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 COUNTY ROAD 1660",
"city": "ALBA",
"state": "TX",
"postal_code": "754105522",
"telephone_number": "903-497-7846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5803 STONERIDGE DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755031461",
"telephone_number": "888-725-5422",
"fax_number": "903-501-1100"
}
],
"practiceLocations": [
{
"address_1": "724 W SW Loop 323 Ste C",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757019409",
"country_code": "US",
"telephone_number": "903-405-3853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UPCHURCH",
"first_name": "TAMARA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "AGPCNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-29",
"last_updated": "2026-01-17",
"certification_date": "2026-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1189550",
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "TX",
"license": "1189550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
- Txar 501a Corporation
- TXK Chiropractic
- TXK Chiropractic Corp.
- TXK Clinic LLC (Texarkana Pain Management Center)
- Union Emergency Physicians, PLLC
- Urology Associates of Texarkana, PA
- Urology Surgery Center of Texarkana (Specialty Day Surgery Center)
- Kashetu Usman, PHARMD
- William K Vahle, LCDC
- Sheryl Frizzell Vaitkus
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.