Individual provider Active NPI

Frankie Haddock, WHCNP

  • Women's Health Nurse Practitioner
  • Greenville, TX
National Provider Identifier
1710188461
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
634207 Issued in TX
Practice address
4221 Ridgecrest Rd Ste 109
Greenville, TX 75402-6015
Phone
(903) 455-9582
Fax
(903) 455-5689
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 634207 TX Primary

Addresses

Primary practice location

4221 Ridgecrest Rd Ste 109
Greenville, TX 75402-6015

Mailing address

4221 Ridgecrest #109
Greenville, TX 75402-6015
Phone (903) 455-9582

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
I20160802001589 TX Order and Referring Only - Nurse Practitioner 0143514950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Womens Wellness Center Past Accepting new patients
Womens Clinic of Greenville Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: frankie.haddock@tx086.digichart.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710188461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 RIDGECREST #109",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026015",
            "telephone_number": "903-455-9582",
            "fax_number": "903-455-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 RIDGECREST RD STE 109",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026015",
            "telephone_number": "903-455-9582",
            "fax_number": "903-455-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDOCK",
        "first_name": "FRANKIE",
        "credential": "WHCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "634207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.