Organization Active NPI

Clearsky Care Connections, LLC

Doing business as ClearSky Care Connections Louisiana

  • Internal Medicine Physician
  • Weatherford, TX
National Provider Identifier
1710649470
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CLEARSKY CARE CONNECTIONS, LLC
Doing business as
ClearSky Care Connections Louisiana
ClearSky Care Connections Texas
Practice address
703 Eureka St
Weatherford, TX 76086-6547
Phone
(682) 803-0100
NPI assigned
Oct 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Kristi Duncan
Title
Cfo
Phone
(505) 317-3988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

703 Eureka St
Weatherford, TX 76086-6547

Mailing address

5600 Wyoming Blvd NE Ste 225
Albuquerque, NM 87109-3136
Phone (505) 910-4544

Other practice location 1

2401 Westside Blvd SE
Rio Rancho, NM 87124-4983
Phone (505) 295-6958

Other practice location 2

3100 Peters Colony Rd
Flower Mound, TX 75022-2949
Phone (469) 933-2855

Other practice location 3

900 S 6th St
Leesville, LA 71446-4723
Phone (337) 392-8415

Other names 2

  • ClearSky Care Connections Louisiana Doing business as
  • ClearSky Care Connections Texas Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1710649470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 WYOMING BLVD NE STE 225",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093136",
            "telephone_number": "505-910-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 EUREKA ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866547",
            "telephone_number": "682-803-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Westside Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871244983",
            "country_code": "US",
            "telephone_number": "505-295-6958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Peters Colony Rd",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750222949",
            "country_code": "US",
            "telephone_number": "469-933-2855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "714464723",
            "country_code": "US",
            "telephone_number": "337-392-8415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEARSKY CARE CONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "505-317-3988"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClearSky Care Connections Louisiana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ClearSky Care Connections Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.