Active NPI
Kelli E Howard, F.N.P. - C
- Nurse Practitioner
- Lubbock, TX
National Provider Identifier
1720021405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 652340
- Practice address
- 4102 24TH St
Suite 406
Lubbock, TX 79410-1806 - Phone
- (806) 725-6461
- Fax
- (806) 723-6334
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 652340 | TX | Primary |
Addresses
Primary practice location
4102 24TH St
Suite 406
Lubbock, TX 79410-1806
Mailing address
6602 1St St
Lubbock, TX 79416-3704
Phone (806) 788-1600
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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The West Texas Rehabilitation Center
Practice addresses (Care Compare)
4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411
Hospital & facility affiliations
- Covenant Medical Center
- Covenant Childrens Hospital
- Grace Surgical Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 652340 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CSK Medical Partners | Current | Accepting new patients | |
| CSK Medical Partners | Current | Accepting new patients |
Locations
4110 22nd Pl
Lubbock, TX 79410
Phone (806) 792-4329
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.
-
- Specialist
- Lubbock, TX
- NPI 1902842404
-
- Physical Therapy Clinic/Center
- Lubbock, TX
- NPI 1467576793
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1225289499
-
- Children's Hospital
- Lubbock, TX
- NPI 1437171568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1720021405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6602 1ST ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794163704",
"telephone_number": "806-788-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 24TH ST",
"address_2": "SUITE 406",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101806",
"telephone_number": "806-725-6461",
"fax_number": "806-723-6334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "KELLI",
"middle_name": "E",
"credential": "F.N.P. - C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "652340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.