NPIMap

Individual provider Active NPI

Almer Lee Hadaway Jr., RN, FNP-C, RRT, RNFA

  • Family Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1720416308
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128415 Issued in TX
Practice address
1400 College Dr
Texarkana, TX 75503-3536
Phone
(903) 791-1110
NPI assigned
Oct 17, 2013
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128415 TX Primary
Registered Nurse First Assistant 163WR0006X 628761 TX

Addresses

Primary practice location

1400 College Dr
Texarkana, TX 75503-3536

Mailing address

PO Box 1326
Marshall, TX 75671-1326
Phone (903) 927-3782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160827000137 TX Practitioner - Nurse Practitioner 5890912109 Reassigns benefits to 3 organizations
I20260311004622 AR Practitioner - Nurse Practitioner 5890912109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Texas Border Health ClinicGroup PAC ID 8820038565, 55 clinicians

Practice addresses (Care Compare)

1400 College Dr
Texarkana, TX 75503-3536
Phone (903) 791-1110

4077 Jefferson Ave
Texarkana, AR 71854-1509
Phone (870) 330-9200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
628761TXMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Border Health Clinic CurrentSince Mar 2, 2026 Accepting new patients
Dekalb Physicians Clinic LLC CurrentSince May 7, 2017 Accepting new patients
East Texas Border Health Clinic CurrentSince Nov 22, 2023 Accepting new patients
East Texas Border Health Clinic CurrentSince Nov 22, 2023 Accepting new patients
Texarkana Emergency Physicians PLLC CurrentSince Jul 9, 2016 Accepting new patients
East Texas Border Health Clinic PastSince Sep 21, 2025 Accepting new patients
East Texas Border Health Clinic PastSince Sep 5, 2021 Accepting new patients

Locations

4077 Jefferson Ave
Texarkana, AR 71854
Phone (870) 330-9200

216 N Centre St
De Kalb, TX 75559
Phone (903) 667-2273

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

1400 College Dr
Texarkana, TX 75503
Phone (903) 791-1110

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1720416308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1326",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756711326",
            "telephone_number": "903-927-3782",
            "fax_number": "903-927-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COLLEGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033536",
            "telephone_number": "903-791-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADAWAY",
        "first_name": "ALMER",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN, FNP-C, RRT, RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-17",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128415",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "628761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.