Individual provider Active NPI

Lible Elakattu, FNP

  • Family Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1750915641
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145317 Issued in TX
Practice address
321 N Highland Ave Ste 200
Sherman, TX 75092-7371
Phone
(903) 893-5141
NPI assigned
Feb 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP145317 TX Primary

Addresses

Primary practice location

321 N Highland Ave Ste 200
Sherman, TX 75092-7371

Mailing address

2123 Serene CT
Keller, TX 76248-5692
Phone (682) 472-0319

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
I20220621002964 TX Practitioner - Nurse Practitioner 8224417266 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texoma Neurology Associates, PA CurrentSince Jun 7, 2022 Accepting new patients
Talis Healthcare LLC PastSince May 24, 2023 Accepting new patients

Locations

1804 Chuckwa Dr
Durant, OK 74701
Phone (580) 920-1141

629 Matlock Centre Cir
Arlington, TX 76015
Phone (817) 275-8131

221 W Colorado Blvd
Ste 943
Dallas, TX 75208
Phone (214) 941-9888

2201 S Austin Ave
Denison, TX 75020
Phone (214) 463-4752

4433 Punjab Way
Ste 201
Frisco, TX 75033

1600 W College St
Ste 640
Grapevine, TX 76051
Phone (817) 481-2121

475 Elm St
Ste 104
Lewisville, TX 75057
Phone 90389351414355

2517 Virginia Pkwy
Ste 102
McKinney, TX 75071

7920 Preston Rd
Ste 100
Plano, TX 75024
Phone (214) 315-3552

1600 Coit Rd
Ste 208
Plano, TX 75075
Phone (469) 666-0184

3017 E Renner Rd
Ste 110
Richardson, TX 75082
Phone (214) 463-4752

321 N Highland Ave
Ste 200
Sherman, TX 75092

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": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1750915641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 SERENE CT",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485692",
            "telephone_number": "682-472-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N HIGHLAND AVE STE 200",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927371",
            "telephone_number": "903-893-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAKATTU",
        "first_name": "LIBLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.