Impact Health Direct Primary Care, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

IMPACT HEALTH DIRECT PRIMARY CARE, PLLC

Practice address

711 W Lampasas St
Ennis, TX 75119-4533

Phone

(972) 846-4800

Fax

(410) 237-6747

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kara Sjogren, DONPI 1992142533

Title

Physician/Owner

Phone

(972) 846-4800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kara Elizabeth Sjogren, D.O.

  • Family Medicine Physician
  • Ennis, TX
  • NPI 1992142533
  Medicare reassignment NPD Authorized official
• Alice Ann Bagby, FNP

  • Family Nurse Practitioner
  • Ennis, TX
  • NPI 1972298842
  Medicare reassignment NPD
• Michael Booth, MD

  • Family Medicine Physician
  • Grand Prairie, TX
  • NPI 1184073629
  Medicare reassignment NPD

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1760004188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194533",
            "telephone_number": "972-846-4800",
            "fax_number": "972-947-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194533",
            "telephone_number": "972-846-4800",
            "fax_number": "410-237-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT HEALTH DIRECT PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "SJOGREN",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "972-846-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lee Humann, COTA
• Onely Elizabeth Hunter, LMT
• Brooke Lowe Igun, DDS
• Ikids Pediatric Dentistry Ennis, PLLC
• Raluchukwu Iloanugo, PT, DPT
• Independent Order of Odd Fellows Grand Lodge 100F of Texas
• Innate Medical Solutions PLLC
• International Healthcare Supplies & Equipment Inc
• Syed Iqbal
• Heather Rae Ivers, PHARM.D., R.PH.

• Primary Care Clinic/Center in Ennis, TX
• Providers in Ennis, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.