Active NPI
Monica Leigh Hevron, FNP-BC
- Family Nurse Practitioner
- Texarkana, TX
National Provider Identifier
1780209205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1003518
- Practice address
- 3002 Moores LN
Texarkana, TX 75503-2204 - Phone
- (430) 200-4350
- Fax
- (833) 491-2722
- NPI assigned
- Jun 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 669832 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1003518 | TX | Primary |
Addresses
Primary practice location
3002 Moores LN
Texarkana, TX 75503-2204
Mailing address
3002 Moores LN
Texarkana, TX 75503-2204
Phone (430) 200-4350
Other practice location 1
516 County Road 32200
Sumner, TX 75486-5707
Phone (903) 272-9435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1003518 | TX | MD | Family Nurse Practitioner |
| 669832 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| QV Urgent Care TX PLLC | Single Specialty | Current | Accepting new patients |
| QV Urgent Care TX PLLC | Current | Accepting new patients | |
| Texas a&M University Commerce | Past | Accepting new patients |
Locations
2140 N State Highway 121
Bonham, TX 75418
Phone (430) 703-1550
1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Madisonville, TX
- NPI 1669198347
-
- Clinic/Center
- Commerce, TX
- NPI 1407286396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609632000000",
"number": "1780209205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3002 MOORES LN",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755032204",
"telephone_number": "430-200-4350",
"fax_number": "833-491-2722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3002 MOORES LN",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755032204",
"telephone_number": "430-200-4350",
"fax_number": "833-491-2722"
}
],
"practiceLocations": [
{
"address_1": "516 County Road 32200",
"address_purpose": "LOCATION",
"city": "Sumner",
"state": "TX",
"postal_code": "754865707",
"country_code": "US",
"telephone_number": "903-272-9435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEVRON",
"first_name": "MONICA",
"middle_name": "LEIGH",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-10",
"last_updated": "2021-01-03",
"certification_date": "2021-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "669832",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1003518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.