Individual provider Active NPI

Monica Leigh Hevron, FNP-BC

  • Family Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1780209205
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1003518 Issued in TX
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

Updated by the provider on Jan 3, 2021

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 669832 TX
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1003518TXMDFamily Nurse Practitioner
669832TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QV Urgent Care TX PLLC Single Specialty CurrentSince Sep 13, 2021 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Sep 13, 2021 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.

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

Verify at the official NPI Registry.