Active NPI
Cecilia Hope Drennen
- Pediatrics Physician
- Paris, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- T2594
- Practice address
- 3150 Clarksville St Ste 100
Paris, TX 75460-8080 - Phone
- (903) 782-9206
- NPI assigned
- Apr 9, 2018
- Last updated
- Sep 8, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | T2594 | TX | Primary |
Addresses
Primary practice location
3150 Clarksville St Ste 100
Paris, TX 75460-8080
Mailing address
625 19TH St S
Birmingham, AL 35233-1900
Other practice location 1
625 19th St S
Birmingham, AL 35233-1900
Phone (205) 638-9589
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Health Resources for Texas, Incorporated | Current | Accepting new patients | |
| Special Health Resources for Texas, Incorporated | Current | Accepting new patients | |
| Special Health Resources for Texas, Incorporated | Past | Accepting new patients |
Locations
409 N 6th St
Longview, TX 75601
Phone (903) 315-5520
3150 Clarksville St
Ste 100
Paris, TX 75460
Phone (903) 782-9206
3150 Clarksville St
Ste 300
Paris, TX 75460
Phone (877) 785-8750
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Longview Care Clinic
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1043209919
-
dba Midtown Clinic of Tyler
- Federally Qualified Health Center (FQHC)
- Tyler, TX
- NPI 1609298132
-
dba Paris Clinic
- Federally Qualified Health Center (FQHC)
- Paris, TX
- NPI 1346791258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1811494529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 CLARKSVILLE ST STE 100",
"city": "PARIS",
"state": "TX",
"postal_code": "754608080",
"telephone_number": "903-782-9206"
}
],
"practiceLocations": [
{
"address_1": "625 19th St S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352331900",
"country_code": "US",
"telephone_number": "205-638-9589",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRENNEN",
"first_name": "CECILIA",
"middle_name": "HOPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "T2594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.