Active NPI
Casey Daniel, NP
- Nurse Practitioner
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1045097
- Practice address
- 2901 4TH St
Longview, TX 75605-5128 - Phone
- (903) 746-8567
- NPI assigned
- Jul 27, 2021
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 1045097 | TX | |
| Nurse Practitioner | 363L00000X | 1045097 | TX | Primary |
Addresses
Primary practice location
2901 4TH St
Longview, TX 75605-5128
Mailing address
145 Deerfield Lake Circle
Longview, TX 75605
Phone (903) 746-8567
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 597-0351
Hospital & facility affiliations
- Longview Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1045097 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Point - Desoto LLC | Current | Accepting new patients | |
| Acs Primary Care Physicians Southwest, PA | Nurse Practitioner | Current | Accepting new patients |
| Camino Real Emergency Physicians PLLC | Nurse Practitioner | Past | Accepting new patients |
| Texas Emergency Room Services PA | Past | Accepting new patients |
Locations
1601 Elm St
Ste 4210
Dallas, TX 75201
1111 N Interstate 35 E
Desoto, TX 75115
Phone (469) 530-9220
1517 E Rusk St
Jacksonville, TX 75766
Phone (903) 339-2370
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451
6210 S Broadway Ave
Tyler, TX 75703
Phone (903) 579-2700
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
Interoperability endpoints
- callen701963@ahs.direct-ci.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
Nurse Practitioner
-
- Family Medicine Physician
- Lindale, TX
- NPI 1104590330
-
- Emergency Medicine Physician
- Livingston, TX
- NPI 1992871966
Nurse Practitioner
-
- Emergency Medicine Physician
- Lufkin, TX
- NPI 1992843387
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1528026267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1811660897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 DEERFIELD LAKE CIRCLE",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "75605",
"telephone_number": "903-746-8567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756055128",
"telephone_number": "903-746-8567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "CASEY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-27",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "1045097",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1045097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.
- 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.