Individual provider Active NPI

Stephanie Byrd, FNP

  • Family Nurse Practitioner
  • Palestine, TX
National Provider Identifier
1841754850
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140212 Issued in TX
Practice address
1021 S Sycamore St
Palestine, TX 75801-5041
Phone
(903) 729-8328
Fax
(903) 729-5640
NPI assigned
Jan 23, 2019
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140212 TX Primary

Addresses

Primary practice location

1021 S Sycamore St
Palestine, TX 75801-5041

Mailing address

1021 S Sycamore St
Palestine, TX 75801-5041
Phone (903) 729-8328

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190524002083 TX Practitioner - Nurse Practitioner 5092058560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sycamore Medical ClinicGroup PAC ID 9638367188, 5 clinicians

Practice addresses (Care Compare)

1021 S Sycamore St
Palestine, TX 75801-5041
Phone (903) 729-8328

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140212TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Gorby, M.D.P.a. Current Accepting new patients
Sycamore Medical Clinic CurrentSince Feb 1, 2019 Accepting new patients

Locations

1021 S Sycamore St
Palestine, TX 75801
Phone (903) 723-2547

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJAADA

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1841754850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S SYCAMORE ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758015041",
            "telephone_number": "903-729-8328",
            "fax_number": "903-729-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 S SYCAMORE ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758015041",
            "telephone_number": "903-729-8328",
            "fax_number": "903-729-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "STEPHANIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

Verify at the official NPI Registry.