Individual provider Active NPI

Heather Nicole Flippin, NP-C

  • Family Nurse Practitioner
  • Kosse, TX
National Provider Identifier
1861000176
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1004019 Issued in TX
Practice address
206 N Narcissus
Kosse, TX 76653
Phone
(254) 275-7001
Fax
(254) 375-2233
NPI assigned
Jul 22, 2020
Last updated
Jul 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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 1004019 TX Primary

Addresses

Primary practice location

206 N Narcissus
Kosse, TX 76653

Mailing address

3517 LCR 723
Kosse, TX 76653-3935
Phone (254) 495-2866

Other practice location 1

204 W Trinity St
Groesbeck, TX 76642-1324
Phone (254) 729-3740

Other practice location 2

701 McClintic Dr
Groesbeck, TX 76642-2128
Phone (254) 729-3411

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
I20200803002590 TX Practitioner - Nurse Practitioner 6901221266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

204 W Trinity St
Rettig Fam Health Cre a Limestone Med Cent
Groesbeck, TX 76642-1324
Phone (254) 729-3740

206 N Narcissus
Kosse Comm Health CLC a LMC Clinic
Kosse, TX 76653-3538
Phone (254) 375-7001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1004019TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Limestone Hospital District CurrentSince Jul 23, 2020 Accepting new patients
South Limestone Hospital District CurrentSince Jul 23, 2020 Accepting new patients
South Limestone Hospital District Past Accepting new patients
South Limestone Hospital District Past Accepting new patients

Locations

204 W Trinity St
Groesbeck, TX 76642
Phone (254) 729-3740

206 N Narcissus
Kosse, TX 76653
Phone (254) 375-7001

206 N Narcissus
#A
Kosse, TX 76653
Phone (254) 375-7001

204 W Trinity St
#A
Lake Limestone, TX 76642
Phone (254) 729-3740

701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1861000176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 LCR 723",
            "city": "KOSSE",
            "state": "TX",
            "postal_code": "766533935",
            "telephone_number": "254-495-2866",
            "fax_number": "254-729-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N NARCISSUS",
            "city": "KOSSE",
            "state": "TX",
            "postal_code": "76653",
            "telephone_number": "254-275-7001",
            "fax_number": "254-375-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 W Trinity St",
            "address_purpose": "LOCATION",
            "city": "Groesbeck",
            "state": "TX",
            "postal_code": "766421324",
            "country_code": "US",
            "telephone_number": "254-729-3740",
            "fax_number": "254-729-8760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 McClintic Dr",
            "address_purpose": "LOCATION",
            "city": "Groesbeck",
            "state": "TX",
            "postal_code": "766422128",
            "country_code": "US",
            "telephone_number": "254-729-3411",
            "fax_number": "254-729-3258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLIPPIN",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1004019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kosse, TX

Sources for this page

Verify at the official NPI Registry.