Individual provider Active NPI

Patricia Caraway

  • Family Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1861173262
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1129312 Issued in TX
Practice address
503 Hill St
Lufkin, TX 75904-2792
Phone
(936) 632-1139
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 1129312 TX Primary

Addresses

Primary practice location

503 Hill St
Lufkin, TX 75904-2792

Mailing address

121 N Sanders St
Nacogdoches, TX 75964-5067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1129312TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angelina County & Cities Health District CurrentSince Jul 31, 2023 Accepting new patients
Epilepsy Foundation of Texas PastSince Jul 31, 2023 Accepting new patients

Locations

503 Hill St
Lufkin, TX 75904
Phone (936) 632-1139

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1861173262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N SANDERS ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759645067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 HILL ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042792",
            "telephone_number": "936-632-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAWAY",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1129312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.