Individual provider Active NPI

Malinda Ann Redmon, FAMILY NP

  • Family Nurse Practitioner
  • Monahans, TX
National Provider Identifier
1891763025
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
555484 Issued in TX
Practice address
405 S Main Ave
Suite 100
Monahans, TX 79756-4506
Phone
(432) 943-7537
NPI assigned
Mar 14, 2006
Last updated
Jul 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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 555484 TX Primary

Addresses

Primary practice location

405 S Main Ave
Suite 100
Monahans, TX 79756-4506

Mailing address

2304 S Alice Ave
Monahans, TX 79756-7602
Phone (432) 556-0199

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
I20121107000616 TX Practitioner - Nurse Practitioner 6608027206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of WardGroup PAC ID 1456261494, shared by 6 NPIs, 19 clinicians

Practice addresses (Care Compare)

813 E 4TH St
Sandhils Fam Clin
Monahans, TX 79756-4015
Phone (432) 943-2068

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ward CurrentSince Jun 14, 2017 Accepting new patients
County of Ward CurrentSince Jun 14, 2017 Accepting new patients
County of Ward Current Accepting new patients
County of Ward Current Accepting new patients
Acute Surgical Care Specialists PLLC Past Accepting new patients
Odessa Heart Institute Past Accepting new patients
Acute Orthopedic Care Specialists PLLC Past Accepting new patients

Locations

406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511

813 E 4th St
Monahans, TX 79756
Phone (432) 943-2068

Organizations & group practices 7

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1891763025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 S ALICE AVE",
            "city": "MONAHANS",
            "state": "TX",
            "postal_code": "797567602",
            "telephone_number": "432-556-0199",
            "fax_number": "432-943-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S MAIN AVE",
            "address_2": "SUITE 100",
            "city": "MONAHANS",
            "state": "TX",
            "postal_code": "797564506",
            "telephone_number": "432-943-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMON",
        "first_name": "MALINDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FAMILY NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "555484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monahans, TX

Sources for this page

Verify at the official NPI Registry.