Organization Active NPI

Texas Suburban Visiting Physician Services

  • Primary Care Nurse Practitioner
  • Pantego, TX
National Provider Identifier
1902405301
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
TEXAS SUBURBAN VISITING PHYSICIAN SERVICES
Practice address
2200 Smith Barry Rd
Pantego, TX 76013-5800
Phone
(312) 257-1747
NPI assigned
Oct 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Rachele Smith
Title
Manager
Phone
(513) 377-9374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

2200 Smith Barry Rd
Pantego, TX 76013-5800

Mailing address

2200 Smith Barry Rd
Pantego, TX 76013-5800
Phone (312) 257-1747

National Provider Directory

National Provider Directory

Locations

2200 Smith Barry Rd
Pantego, TX 76013
Phone (312) 257-1747

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1902405301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SMITH BARRY RD",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760135800",
            "telephone_number": "312-257-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SMITH BARRY RD",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760135800",
            "telephone_number": "312-257-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SUBURBAN VISITING PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RACHELE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "513-377-9374"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pantego, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.