Larry Wayne Hamberlin, D.C., PH.D, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

774755 Issued in TX

Practice address

809 W Nash St
Ste. a
Terrell, TX 75160-2557

Phone

(972) 563-1475

Fax

(972) 524-5132

NPI assigned

Nov 4, 2005

Last updated

Aug 15, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17636/brand/1/csg/1/fhir/r4

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.

• Regional Health Clinic at Terrell PLLC

  • Family Nurse Practitioner
  • Terrell, TX
  • NPI 1306119490
  Authorized official Same address or phone
• Invicta Family Healthcare Clinic, PLLC

  dba Regional Health Clinic at Terrell, PLLC

  • Gerontology Nurse Practitioner
  • Terrell, TX
  • NPI 1093235046
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1902897234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1866",
            "address_2": "809 W. NASH, STE. A",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751600033",
            "telephone_number": "972-563-1475",
            "fax_number": "972-524-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W NASH ST",
            "address_2": "STE. A",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602557",
            "telephone_number": "972-563-1475",
            "fax_number": "972-524-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBERLIN",
        "first_name": "LARRY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C., PH.D, NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "774755",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8248",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARKLAND",
            "identifier": "13877",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUELINK",
            "identifier": "0059145",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID",
            "identifier": "89705",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "21206450531-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1959676",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7616077",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10030732",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "432141",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020836-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Green
• Debra Lynn Grunden, NURSE
• Amanda Lenae Guajardo, NP
• Joel Cesar Gutierrez, DDS
• Gwendolyn Kines-McLeod DDS,PLLC
• Roderick Hambrick, LPC
• Leslie K Hansen, RN
• Mitzi M Harrington, LPC
• Patrice Douglisa Harrison
• Jenna Hartle, CCC-SLP

• Family Nurse Practitioner in Terrell, TX
• Providers in Terrell, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.