Organization Active NPI

Minuteclinic Telehealth Services of Texas Association

  • Family Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1922564301
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MINUTECLINIC TELEHEALTH SERVICES OF TEXAS ASSOCIATION
Practice address
1855 Gattis School Rd
Round Rock, TX 78664-7428
Phone
(866) 389-2727
NPI assigned
Feb 11, 2019
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Deborah Jean Pincince
Title
Administrator
Phone
(401) 770-3813

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1855 Gattis School Rd
Round Rock, TX 78664-7428

Mailing address

1 CVS Dr # Mc2295
Woonsocket, RI 02895-6146
Phone (866) 389-2727

Other practice location 1

1 Cvs Dr
Woonsocket, RI 02895-6146
Phone (866) 389-2727

Other practice location 2

602 W Grand Pkwy S
Katy, TX 77494-8328
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200404000028 TX Part B Supplier - Clinic/Group Practice 8921437427 Receives reassigned benefits from 369 practitioners
Practice locations: Katy, TX; Round Rock, TX

National Provider Directory

National Provider Directory

Locations

10550 W Parmer Ln
Austin, TX 78717
Phone (512) 310-3190

3500 W Slaughter Ln
Austin, TX 78749
Phone (512) 292-6832

2950 Dowlen Rd
Beaumont, TX 77706
Phone (409) 861-3413

4100 State Highway 121
Carrollton, TX 75010
Phone (972) 339-2417

11661 Preston Rd
Ste 218
Dallas, TX 75230
Phone (214) 363-1571

6120 E Mockingbird Ln
Dallas, TX 75214
Phone (214) 821-3780

4426 Williams Dr
Georgetown, TX 78628
Phone (512) 869-2506

4203 S Carrier Pkwy
Grand Prairie, TX 75052
Phone (972) 642-3910

5402 Westheimer Rd
Houston, TX 77056
Phone (281) 902-7374

2200 Matlock Rd
Mansfield, TX 76063
Phone (817) 453-0267

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

2101 W Spring Creek Pkwy
Plano, TX 75023
Phone (972) 209-2900

105 Harris Ave
Red Oak, TX 75154
Phone (972) 617-0034

2004 N Goliad St
Rockwall, TX 75087
Phone (972) 722-4706

22202 Bulverde Rd
San Antonio, TX 78261
Phone (210) 497-0353

6915 West Ave
San Antonio, TX 78213
Phone (210) 341-1487

3850 FM 2920 Rd
Spring, TX 77388
Phone (281) 528-2810

Practitioners & affiliated clinicians

Practitioners 383

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 383

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1922564301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR # MC2295",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 GATTIS SCHOOL RD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647428",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Cvs Dr",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028956146",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 W Grand Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774948328",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINUTECLINIC TELEHEALTH SERVICES OF TEXAS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "PINCINCE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-770-3813"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.