NPIMap

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
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

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5900 W Pleasant Ridge Rd
Arlington, TX 76016
Phone (817) 468-6041

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

11101 US Highway 380
Cross Roads, TX 76227
Phone (940) 365-5762

26265 Northwest Fwy
Cypress, TX 77429
Phone (281) 758-0092

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

1100 Flower Mound Rd
Flower Mound, TX 75028
Phone (972) 874-8214

3614 Camp Bowie Blvd
Ft Worth, TX 76107
Phone (817) 428-5558

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

3701 Ira E Woods Ave
Grapevine, TX 76051
Phone (817) 251-2411

15010 Memorial Dr
Houston, TX 77079
Phone (281) 238-7870

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

5500 N MacArthur Blvd
Irving, TX 75038
Phone (972) 255-4155

602 W Grand Pkwy S
Katy, TX 77494
Phone (281) 392-3808

2306 Ranch Road 620 S
Lakeway, TX 78734
Phone (512) 263-6000

7000 Justin Rd
Lantana, TX 76226
Phone (940) 584-0365

5002 W Main St
League City, TX 77573
Phone (281) 557-4374

2013 Kelly Ln
Pflugerville, TX 78660
Phone (512) 990-0814

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

605 W Campbell Rd
Richardson, TX 75080
Phone (972) 231-3522

2693 Roy Richard Dr
Schertz, TX 78154
Phone (210) 658-3087

25110 Grogans Mill Rd
The Woodlands, TX 77380
Phone (281) 363-2290

Practitioners & affiliated clinicians

Practitioners 383

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

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.