Stephen F Austin Community Health Center, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC

Practice address

905 N Gulf Blvd
Freeport, TX 77541-3907

Phone

(281) 824-1480

Fax

(281) 220-6407

NPI assigned

May 24, 2022

Organization subpart

No

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

Authorized official

Name

Brandy Smith

Title

Credentialing MGR

Phone

(281) 824-1480

Specialties & licenses 1

Addresses

Other names 1

• Community Health Network Doing business as

Locations

Practitioners 1

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

• Kelly La, RN

  • Family Nurse Practitioner
  • Freeport, TX
  • NPI 1306503016
  NPD

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1942948435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 CALLAWAY DR",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775113743",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N GULF BLVD",
            "city": "FREEPORT",
            "state": "TX",
            "postal_code": "775413907",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W Adoue St",
            "address_purpose": "LOCATION",
            "city": "Alvin",
            "state": "TX",
            "postal_code": "775112718",
            "country_code": "US",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "CREDENTIALING MGR",
        "authorized_official_telephone_number": "281-824-1480"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Valerie Simpson, RN
• Pamela Denise Spates, OTA
• Samuel Jesse Spates
• Stephen F Austin Community Health Center, Inc
• Stephen F Austin Community Health Center, Inc.
• Texan Pharmacy LLC
• The Order of Love Peace Truth Tolerance and Cooperation
• U.S. Healthworks Medical Group of Texas, Inc.
• Amy Usher

• Family Nurse Practitioner in Freeport, TX
• Providers in Freeport, 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 May 24, 2022; 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.