Celina Medical Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

572642 Issued in TX

Legal business name

CELINA MEDICAL CLINIC

Practice address

701 N Preston Rd
Suite 200
Celina, TX 75009-3763

Phone

(972) 382-3939

Fax

(972) 382-2211

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Kimberly Myers

Title

Owner/NP

Phone

(972) 382-3939

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1952563694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N PRESTON RD",
            "address_2": "SUITE 200",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093763",
            "telephone_number": "972-382-3939",
            "fax_number": "972-382-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N PRESTON RD",
            "address_2": "SUITE 200",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093763",
            "telephone_number": "972-382-3939",
            "fax_number": "972-382-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELINA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "972-382-3939"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "572642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hope LLC
• Ivy Mae Bunachita Carrillo, OTR/L
• Celina Aesthetics and Healthcare Clinic LLC
• Celina Dental Group PLLC
• Celina Drug Incorporated
• Celina Pediatric Dentistry PLLC
• Celina Total Foot Care PLLC
• Tracy Chavez, LMRT
• City of Celina
• Hannah Clayton

• Family Nurse Practitioner in Celina, TX
• Providers in Celina, 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 Jun 25, 2008; 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.