Active NPI
Linda Demanou
Doing business as Choice Supportive Care Team
- Nurse Practitioner
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- LINDA DEMANOU
- Doing business as
- Choice Supportive Care Team
- Practice address
- 4293 Kinsey Dr
Tyler, TX 75703-1004 - Phone
- (903) 592-5670
- Fax
- (888) 960-2797
- NPI assigned
- Jun 23, 2021
- Last updated
- Jun 23, 2021
- Organization subpart
- Yes
- Parent organization
- CHOICE SUPPORTIVE CARE TEAM INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Demanou, NP
- Title
- NP
- Phone
- (240) 701-6437
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
4293 Kinsey Dr
Tyler, TX 75703-1004
Mailing address
9375 Chisholm TRL
Tyler, TX 75703-0411
Phone (903) 521-0385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP145557 | Other | TX | STATE LICENSE |
Other names 1
- Choice Supportive Care Team
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | KAREO | Health Information Exchange (HIE) |
National Provider Directory
National Provider Directory- Part of
- Choice Supportive Care Team Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Choice Supportive Care Team
- Multi-Specialty Clinic/Center
- Tyler, TX
- NPI 1174155477
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Nurse Practitioner
- Medina, OH
- NPI 1669055422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624406400000",
"number": "1972172922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9375 CHISHOLM TRL",
"city": "TYLER",
"state": "TX",
"postal_code": "757030411",
"telephone_number": "903-521-0385",
"fax_number": "888-960-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4293 KINSEY DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757031004",
"telephone_number": "903-592-5670",
"fax_number": "888-960-2797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA DEMANOU",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHOICE SUPPORTIVE CARE TEAM INC.",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A",
"authorized_official_last_name": "DEMANOU",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "240-701-6437",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "AP145557",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "KAREO",
"affiliation": "N",
"endpointDescription": "HIPAA compliant EMR and Messaging System",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMR Platform",
"address_1": "4293 Kinsey Dr",
"city": "Tyler",
"state": "TX",
"country_code": "US",
"postal_code": "757031004",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Choice Supportive Care Team",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.