Organization Active NPI

Linda Demanou

Doing business as Choice Supportive Care Team

  • Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1972172922
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CHOICE SUPPORTIVE CARE TEAM INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Linda Demanou, NPNPI 1669055422
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AP145557OtherTXSTATE LICENSE

Other names 1

  • Choice Supportive Care Team Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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.

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.

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.

Verify at the official NPI Registry.