Active NPI
N Med
- Registered Nurse
- Nacogdoches, TX
National Provider Identifier
1992208664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 581785
- Legal business name
- N MED
- Practice address
- 115 N University Dr Ste C
Nacogdoches, TX 75961-5126 - Phone
- (833) 560-6633
- Fax
- (936) 560-3105
- NPI assigned
- Mar 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Brenda Louise Holbert-Fernandez, FNP-BC
- Title
- Business Owner
- Phone
- (833) 560-6633
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 581785 | TX | Primary |
| Local Education Agency (LEA) | 251300000X | |||
| Case Management Agency | 251B00000X | 581785 | TX | |
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Rural Health Clinic/Center | 261QR1300X | |||
| Private Vehicle | 347C00000X | |||
| Family Nurse Practitioner | 363LF0000X | AP109196 | TX |
Addresses
Primary practice location
115 N University Dr Ste C
Nacogdoches, TX 75961-5126
Mailing address
115 N University Dr Ste C
Nacogdoches, TX 75961-5126
Phone (833) 560-6633
National Provider Directory
National Provider DirectoryLocations
115 N University Dr
Ste C
Nacogdoches, TX 75961
Phone (833) 560-6633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1992208664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 N UNIVERSITY DR STE C",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759615126",
"telephone_number": "833-560-6633",
"fax_number": "936-560-3105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N UNIVERSITY DR STE C",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759615126",
"telephone_number": "833-560-6633",
"fax_number": "936-560-3105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "N MED",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-08",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "HOLBERT-FERNANDEZ",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "833-560-6633",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "TX",
"license": "581785",
"primary": true
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "TX",
"license": "581785",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP109196",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.