Organization Active NPI

N Med

  • Registered Nurse
  • Nacogdoches, TX
National Provider Identifier
1992208664
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
581785 Issued in TX
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

Updated by the provider on Jun 16, 2018

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)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 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 PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.