Individual provider Active NPI

Patrica L Nation, PHD

  • Psychologist
  • Bryan, TX
National Provider Identifier
1992870141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
TX2-6887 Issued in TX
Practice address
4343 Carter Creek Pkwy
Suite 120
Bryan, TX 77802-4491
Phone
(979) 260-6919
Fax
(979) 260-6918
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X TX2-6887 TX Primary

Addresses

Primary practice location

4343 Carter Creek Pkwy
Suite 120
Bryan, TX 77802-4491

Mailing address

4343 Carter Creek Pkwy
Suite 120
Bryan, TX 77802-4491
Phone (979) 260-6919

Other identifiers 1

IdentifierTypeStateIssuer
TX2-6887OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309000950 TX Practitioner - Clinical Psychologist 7517855737 Practice locations: Bryan, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
TX2-6887TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Nation, PHD Psychologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992870141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 CARTER CREEK PKWY",
            "address_2": "SUITE 120",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024491",
            "telephone_number": "979-260-6919",
            "fax_number": "979-260-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 CARTER CREEK PKWY",
            "address_2": "SUITE 120",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024491",
            "telephone_number": "979-260-6919",
            "fax_number": "979-260-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATION",
        "first_name": "PATRICA",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "TX2-6887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "TX2-6887",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.