| NPI | 1083101075 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2018-04-16 |
| Last Updated | 2020-02-20 |
| Authorized Official | Siminibe Moneke Managing Member Phone: 4695858129 |
| Mailing Address | 7268 Portillo Grand Prairie, TX 75054-0073 United States Phone: (469) 585-8129 | Fax: (866) 803-8759 📍 View Map |
| Primary Practice Address | 111 Executive Way Ste 102 Desoto, TX 75115-2388 United States Phone: (469) 941-4029 | Fax: (866) 803-8759 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LF0000X – Nurse Practitioner, Family | — | — |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1083101075
Hephzibah Visiting Clinicians is an organization registered in the CMS NPPES NPI Registry with NPI number 1083101075. The primary specialty listed is Nurse Practitioner, Family. The organization is located in Desoto, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-04-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083101075?
NPI 1083101075 belongs to Hephzibah Visiting Clinicians, a Nurse Practitioner, Family in Desoto, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083101075 active?
The current status of NPI 1083101075 in the NPPES registry is Active. The record was last updated on 2020-02-20.
What specialty is NPI 1083101075?
NPI 1083101075 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083101075?
You can verify NPI 1083101075 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083101075?
The primary practice address on file for NPI 1083101075 is 111 Executive Way Ste 102, Desoto, TX 75115-2388. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083101075 issued?
NPI 1083101075 was first issued (enumerated) on 2018-04-16. The NPPES record was last updated on 2020-02-20.
Practice Location Map
Hephzibah Visiting Clinicians is located at 111 Executive Way Ste 102, Desoto, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Hephzibah Visiting Clinicians. All records sourced from the CMS NPPES registry.