| Little Black Bag House Calls Llc | |
|
901 Indiana Ave Suite 635 Wichita Falls TX 76301-6719 | |
| (940) 217-5589 | |
| Not Available |
| Full Name | Little Black Bag House Calls Llc |
|---|---|
| Speciality | General Practice |
| Location | 901 Indiana Ave, Wichita Falls, Texas |
| Authorized Official Name and Position | Summer Napier (OWNER) |
| Authorized Official Contact | 9406131123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Black Bag House Calls Llc 901 Indiana Ave Suite 635 Wichita Falls TX 76301-6719 Ph: (940) 217-5589 | Little Black Bag House Calls Llc 901 Indiana Ave Suite 635 Wichita Falls TX 76301-6719 Ph: (940) 217-5589 |
| NPI Number | 1376078881 |
|---|---|
| Provider Enumeration Date | 04/22/2017 |
| Last Update Date | 04/22/2017 |
| Medicare PECOS PAC ID | 2163794629 |
|---|---|
| Medicare Enrollment ID | O20170817001749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376078881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Kimberly A Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699774422 PECOS PAC ID: 2264534445 Enrollment ID: I20070507000257 |
| Provider Name | Tammie D Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356498331 PECOS PAC ID: 6709955560 Enrollment ID: I20080520000165 |
| Provider Name | Kristina Lynn Green Halberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134404114 PECOS PAC ID: 6406022516 Enrollment ID: I20111220000424 |
| Provider Name | Vicki Elizabeth Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457780801 PECOS PAC ID: 8729200464 Enrollment ID: I20141112001501 |
| Provider Name | Brent J Wetendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134437346 PECOS PAC ID: 4688997935 Enrollment ID: I20141218000289 |
| Provider Name | Kimberly Renee Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760853451 PECOS PAC ID: 2668770819 Enrollment ID: I20160421000340 |
| Provider Name | Aaron Boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124567607 PECOS PAC ID: 3971876848 Enrollment ID: I20180216000219 |
| Provider Name | Vanessa E Bounds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346731981 PECOS PAC ID: 1951658046 Enrollment ID: I20180720000277 |
| Provider Name | Alicia Leigh Cure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689151730 PECOS PAC ID: 8123378494 Enrollment ID: I20180906003097 |
| Provider Name | Justin David Gellner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982189452 PECOS PAC ID: 5193064913 Enrollment ID: I20190221002943 |
| Provider Name | Amy Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386295665 PECOS PAC ID: 4385976281 Enrollment ID: I20191025001505 |
| Provider Name | Kimberly Allgood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790335859 PECOS PAC ID: 6204168099 Enrollment ID: I20191028002789 |
| Provider Name | Stephen Ray Halberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245877000 PECOS PAC ID: 4688008311 Enrollment ID: I20200106000287 |
| Provider Name | David Brandt Oneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952918625 PECOS PAC ID: 0345650438 Enrollment ID: I20201030000947 |
| Provider Name | Alishia D Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669098463 PECOS PAC ID: 4688084114 Enrollment ID: I20201111002376 |
| Provider Name | Navjot Kaur Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275159923 PECOS PAC ID: 2062823180 Enrollment ID: I20201123000010 |
| Provider Name | Jodie Marie Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437734712 PECOS PAC ID: 5395153951 Enrollment ID: I20210420001258 |
| Provider Name | Jessica Nicole Parkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114536109 PECOS PAC ID: 4880097559 Enrollment ID: I20210720000422 |
| Provider Name | Heather Nicole Shaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871176859 PECOS PAC ID: 7810391927 Enrollment ID: I20210812000045 |
| Provider Name | Christine J Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871162305 PECOS PAC ID: 1355749722 Enrollment ID: I20211015000648 |
| Provider Name | Natasha Suzanne Smithey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972138691 PECOS PAC ID: 5991193229 Enrollment ID: I20211019002107 |
| Provider Name | Katelyn Ferris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134897499 PECOS PAC ID: 2466831300 Enrollment ID: I20220623000122 |
| Provider Name | Brittanye Kayleen Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821563834 PECOS PAC ID: 6800140997 Enrollment ID: I20220720000416 |
| Provider Name | Blanca Lizzeth Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356025415 PECOS PAC ID: 5092177816 Enrollment ID: I20230810003268 |
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