KATHEREN BACCUS (NPI# 1083896567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083896567 |
| Entity Type | Individual |
| Full Name | KATHEREN BACCUS |
| Credential | CPNP |
| Practice Address |
1317 N Hillcrest Dr Sulphur Springs TX 75482-2091 |
| Practice Telephone | 9034381110 |
| Practice Fax Number | 9034381107 |
| Mailing Telephone | 9034381110 |
| Mailing Fax Number | 9034381107 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2017-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
558304 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TAX ID | 752950731 | 01 |
| TX | 198135905 | 05 | |
| TX | 198135904 | 05 |
| Street Address |
1317 N HILLCREST DR |
| City | SULPHUR SPRINGS |
| State | TX |
| Zip Code | 75482-2091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245204288 | Chandra Deel Oud | Physician Assistant | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2006-02-15 |
| 1295381010 | Macy Sims | Nurse Practitioner | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2019-08-16 |
| 1902377393 | Jennifer L Garriga | Nurse Practitioner | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2018-12-10 |
| 1215489331 | Kimberly Humphrey | Nurse Practitioner | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2016-10-25 |
| 1457782260 | Stephanie Hawkins | Nurse Practitioner | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2013-12-03 |
| 1922373810 | Emily Ann Noble | Physician Assistant | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2012-03-12 |
| 1912295320 | Abbey Ellen Roper | Nurse Practitioner | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2011-07-19 |
| 1164654737 | Adrian Denise Childress | Physician Assistant | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2009-08-17 |
| 1245419431 | Jordan's Place Pediatrics, Pa | Clinic/Center | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2007-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083211866 | Carolyn Sue Wheeler | Pharmacist | 809 Gilmer Rd, Sulphur Springs, TX 75482 | 2020-10-05 |
| 1952940371 | Max Baxter II | Technician | 130 Sherry Lane, Sulphur Springs, TX 75482 | 2020-01-02 |
| 1700427093 | Talon Thomas Bell | Chiropractor | 2655 Texas Highway 11 East, Sulphur Springs, TX 75482 | 2019-10-08 |
| 1184275711 | Community Health Service Agency, Inc. | Clinic/Center | 105-ll Medical Plaza, Sulphur Springs, TX 75482 | 2019-09-25 |
| 1184107211 | Julie Ann Gustafson | Registered Nurse | 60 Cr 2323, Sulphur Springs, TX 75482 | 2018-09-14 |
| 1437639317 | Heath White | Physical Therapy Assistant | 3846 Fm 2285, Sulphur Springs, TX 75482 | 2018-08-20 |
| 1336650175 | Sulphur Springs Chiropractic Associates Inc | Chiropractor | 207 Jefferson St E, Sulphur Springs, TX 75482 | 2017-10-19 |
| 1497027361 | Daniel Lawrence, Dds, PC | Clinic/Center | 620 Church Street, Sulphur Springs, TX 75482 | 2012-02-07 |
| 1952607467 | Travis J Wies | Nurse Practitioner | 1339 S Broadway St, Sulphur Springs, TX 75482 | 2011-01-31 |
| 1205163458 | Ashlei Thomas | Social Worker | 803 Putman St, Sulphur Springs, TX 75482 | 2009-11-09 |
| Find all providers in zip 75482 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295381010 | Macy Sims | Nurse Practitioner | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2019-08-16 |
| 1902377393 | Jennifer L Garriga | Nurse Practitioner | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2018-12-10 |
| 1457782260 | Stephanie Hawkins | Nurse Practitioner | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2013-12-03 |
| 1295028470 | Rose Marie Campbell | Nurse Practitioner | 105 Medical Plz, Sulphur Springs, TX 75482-2136 | 2011-05-22 |
| 1801112453 | Melaine M Reese | Nurse Practitioner | 105 Medical Plz, Sulphur Springs, TX 75482-2136 | 2010-04-07 |
| 1639364409 | Kelly L Newsome | Nurse Practitioner | 105 Medical Plz, Sulphur Springs, TX 75482-2136 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1275134355 | Trevor Hill | Nurse Practitioner | 19708 Northwest Fwy Ste 500, Jersey Village, TX 77065-5626 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
| 1356949697 | Elizabeth Danielle Harrington | Nurse Practitioner | 213 Woodbine Dr, Burleson, TX 76028-6175 | 2020-10-09 |
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1679189567 | Jessica Dawn Crow | Nurse Practitioner | 801 Nuthatch Ct, Northlake, TX 76226-2863 | 2020-09-16 |
| 1457965436 | Jeanan Alameddine | Nurse Practitioner | 823 Catalpa Pl, Missouri City, TX 77459-5709 | 2020-09-07 |
| 1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
| 1760095251 | Chelsey Jensen Bailey | Nurse Practitioner | 433 Sagebrush Dr, Aledo, TX 76008-1340 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | SULPHUR SPRINGS |
| Zip Code | 75482 |
Please comment or provide details below to improve the information on KATHEREN BACCUS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.