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KATHEREN BACCUS CPNP
NPI 1083896567
Nurse Practitioner - Pediatrics in Sulphur Springs, TX

Active since November 27, 2007
1317 N HILLCREST DR, SULPHUR SPRINGS, TX 75482(903) 438-1110(903) 438-1107 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 23, 2017, Feb 26, 2016, Jan 22, 2016 (3 updates tracked since 2016).

About Katheren Baccus Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHEREN BACCUS CPNP (NPI 1083896567) is an individual pediatrics provider in Sulphur Springs, Texas, licensed in Texas (558304) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1083896567
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHEREN BACCUSCredential: CPNP
Location Address1317 N HILLCREST DRSulphur Springs, TX 75482-2091
Mailing Address1317 N Hillcrest DrSulphur Springs, TX 75482-2091 · (903) 438-1110 · Fax (903) 438-1107
Phone(903) 438-1110
Fax(903) 438-1107
Sole ProprietorNo
Enumeration DateNovember 27, 2007
Last NPPES UpdateJanuary 23, 20173 updates tracked since enumeration
✔ NPI 1083896567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 558304
1317 N HILLCREST DR, Sulphur Springs, TX 75482
Open in Google Maps ↗

Other Identifiers 3

Medicaid198135905TX
Other752950731TX · Tax Id
Medicaid198135904TX

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN'S PLACE PEDIATRICS, PA
Clinic/Center (Rural Health)
1317 N HILLCREST DR
SULPHUR SPRINGS, TX 75482
Hopkins County (903) 438-1110
GINA MARIE FOSTER APRN, FNP-C
Nurse Practitioner (Family)
1317 N HILLCREST DR
SULPHUR SPRINGS, TX 75482
Hopkins County (903) 438-1110
ADRIAN DENISE CHILDRESS PA-C
Physician Assistant
1317 N HILLCREST DR
SULPHUR SPRINGS, TX 75482
Hopkins County (903) 438-1110
MRS. CHANDRA DEEL OUD PA-C
Physician Assistant
1317 N HILLCREST DR
SULPHUR SPRINGS, TX 75482
Hopkins County (903) 438-1110
JORDAN'S PLACE PEDIATRICS, PA
Clinic/Center (Primary Care)
1317 N HILLCREST DR
SULPHUR SPRINGS, TX 75482
Hopkins County (903) 438-1110
ALYSON MORGAN CPNP-PC
Nurse Practitioner (Pediatrics)
1317 N HILLCREST DR
SULPHUR SPRINGS, TX 75482
Hopkins County (903) 438-1110
SHANNON KELLY KENNEDY FNP-C
Nurse Practitioner (Family)
1317 N HILLCREST DR
SULPHUR SPRINGS, TX 75482
Hopkins County (903) 438-1110
RACHEL L. COWLEY MD
Pediatrics
1317 N HILLCREST DR
SULPHUR SPRINGS, TX 75482
Hopkins County (903) 438-1110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katheren Baccus's NPI number?

The NPI number for Katheren Baccus is 1083896567. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Where is Katheren Baccus located?

Katheren Baccus practices at 1317 N Hillcrest Dr, Sulphur Springs, TX 75482. The listed phone number is (903) 438-1110.

What is Katheren Baccus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Katheren Baccus was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.