FAMILY CARE OF HENDERSON, PLLC - NPI 1164123014 - Nurse Practitioner in Henderson, TX

Q: What is Family Care Of Henderson, PLLC's NPI number?

The NPI number for Family Care Of Henderson, PLLC is 1164123014. It was assigned to this organization in the NPPES registry on March 16, 2023.

Q: What is Family Care Of Henderson, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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About Family Care Of Henderson, Pllc NPPES

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

FAMILY CARE OF HENDERSON, PLLC (NPI 1164123014) is a healthcare organization registered as a family in Henderson, Texas and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through March 8, 2027 and lists Brenda Sue Iffland, Np, as its authorized official.

NPPES Registry Identity

NPI1164123014

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameFAMILY CARE OF HENDERSON, PLLC

Location Address321 WILSON STHenderson, TX 75652-5957

Mailing Address321 Wilson StHenderson, TX 75652-5957 · (903) 392-0005 · Fax (903) 392-7772

Phone(903) 392-0005

Fax(903) 392-7772

Organization SubpartNo

Authorized OfficialBrenda Sue IfflandNp · (903) 392-0005

Enumeration DateMarch 16, 2023

Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration

NPPES CertifiedAugust 18, 2023

✔ NPI 1164123014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

321 WILSON ST, Henderson, TX 75652

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2277993

Family Care Of Henderson, PLLC · Henderson, TX

Active · expires Mar 8, 2027

CLIA Number45D2277993

Laboratory TypePractitioner Other

Certificate Effective DateMarch 9, 2025

Certificate Expiration DateMarch 8, 2027

Laboratory DirectorBrenda S. Iffland

Laboratory Phone(903) 805-6856

Laboratory LocationFamily Care Of Henderson, PLLC321 Wilson Street, Henderson, TX 75652

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

BRENDA S IFFLAND FNP-C

Nurse Practitioner (Family)

321 WILSON ST
HENDERSON, TX 75652

Rusk County (903) 392-0005

U.S.WALGAMA MD PA

Internal Medicine

321 WILSON ST
HENDERSON, TX 75652

Rusk County (903) 658-4349

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 Family Care Of Henderson, PLLC's NPI number?

The NPI number for Family Care Of Henderson, PLLC is 1164123014. It was assigned to this organization in the NPPES registry on March 16, 2023.

Where is Family Care Of Henderson, PLLC located?

Family Care Of Henderson, PLLC is located at 321 Wilson St, Henderson, TX 75652. The listed phone number is (903) 392-0005.

What is Family Care Of Henderson, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Family Care Of Henderson, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2277993) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Care Of Henderson, PLLC was last updated on August 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.