DR. NATHANIEL PUCKETT DO
NPI 1356144000
Student in an Organized Health Care Education/Training Program in Temple, TX

Q: What is Nathaniel Puckett's NPI number?

The NPI number for Nathaniel Puckett is 1356144000. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Q: What is Nathaniel Puckett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nathaniel Puckett was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since March 28, 2025PECOS Enrolled

2401 S 31ST ST, TEMPLE, TX 76508(254) 771-8401 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2025, Mar 28, 2025 (2 updates tracked since 2025).

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About Dr. Nathaniel Puckett Do NPPES

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

DR. NATHANIEL PUCKETT DO (NPI 1356144000) is an individual student in an organized health care education/training program in Temple, Texas and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356144000

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. NATHANIEL PUCKETTCredential: DO

Location Address2401 S 31ST STTemple, TX 76508-0001

Mailing Address2401 S 31st St # Ms -s2663Temple, TX 76508-0001

Phone(254) 771-8401

Sole ProprietorNo

Enumeration DateMarch 28, 2025

Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1356144000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2401 S 31ST ST, Temple, TX 76508

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nathaniel Puckett Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. TIFFANY JONES BERRY MD

Family Medicine