IVY HEALTHCARE
NPI 1710585617
Nurse Practitioner - Family in Longview, TX

NPI Status: Active since October 13, 2020

Contact Information

1100 N 4TH ST
LONGVIEW, TX
ZIP 75601
Phone: (903) 918-8520
Fax: (866) 842-1649

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Nurse Practitioner
Family

About IVY HEALTHCARE

This page provides the complete NPI Profile along with additional information for Ivy Healthcare, a provider established in Longview, Texas operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1710585617 assigned on October 2020. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sheila Brinkman Np (Owner/provider)

NPI: 1710585617
Provider Name: IVY HEALTHCARE
Entity Type: Organization
Location Address: 1100 N 4TH ST LONGVIEW, TX 75601
Location Phone: (903) 918-8520
Location Fax: (866) 842-1649
Mailing Address: PO BOX 6059 LONGVIEW, TX 75608
Mailing Phone: (903) 918-8520
Mailing Fax: (866) 842-1649
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-13-2020
Last Update Date: 01-07-2021
Code Navigator

A nurse practitioner (NP) like Ivy Healthcare is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner Family
Taxonomy Code: 363LF0000X
Type: Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: SHEILA BRINKMAN NP
Authorized Official Title: OWNER/PROVIDER
Authorized Official Phone: (903) 918-8520

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
AP140963	OTHER (01)	TX	LICENSE TO PRACTICE

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	1	0	5	8	5	6	1	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	2	0	10	8	10	6	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 0 + 8 + 1 + 0 + 6 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 7									7

The NPI number 1710585617 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.