WHITESBORO FAMILY MEDICAL CLINIC LLC
NPI 1710593413
Nurse Practitioner in Whitesboro, TX

Active since September 17, 2020CLIA 45D0487497 · Waiver
304 CHARLIE ST, WHITESBORO, TX 76273(903) 564-3503 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 15, 2020, Sep 17, 2020 (2 updates tracked since 2020).

About Whitesboro Family Medical Clinic Llc NPPES

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

WHITESBORO FAMILY MEDICAL CLINIC LLC (NPI 1710593413) is a healthcare organization registered as a nurse practitioner in Whitesboro, Texas and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Amy Dangelmayr, Owner, as its authorized official.

NPPES Registry Identity

NPI1710593413
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameWHITESBORO FAMILY MEDICAL CLINIC LLC
Location Address304 CHARLIE STWhitesboro, TX 76273-1103
Mailing Address304 Charlie StWhitesboro, TX 76273-1103 · (903) 564-3503
Organization SubpartNo
Authorized OfficialAmy DangelmayrOwner · (903) 564-3503
Enumeration DateSeptember 17, 2020
Last NPPES UpdateOctober 15, 20202 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
NPI 1710593413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedFamily MedicineTaxonomy 207Q00000X
304 CHARLIE ST, Whitesboro, TX 76273

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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 45D0487497

Whitesboro Family Medical Clinic · Whitesboro, TX
Active · expires Dec 21, 2026
CLIA Number45D0487497
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorLlogan Yosten
Laboratory Phone(903) 564-3503
Laboratory LocationWhitesboro Family Medical Clinic304 Charlie Drive, Whitesboro, TX 76273
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
304 CHARLIE ST
WHITESBORO, TX 76273

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 Whitesboro Family Medical Clinic LLC's NPI number?

The NPI number for Whitesboro Family Medical Clinic LLC is 1710593413. It was assigned to this organization in the NPPES registry on September 17, 2020.

Where is Whitesboro Family Medical Clinic LLC located?

Whitesboro Family Medical Clinic LLC is located at 304 Charlie St, Whitesboro, TX 76273. The listed phone number is (903) 564-3503.

What is Whitesboro Family Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Whitesboro Family Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0487497) is associated with this NPI, valid through December 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Whitesboro Family Medical Clinic LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Whitesboro Family Medical Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Whitesboro Family Medical Clinic LLC was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.