LAKE DALLAS FAMILY MEDICINE PLLC
NPI 1871158907
Nurse Practitioner - Family in Lake Dallas, TX
About Lake Dallas Family Medicine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE DALLAS FAMILY MEDICINE PLLC (NPI 1871158907) is a healthcare organization registered as a family in Lake Dallas, Texas and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through August 27, 2027 and lists Carmen Phillips White, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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 45D2171260
Lake Dallas Family Medicine, PLLC · Lake Dallas, TXOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lake Dallas Family Medicine PLLC's NPI number?
The NPI number for Lake Dallas Family Medicine PLLC is 1871158907. It was assigned to this organization in the NPPES registry on May 3, 2019.
Where is Lake Dallas Family Medicine PLLC located?
Lake Dallas Family Medicine PLLC is located at 503 Main St Ste C, Lake Dallas, TX 75065. The listed phone number is (940) 535-5296.
What is Lake Dallas Family Medicine PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Lake Dallas Family Medicine PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2171260) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lake Dallas Family Medicine PLLC accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Lake Dallas Family Medicine PLLC 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 Lake Dallas Family Medicine PLLC was last updated on June 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.
