SAM ALLEN NIX FNP NPI 1780075473

NPI Information

NPI: 1780075473
Provider Name: SAM ALLEN NIX, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: TOTAL ACCESS SOLUTIONS

PECOS Registration: Yes

Address:
3809 E 9TH ST STE 15
TEXARKANA, AR
ZIP 71854
Phone: (870) 621-0080
Get Directions

Sam Allen Nix, FNP is a family nurse practitioner in Texarkana, AR with 10 years of experience. Sam Allen Nix, FNP NPI is 1780075473. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3809 E 9TH ST STE 15
TEXARKANA, AR
ZIP 71854-818
Phone: (870) 621-0080
Fax: (870) 621-0081

The NPI 1780075473 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/17/2015 and was last updated on 9/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A004574	ARKANSAS	Yes
2	363LF0000X	Nurse Practitioner	Family	AP127398	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	211556758	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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