Provider Demographics
NPI:1295963163
Name:1 NP INC
Entity type:Organization
Organization Name:1 NP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, ACNP-BC, FNP-BC
Authorized Official - Phone:806-481-7000
Mailing Address - Street 1:PO BOX 245
Mailing Address - Street 2:
Mailing Address - City:FARWELL
Mailing Address - State:TX
Mailing Address - Zip Code:79325-0245
Mailing Address - Country:US
Mailing Address - Phone:806-481-7000
Mailing Address - Fax:806-481-1006
Practice Address - Street 1:405 AVENUE A
Practice Address - Street 2:
Practice Address - City:FARWELL
Practice Address - State:TX
Practice Address - Zip Code:79325-6657
Practice Address - Country:US
Practice Address - Phone:806-481-7000
Practice Address - Fax:806-481-1006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-30
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX710186363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0068SLOtherBC/BS GROUP
TX207389201Medicaid
TX803N38OtherBC/BS INDIVIDUAL
TX803N38OtherBC/BS INDIVIDUAL