Mr. Kyle Patrick Urbanek
Nurse Practitioner (Family)

Address: 705 E Marshall Ave Ste 5000, Longview, TX 75601-5660
Phone: 9033163646

Mr. Kyle Patrick Urbanek (NPI# 1346778685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1346778685
Entity Type Individual
Full Name Mr. Kyle Patrick Urbanek
Gender Male
Practice Address 705 E Marshall Ave Ste 5000
Longview
TX 75601-5660
Practice Telephone 9033163646
Mailing Address Po Box 846098
Dallas
TX 75284-6098
Mailing Telephone 9033246400
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2017-05-31
Last Update Date 2019-09-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers AP134194 TX

Other Provider Identifier

State Identifier Issuer Type Code
TX 380278704 MEDICAID
TX 817780 OTHER MEDICARE
TX P02270110 OTHER MEDICARE RAIL ROAD
TX 8LE707 OTHER BCBS

Physician Overview

NPI 1346778685
PAC ID by PECOS 2961761101
Professional Enrollment ID I20180117000463
Full Name Kyle P Urbanek
Organization Legal Name TRINITY CLINIC
Phone Number 9035101186
Gender M
Medical School TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 3072426741
Number of Group Practice Members 595
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450032 GOOD SHEPHERD MEDICAL CENTER MARSHALL

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154920247 Lisa Kalynn Sanders Nurse Practitioner 2128 Page Creek Trl, Longview, TX 75601-0007 2020-10-20
1265030993 Sarah Dawson Nurse Practitioner 2040 Eden Dr, Longview, TX 75601-3415 2020-10-14
1104455716 Carol Henry Nurse Practitioner 287 E Cliffwood St, Longview, TX 75603-7556 2020-04-06
1831720374 Kaycee Whatley Nurse Practitioner 323 W Hawkins Parkway, Longview, TX 75605 2020-02-03
1649821901 Heather M Wilson Nurse Practitioner 2828 Bill Owens Pkwy Ste B, Longview, TX 75605-2102 2019-09-26
1942777826 Cami Jo Tice-harouff Nurse Practitioner 16 Ramblewood Dr, Longview, TX 75605-3351 2018-10-29
1417481623 Cody Castle Nurse Practitioner 1103 Eden Dr, Longview, TX 75605-3114 2017-04-13
1134570856 Virginia Hardaway Nurse Practitioner 2953 Country Club Rd W, Longview, TX 75602-6861 2016-06-23
1275994824 Alto Behavioral Health Services Pllc Nurse Practitioner 827 Lansing Switch Rd, Longview, TX 75602-7102 2016-03-10
1780058743 Joanna Wimer Nurse Practitioner 1718 Kessler Blvd, Longview, WA 98632-3634 2015-11-13
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Office Location

Street Address 705 E MARSHALL AVE STE 5000
City LONGVIEW
State TX
Zip Code 75601-5660

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992351076 Stebbins Hospice LLC Hospice Care, Community Based 600-602 E. Whaley, Longview, TX 75601 2019-08-14
1720437692 J.l. Miguez, Inc. Hearing Aid Equipment 822 N 4th Street, Longview, TX 75601 2016-06-10
1801244090 Voyage Medical Solutions, LLC Durable Medical Equipment & Medical Supplies 111 W Tyler St, Longview, TX 75601 2016-05-27
1134504426 Siobain Kay Rogers Nurse Practitioner 703 E Marshall Ave Ste 4003, Longview, TX 75601 2015-07-28
1669882882 Snehal Shrivastava Internal Medicine 1402 N 4th St Ste 300, Longview, TX 75601 2014-04-28
1679824221 Jennifer Ruth Williams Occupational Therapist 110 E Tyler St, Longview, TX 75601 2012-09-23
1548525603 Candice Renee Ramos Social Worker 950 N Sixth St, Longview, TX 75601 2012-07-05
1497082747 Jarett S Harkness Pharmacist 511 E. Marshall Avenue, Longview, TX 75601 2009-11-06
1407086333 Udeme Ekpenyong Pediatrics 818 N. 4th St., Longview, TX 75601 2009-07-27
1386823359 Assisted Living Concepts Inc Assisted Living Facility 2104 Alpine Road, Longview, TX 75601 2007-10-26
Find all providers in zip 75601

Competitor

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City LONGVIEW
Zip Code 75601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.