=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023822913
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GENEVA ELAINE HONEYCUTT RN, NC-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/03/2025
-----------------------------------------------------
Last Update Date | 08/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | PO BOX 204
-----------------------------------------------------
City | FAIRFIELD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75840-0004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-284-5339
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 204
-----------------------------------------------------
City | FAIRFIELD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75840-0004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-284-5339
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WL0100X
-----------------------------------------------------
Taxonomy Name | Lactation Consultant (Registered Nurse)
-----------------------------------------------------
License Number | 812781
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 171400000X
-----------------------------------------------------
Taxonomy Name | Health & Wellness Coach
-----------------------------------------------------
License Number | 20306H5
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 812781
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 163WM0102X
-----------------------------------------------------
Taxonomy Name | Maternal Newborn Registered Nurse
-----------------------------------------------------
License Number | 812781
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------