=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427966639
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HONEYCOMB HEALTH GROUP, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/29/2026
-----------------------------------------------------
Last Update Date | 08/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 117 HOOK NORTON LN
-----------------------------------------------------
City | WHITEHOUSE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75791-5004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-405-8323
-----------------------------------------------------
Fax | 903-705-1622
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5380 OLD BULLARD RD STE 600-244
-----------------------------------------------------
City | TYLER
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75703-3607
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-405-8323
-----------------------------------------------------
Fax | 903-705-1622
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JANNA TRACY PHIFER
-----------------------------------------------------
Credential | RD, LD
-----------------------------------------------------
Telephone | 903-202-3113
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------