MR. JEAN DAVI PELLEGALLE (NPI# 1013528884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013528884 |
| Entity Type | Individual |
| Full Name | MR. JEAN DAVI PELLEGALLE |
| Credential | MSN, APRN, FNP-C |
| Practice Address |
1300 N 6th St Longview TX 75601-5567 |
| Mailing Address |
7228 County Road 3152 Tyler TX 75708-6704 |
| Practice Telephone | 9037592922 |
| Mailing Telephone | 9035395745 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP144507 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1300 N 6TH ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-5567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760543482 | James Gregory Harold | Psychiatry & Neurology | 1300 N 6th St, Longview, TX 75601-5567 | 2006-12-13 |
| 1134726839 | Tommy Chambers | Counselor | 1300 N 6th St, Longview, TX 75601-5567 | 2020-10-06 |
| 1386278265 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1300 N 6th St, Longview, TX 75601-5567 | 2020-02-28 |
| 1376189308 | Keith Allen Kirbow | Nurse Practitioner | 1300 N 6th St, Longview, TX 75601-5567 | 2019-11-25 |
| 1588205637 | Ryan Scott Oakley | Counselor | 1300 N 6th St, Longview, TX 75601-5567 | 2019-09-30 |
| 1831673789 | Taylor Richardson | Physician Assistant | 1300 N 6th St, Longview, TX 75601-5567 | 2018-09-17 |
| 1902392871 | Jeremiah R Sanders | Nurse Practitioner | 1300 N 6th St, Longview, TX 75601-5567 | 2018-07-03 |
| 1740783620 | Special Health Resources for Texas, Incorporated | Clinic/Center | 1300 N 6th St, Longview, TX 75601-5567 | 2018-03-16 |
| 1437674611 | Denver Elaine Dykes | Counselor | 1300 N 6th St, Longview, TX 75604 | 2017-08-08 |
| 1568990372 | Rachel Ann Harrington | Counselor | 1300 N 6th St, Longview, TX 75601-5567 | 2017-05-24 |
| Find all providers in the same location | ||||
| 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 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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 |
| 1346778685 | Kyle Patrick Urbanek | Nurse Practitioner | 705 E Marshall Ave Ste 5000, Longview, TX 75601-5660 | 2017-05-31 |
| 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 |
| Find all providers in LONGVIEW | ||||
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| 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.