MRS. JENNIFER MINGBOUPHA (NPI# 1043829336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043829336 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER MINGBOUPHA |
| Credential | LVN |
| Practice Address |
509 Molly Ln Lindale TX 75771-6537 |
| Practice Telephone | 6822198677 |
| Mailing Telephone | 6822198677 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 351888 | TX | Nursing Service Providers |
| Street Address |
509 MOLLY LN |
| City | LINDALE |
| State | TX |
| Zip Code | 75771-6537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915017 | Stephanie Michelle Christian | Licensed Vocational Nurse | 1376 Bridle Path Lane, Hideaway, TX 75771 | 2019-08-01 |
| 1831684349 | Andrew Bednarek | Counselor | 1510 S. Vine Street, Tyler, TX 75771 | 2018-06-27 |
| 1891287579 | Lindale Smiles | Dentist | 120 E Centennial Boulevard, Suite 302, Lindale, TX 75771 | 2018-05-30 |
| 1801396643 | Barbara Sue Warren | Registered Nurse | 15498 County Road 4140, Lindale, TX 75771 | 2018-02-19 |
| 1568900876 | Kathryn D. Ketter Dba Snider Adult Foster Care | Custodial Care Facility | 16337 Esther Rd, Lindale, TX 75771 | 2017-02-07 |
| 1932556578 | Zenith Hospice Care Inc | Hospice Care, Community Based | 700 N Main Street, Lindale, TX 75771 | 2016-05-23 |
| 1548424898 | Jack Wallace Rice | Family Medicine | 20044 Fm 16 W, Lindale, TX 75771 | 2008-07-16 |
| 1487776514 | Lindale Isd | Local Education Agency (LEA) | 402 West North St, Lindale, TX 75771 | 2007-04-06 |
| 1881745537 | B Clay Keith Dds Pa | Dentist | 410 Eagle Spirit Drive, Lindale, TX 75771 | 2007-01-16 |
| 1992873715 | Champagne Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N. Main Street, Lindale, TX 75771 | 2006-12-01 |
| Find all providers in zip 75771 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234500 | Ka'leria Cunningham | Licensed Practical Nurse | 442 Carroll Ave, Wake Village, TX 75501-5733 | 2020-10-27 |
| 1073113387 | Tiffiany Hansen | Licensed Practical Nurse | 163 County Road 1856, Chico, TX 76431-3429 | 2020-10-27 |
| 1538769740 | Kerri Kathleen Benavides | Licensed Practical Nurse | 2424 Wilcrest Dr Ste 100, Houston, TX 77042-2753 | 2020-10-27 |
| 1144828740 | Gabriella M Carrillo | Licensed Practical Nurse | 1712 E 13th St, Monahans, TX 79756-2129 | 2020-10-15 |
| 1366040198 | Michelle Merritt Gary | Licensed Practical Nurse | 118 Merritt Ln, Hemphill, TX 75948-3137 | 2020-10-14 |
| 1508464652 | Ariana Wilson | Licensed Practical Nurse | 1125 Elm St, Abilene, TX 79602-3718 | 2020-10-12 |
| 1962009431 | Victoria A Jernigan | Licensed Practical Nurse | 250 County Road 4311, Hondo, TX 78861-5035 | 2020-10-07 |
| 1558968271 | Dana Marie Griffin | Licensed Practical Nurse | 9747 Harbor Mist Ln, Converse, TX 78109-1836 | 2020-10-06 |
| 1184221772 | Coretta Renee Thomas | Licensed Practical Nurse | 1204 G W Jackson Ave, Corsicana, TX 75110-5604 | 2020-10-06 |
| 1194322032 | Flor Karime Jurado | Licensed Practical Nurse | 1410 Cowan Street, Pecos, TX 79772 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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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.