KELLIE LYNN MYERS


Address: 26015 Penguin St, Magnolia, TX 77355-6249
Phone: 2819142693

KELLIE LYNN MYERS (NPI# 1083215800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083215800
Entity Type Individual
Full Name KELLIE LYNN MYERS
Credential APRN
Practice Address 26015 Penguin St
Magnolia
TX 77355-6249
Practice Telephone 2819142693
Mailing Telephone 2819142693
Enumeration Date 2020-11-06
Last Update Date 2020-11-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
1017779 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLIE MYERS

NPI Name Taxonomy Address Enumeration
1326103714 Kellie Rose Myers Speech-Language Pathologist 1254 Challenge Rd, Batavia, IL 60510-4548 2006-12-26

Office Location

Street Address 26015 PENGUIN ST
City MAGNOLIA
State TX
Zip Code 77355-6249

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760904684 Celia Hicks Surgery 30503 N Sulphur Creek Dr, Magnolia, TX 77355 2017-07-12
1275063232 Courtney Leeann Hoffman Dentist 827 S. Magnolia Blvd., Suite 1, Magnolia, TX 77355 2017-06-13
1730484668 Cynthia Ann Aubin Massage Therapist 20072 Forestview Dr, Magnolia, TX 77355 2011-01-25
1588989883 D & D Heavenly Home Health Inc Home Health 322 Pecan Dr, Magnolia, TX 77355 2010-03-30
1023179207 Randall Dean Walker Family Medicine 827 S. Magnolia Blvd, Suite 6, Magnolia, TX 77355 2006-12-12
1093808651 Texas Minor Emergency Center, Lp Emergency Medicine 827 S. Magnolia Blvd., #6, Magnolia, TX 77355 2006-10-02
1376653691 Stephen H Nabors Dentist 827 S Magnolia Blvd, Magnolia, TX 77355 2006-08-30
1225041981 Magnolia Physical Therapy Physical Therapist 18602 Fm 1488, Ste 600, Magnolia, TX 77355 2006-08-14
1235788506 Annie Laurie Frazier Physical Therapy Assistant 24069 Wilde Dr, Magnolia, TX 77355-1507 2019-09-09
1851556807 Lea Montgomery Occupational Therapy Assistant 25660 Magnolia Pines Dr, Magnolia, TX 77355-1891 2008-07-18
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1265030787 Lissa Flory Nurse Practitioner 4679 Dreibrodt Rd, San Marcos, TX 78666-3388 2020-10-16
1235737941 Barton Skinner Nurse Practitioner 17806 W I-10, Suite 300, San Antonio, TX 78257 2020-10-14
1972101897 Biny Sam George Nurse Practitioner 7207 Baitland Dr, Missouri City, TX 77459-2035 2020-10-13
1285231282 Nkechi I Carter Nurse Practitioner 1550 Katy Gap Rd Apt 1406, Katy, TX 77494-5878 2020-10-03
1770190753 Julius Osabor Obianke Nurse Practitioner 1000 Fallon Dr, Mckinney, TX 75071-1210 2020-09-24
1740896315 Mackenzie Brooks Jackson Nurse Practitioner 46 N Creekside Ct, Houston, TX 77055-7540 2020-09-19
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Competitor

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City MAGNOLIA
Zip Code 77355

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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.

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