JO S KOEPSEL (NPI# 1104885086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104885086 |
| Entity Type | Individual |
| Full Name | JO S KOEPSEL |
| Credential | PMHWP |
| Practice Address |
5440 Old Brownsville Rd. Corpus Christi TX 78417 |
| Practice Telephone | 3614521151 |
| Practice Fax Number | 3614521517 |
| Mailing Telephone | 3614521151 |
| Mailing Fax Number | 3614521517 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP105046 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
232350 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
232350 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 038062801 | 05 | |
| TX | 038062802 | 05 | |
| TX | BC/BS OF TX | 8H8660 | 01 |
| Street Address |
5440 OLD BROWNSVILLE RD. |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265495683 | Joseph E Whitfield Sr. | Physician Assistant | 5440 Old Brownsville Rd., Corpus Christi, TX 78417 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093998940 | Isd Corpus Christi LLC | Clinic/Center | 1533 Holly Rd, Corpus Christi, TX 78417-2010 | 2007-12-14 |
| 1649688573 | Carmen Sarabia | Nurse Practitioner | 1605 Triple Crown Dr, Corpus Christi, TX 78417-3110 | 2014-07-23 |
| 1073012019 | Olivia Guerrero | Behavior Technician | 2230 Saratoga Blvd Ste 1800, Corpus Christi, TX 78417-3400 | 2018-02-05 |
| 1255873576 | Cecilia Tapia | Behavioral Analyst | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2016-11-17 |
| 1558976829 | Savannah Gutierrez | Behavioral Analyst | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2020-09-13 |
| 1538774237 | Caitlyn Webb Hill | Behavioral Analyst | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2020-09-10 |
| 1114530102 | Maira Alexandra Bonilla | Behavior Technician | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2020-08-28 |
| 1619516473 | Anjelica Lissette Trejo | Behavior Technician | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2019-12-26 |
| 1366089948 | Catherine Gabbert | Behavior Technician | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2019-12-03 |
| 1407497597 | Kaitlyn Johnson | Behavior Technician | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2019-10-01 |
| Find all providers in zip 78417 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079473 | Dean Salomon Garza | Nurse Practitioner | 4913 Valley Stream Dr, Corpus Christi, TX 78413-2443 | 2020-09-24 |
| 1689285587 | Catherine Kelley | Nurse Practitioner | 4141 S Staples St Ste 101, Corpus Christi, TX 78411-2115 | 2020-08-13 |
| 1093326167 | Faith Ebangha Mabo | Nurse Practitioner | 6405 Clairfield St, Corpus Christi, TX 78414-3520 | 2020-08-12 |
| 1821616111 | Mary Alice Browning-taylor | Nurse Practitioner | 4314 Platte River Dr, Corpus Christi, TX 78410-5721 | 2020-07-13 |
| 1699392969 | Marcel Marcelo | Nurse Practitioner | 7213 Spanish Wood Dr, Corpus Christi, TX 78414-6241 | 2020-07-02 |
| 1013539287 | Monica Isabel Olague | Nurse Practitioner | 117 W Vanderbilt Dr, Corpus Christi, TX 78415-4736 | 2020-05-11 |
| 1437786555 | Jennifer Vala | Nurse Practitioner | 5802 Saratoga Blvd Ste 120, Corpus Christi, TX 78414-4253 | 2020-03-26 |
| 1285260042 | Liza Nicole Sanchez | Nurse Practitioner | 3830 Andrea Ln, Corpus Christi, TX 78414-5800 | 2020-03-12 |
| 1154961084 | Lindsay Deanne Bray | Nurse Practitioner | 1625 Rodd Field Rd # 200, Corpus Christi, TX 78412-4926 | 2020-01-08 |
| 1174162713 | Angela Marie Stith | Nurse Practitioner | 15957 Punta Espada Loop, Corpus Christi, TX 78418-6626 | 2019-12-30 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78417 |
Please comment or provide details below to improve the information on JO S KOEPSEL.
| 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.