MRS. JACKIE CARVER (NPI# 1154719094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154719094 |
| Entity Type | Individual |
| Full Name | MRS. JACKIE CARVER |
| Credential | CPO, LPO |
| Practice Address |
1614 Louetta Rd Suite E Spring TX 77388-4787 |
| Practice Telephone | 2816319400 |
| Practice Fax Number | 2816319410 |
| Mailing Telephone | 2816319400 |
| Mailing Fax Number | 2816319410 |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | 1017 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | 1017 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1614 LOUETTA RD SUITE E |
| City | SPRING |
| State | TX |
| Zip Code | 77388-4787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912304312 | Leslie Sombito | Orthotist | 1614 Louetta Rd, Suite E, Spring, TX 77388-4787 | 2014-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391020 | Patricia Tate Gaston | Registered Nurse | 4923 Kasos Isle Dr, Spring, TX 77388 | 2018-09-25 |
| 1740762707 | Katie Hunsaker | Registered Nurse | 1822 Adobe Falls Dr, Spring, TX 77388 | 2018-09-05 |
| 1730661885 | Shantia Kazemi Esfeh | Dentist | 3100 Fm 2920 Rd # Tx77388, Spring, TX 77388 | 2018-09-05 |
| 1801372024 | Sebastian Trung Khanh Nguyen | Dentist | 19507 Interstate 45 Ste 522, Spring, TX 77388 | 2018-07-11 |
| 1952894461 | Ameen M Mukhi | Dentist | 3403 Louetta Rd Ste B, Spring, TX 77388 | 2018-06-08 |
| 1427563006 | H-e-b, Lp | Clinical Medical Laboratory | 5251 Fm 2920, Spring, TX 77388 | 2017-12-05 |
| 1487165536 | Rx Spring Pharmacy | Pharmacy | 3301 Louetta Rd, Suite 101, Spring, TX 77388 | 2017-10-17 |
| 1679091045 | Fresenius Medical Care Spring Klein Dialysis Center, LLC | Clinic/Center | 5230 Fm 2920 Road, Spring, TX 77388 | 2017-09-06 |
| 1801312194 | Ashley Neal | Behavioral Analyst | 21426 Hannover Pines Dr., Spring, TX 77388 | 2017-08-17 |
| 1023472602 | Cvs Pharmacy | Pharmacist | 19511 I H 45, Spring, TX 77388 | 2016-04-08 |
| Find all providers in zip 77388 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487083648 | Craig Saravo | Prosthetist | 500 Spring Hill Dr, Ste 200, Spring, TX 77386-6023 | 2013-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151678 | Emelia A Nwokobia | Prosthetist | 5218 Urban Crest Rd, Dallas, TX 75227-1530 | 2020-10-12 |
| 1952911984 | Aisha Mathis | Prosthetist | 3405 Midway Rd Ste 420, Plano, TX 75093-8144 | 2020-08-04 |
| 1568083897 | Shawana Duncantel | Prosthetist | 4700 Trimmier Rd Ste F, Killeen, TX 76542-5870 | 2020-04-28 |
| 1922631043 | Kyera Johnson | Prosthetist | 5619 Aldine Bender Rd Apt 275b, Houston, TX 77032-4506 | 2020-02-17 |
| 1003447764 | Capital Prosthetics & Orthotics, LLC | Prosthetist | 4125 Old Denton Rd, Carrollton, TX 75010-2309 | 2020-01-31 |
| 1053950303 | Billy Gordon | Prosthetist | 4001 Ross Ave Apt 111, Dallas, TX 75204-5252 | 2020-01-04 |
| 1427696145 | M D Prosthetics | Prosthetist | 2000 Crawford St Ste 1122, Houston, TX 77002-9065 | 2019-12-12 |
| 1669029849 | Monika J Salon LLC | Prosthetist | 17610 Midway Rd Ste 122, Dallas, TX 75287-6741 | 2019-08-21 |
| 1356997332 | Taylor Nicole Hickson | Prosthetist | 7703 Floyd Curl Dr # Mc7798, San Antonio, TX 78229-3901 | 2019-08-14 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 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.