BRENT JAMES GOTCHER (NPI# 1154803724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154803724 |
| Entity Type | Individual |
| Full Name | BRENT JAMES GOTCHER |
| Practice Address |
156 County Road 122 E Nacogdoches TX 75965-8802 |
| Practice Telephone | 9363712190 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 197043 | TX | Nursing Service Providers |
| Street Address |
156 COUNTY ROAD 122 E |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-8802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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 |
|---|---|---|---|---|
| 1467010512 | Lesvia Castillo Reyes | Licensed Vocational Nurse | 914 Holly Oak St, Nacogdoches, TX 75964-5805 | 2019-06-04 |
| 1427511807 | Carmen Dominguez | Licensed Vocational Nurse | 1058 Burt Dr, Nacogdoches, TX 75965-7228 | 2019-04-11 |
| 1396202370 | Deana Marie Weaver | Licensed Vocational Nurse | 1030 County Road 237, Nacogdoches, TX 75961-0343 | 2019-02-26 |
| 1275014094 | Connie Nicole Hamner | Licensed Vocational Nurse | 214 Cr 387, Nacogdoches, TX 75961 | 2018-08-29 |
| 1811479637 | Sequoyah Mayfield | Licensed Vocational Nurse | 1630 Cardinal St Apt 436, Nacogdoches, TX 75961-4311 | 2018-08-29 |
| 1396225785 | Linda Kay Hawkins | Licensed Vocational Nurse | 528 Tangleberry Dr Apt 17, Nacogdoches, TX 75961-4664 | 2018-08-15 |
| 1093293862 | Shannon Lance Miller | Licensed Vocational Nurse | 133 Marilyn St, Nacogdoches, TX 75961-5448 | 2018-08-02 |
| 1356835466 | Helana June Abdullah | Licensed Vocational Nurse | 1920 Tanglewood Cir, Nacogdoches, TX 75961-4609 | 2018-06-21 |
| 1487159935 | Karla T Christopher | Licensed Vocational Nurse | 134 Fm 2782, Nacogdoches, TX 75964-2402 | 2018-03-27 |
| 1114427135 | Amber Jolene Monk | Licensed Vocational Nurse | 8364 County Road 145, Nacogdoches, TX 75965-8478 | 2018-02-16 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
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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.