JOHNNY MALCOLM HASSERODT (NPI# 1164716072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164716072 |
| Entity Type | Individual |
| Full Name | JOHNNY MALCOLM HASSERODT |
| Credential | NP |
| Practice Address |
13725 Northwest Blvd Ste 260 Corpus Christi TX 78410-5123 |
| Mailing Address |
Po Box 261017 Corpus Christi TX 78426-1017 |
| Practice Telephone | 3613875161 |
| Mailing Telephone | 3613875161 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2016-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 674744 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13725 NORTHWEST BLVD STE 260 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78410-5123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006736 | Ifeyinwa B Nwolisa | Pharmacist | 4101 Ih 69, Suite C, Corpus Christi, TX 78410 | 2020-09-08 |
| 1417486333 | Calallen Dental & Orthodontics Pllc | Dentist | 14101 Northwest Blvd Ste 111, Corpus Christi, TX 78410 | 2017-06-05 |
| 1811395734 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 14017 Northest Blvd., Suite 109-b, Corpus Christi, TX 78410 | 2014-12-09 |
| 1811324841 | Nicholas S Baucum | Chiropractor | 14902 Trinity River Dr Ste 2, Corpus Christi, TX 78410 | 2013-10-04 |
| 1477865954 | Brett D Chapman | Dentist | 13725 Northwest Blvd., Medical Plaza 1, Ste. 1, Corpus Christi, TX 78410 | 2010-07-13 |
| 1063644227 | Professionals Inserting Central Catheters, Inc. | Registered Nurse | 4309 Lavaca River Ct, Corpus Christi, TX 78410 | 2009-08-20 |
| 1568639177 | Whisper Creek Adult Day Care, Inc. | Custodial Care Facility | 13665 Teague Lane, Corpus Christi, TX 78410 | 2008-05-13 |
| 1821143637 | Albert Henry Guzman | Durable Medical Equipment & Medical Supplies | 4613 Cornett Dr, Corpus Christi, TX 78410 | 2007-01-24 |
| 1083771026 | Erica Contreras | Physical Therapy Assistant | 13138 Leopard St, Corpus Christi, TX 78410 | 2007-01-02 |
| 1619065604 | John Theodore Thompson | Dentist | 4101 Us Hwy 77 Ste M 1a, Corpus Christi, TX 78410 | 2006-10-11 |
| Find all providers in zip 78410 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881229276 | Albert Michael Castaneda | Nurse Practitioner | 14317 Northwest Blvd Ste D, Corpus Christi, TX 78410-5536 | 2020-03-06 |
| 1538792734 | Carely Zayde Soto | Nurse Practitioner | 7409 Lake Windemere Dr, Corpus Christi, TX 78413-5735 | 2020-02-16 |
| 1275185266 | Corpus Choice Pain Management | Nurse Practitioner | 3425 Twin River Blvd, Corpus Christi, TX 78410-2000 | 2019-07-10 |
| 1407416431 | Jesse Galvan Rossett | Nurse Practitioner | Morgan Pediatric Center, 2418 Morgan Ave, Corpus Christi, TX 78405-1806 | 2019-06-20 |
| 1508304668 | Johnny Don Roberts | Nurse Practitioner | 5805 Hinman Dr, Corpus Christi, TX 78412-2841 | 2017-02-08 |
| 1578810040 | Day Primary Care Pllc | Nurse Practitioner | 9901 Compton Rd, Corpus Christi, TX 78418-5113 | 2012-08-14 |
| 1942598495 | Cynthia Maiden | Nurse Practitioner | 14646 Compass St Ste 8, Corpus Christi, TX 78418-6232 | 2011-07-19 |
| 1881821692 | Rudolfo Castillo Deleon Jr. | Nurse Practitioner | 14254 S Padre Island Dr Ste 207, Corpus Christi, TX 78418-6278 | 2009-06-18 |
| 1568615318 | Heather Anne Kostoff | Nurse Practitioner | 2701 Morgan Ave Ste 400, Corpus Christi, TX 78405-1848 | 2008-10-24 |
| 1891891602 | Bonnie R Ross | Nurse Practitioner | 1415 Santa Fe St, Corpus Christi, TX 78404-2105 | 2006-09-16 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78410 |
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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.