MRS. SHANNON LYNN YOUNG DELACRUZ (NPI# 1164893889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164893889 |
Entity Type | Individual |
Full Name | MRS. SHANNON LYNN YOUNG DELACRUZ |
Credential | FNP-C |
Practice Address |
302 E Commerce Brownwood TX 76801 |
Mailing Address |
1501 Burnet Rd Brownwood TX 76801-8520 |
Practice Telephone | 3255103370 |
Mailing Telephone | 3256468541 |
Enumeration Date | 2015-10-08 |
Last Update Date | 2020-09-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP129021 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
302 E COMMERCE |
City | BROWNWOOD |
State | TX |
Zip Code | 76801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902388374 | Jessica Moreno | Licensed Vocational Nurse | 1401 Indian Creek Dr, Brownwood, TX 76801 | 2018-09-03 |
1801314232 | Patrick M. Padgett | Hearing Instrument Specialist | 2510 Crockett Dr. Ste. A, Brownwood, TX 76801 | 2017-09-06 |
1376061911 | Alisandra Margaret Dirickson | Physician Assistant | 101 A South Park Drive, Brownwood, TX 76801 | 2017-09-05 |
1629441654 | Hennepin Dialysis LLC | Clinic/Center | 2511 Crockett Dr, Brownwood, TX 76801 | 2015-11-13 |
1295125821 | David George Curtis | General Practice | 611 Fm 3254, Brownwood, TX 76801 | 2015-02-04 |
1619371374 | Sanketkumar Parikh | Pharmacist | 200 West Commerce Street, 377 Villas, Brownwood, TX 76801 | 2014-10-09 |
1144621384 | Timothy Leon Taylor | Counselor | 408 Mulberry St., Brownwood, TX 76801 | 2014-09-08 |
1851667521 | Lee Healthcare Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 118 B Southpark Dr., Brownwood, TX 76801 | 2012-03-28 |
1619261302 | Ginger Rebecca Smith | Counselor | 408 Mulberry, Brownwood, TX 76801 | 2011-05-31 |
1235439449 | W. Hutchins, Inc. | Dental Hygienist | 2512 Crockett Dr., Brownwood, TX 76801 | 2010-10-22 |
Find all providers in zip 76801 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326585175 | Christopher Sutton | Nurse Practitioner | 801 Early Blvd Ste 200, Brownwood, TX 76802-2179 | 2017-01-31 |
1457952558 | Jessica L Waller | Nurse Practitioner | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2020-11-04 |
1821635475 | Skye D Altieri | Nurse Practitioner | 2371 Crockett Dr Ste 102, Brownwood, TX 76801-5994 | 2019-12-03 |
1427532688 | Ann Jones | Nurse Practitioner | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2018-09-23 |
1538683024 | James Hollon | Nurse Practitioner | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2017-07-27 |
1356875041 | Pamela Sue Worthington | Nurse Practitioner | 123 S Park Dr, Brownwood, TX 76801-5917 | 2017-04-19 |
1932654142 | Elizabeth Miller | Nurse Practitioner | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2016-08-17 |
1043587124 | Tanja Morgan | Nurse Practitioner | 109 S Park Dr, Brownwood, TX 76801-5917 | 2011-11-17 |
1235416470 | Alexis Stephens | Nurse Practitioner | 120 S Park Dr Ste C, Brownwood, TX 76801-5958 | 2011-11-15 |
1679896856 | Elizabeth Vallejo | Nurse Practitioner | 100 S Park Dr, Brownwood, TX 76801-5918 | 2010-03-02 |
Find all providers in BROWNWOOD |
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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.