JILL QUIAMBAO (NPI# 1265583504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265583504 |
| Entity Type | Individual |
| Full Name | JILL QUIAMBAO |
| Credential | RN, FNP-C |
| Practice Address |
1220 N Pacific St Ste 2 Mineola TX 75773-1068 |
| Practice Telephone | 9035690610 |
| Practice Fax Number | 9035690676 |
| Mailing Telephone | 9035690610 |
| Mailing Fax Number | 9035690676 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
667190 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LIC # | 667190 | 01 |
| Street Address |
1220 N PACIFIC ST STE 2 |
| City | MINEOLA |
| State | TX |
| Zip Code | 75773-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295368470 | J.l. Miguez, Inc. | Hearing Aid Equipment | 125 W. Broad Street, Mineola, TX 75773 | 2020-02-17 |
| 1063992709 | Revis Pernell | Licensed Vocational Nurse | 497 Cr 2363, Mineola, TX 75773 | 2018-08-21 |
| 1205338258 | Cricket Weber | Registered Nurse | 555 Private Road 6307, Mineola, TX 75773 | 2018-03-06 |
| 1942720354 | Heidi Leann Hoke | Nutritionist | 123 N. Line St., Mineola, TX 75773 | 2017-06-27 |
| 1083787865 | East Texas Rayon Services, LLC | Durable Medical Equipment & Medical Supplies | 5361 S State High Way 37, Mineola, TX 75773 | 2006-11-17 |
| 1902999113 | Johnny Allen Colegrove | Chiropractor | 1044 N Pacific, Mineola, TX 75773 | 2006-10-02 |
| 1679670731 | John Christopher Lee | Dentist | 223 N Graham, Mineola, TX 75773 | 2006-09-20 |
| 1154358638 | Jose Ricardo Martinez | Family Medicine | 5875 South Hwy. 37, Mineola, TX 75773 | 2006-06-28 |
| 1891167151 | Jamie Johnson | Nurse Practitioner | 1302 N Pacific St, Mineola, TX 75773 | 2015-10-27 |
| 1184941320 | Dan Riddle White | Dentist | 1800 South Pacific, Mineola, TX 75773 | 2010-04-28 |
| Find all providers in zip 75773 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508334624 | Lisa Michele Campbell | Nurse Practitioner | 228 W Broad St, Mineola, TX 75773-2006 | 2018-11-06 |
| 1275022139 | Christina Josephine Megerian | Nurse Practitioner | 210 Old Country Rd, Mineola, NY 11501-4218 | 2018-05-07 |
| 1356880066 | Kaitlin J Duignan | Nurse Practitioner | 222 Station Plz N Ste 104, Mineola, NY 11501-3800 | 2017-02-14 |
| 1609976380 | Janice M. Morrell | Nurse Practitioner | 212 Mineola Blvd, Mineola, NY 11501 | 2006-09-23 |
| 1174139216 | Sneha Joseph | Nurse Practitioner | 137 Willis Ave, Mineola, NY 11501-2677 | 2020-09-22 |
| 1174136121 | Anatoliy Mirkin | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-08-28 |
| 1497368823 | Sajumon K Joseph | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-08-25 |
| 1164040143 | Melissa Dale Kersch | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-07-07 |
| 1427691302 | Thaleshravi Prashad | Nurse Practitioner | 120 Mineola Blvd Ste 500, Mineola, NY 11501-4074 | 2019-10-23 |
| 1477037323 | Amarina Evans O'byrne | Nurse Practitioner | 1302 N Pacific St, Mineola, TX 75773-1022 | 2018-09-17 |
| Find all providers in MINEOLA | ||||
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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.