MR. DEREK KRIST SKAPARS


Address: 1205 W University Blvd, Odessa, TX 79764-7119
Phone: 4326145720

MR. DEREK KRIST SKAPARS (NPI# 1265883169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265883169
Entity Type Individual
Full Name MR. DEREK KRIST SKAPARS
Other Name MR. DEREK KRIST SKAPARS
Credential LCDCI
Practice Address 1205 W University Blvd
Odessa
TX 79764-7119
Mailing Address 2300 N Muskingum Ave
B
Odessa
TX 79761-1246
Practice Telephone 4326145720
Practice Fax Number 8777294033
Mailing Telephone 6027688818
Mailing Fax Number 8777294033
Enumeration Date 2016-06-22
Last Update Date 2016-06-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
24323 TX Behavioral Health & Social Service Providers

Office Location

Street Address 1205 W UNIVERSITY BLVD
City ODESSA
State TX
Zip Code 79764-7119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427410836 Hailey Selby Counselor 1205 W University Blvd, Odessa, TX 79764-7119 2016-03-24
1467963744 Holistic Wellness Institute Counselor 1205 W University Blvd, Odessa, TX 79764-7119 2017-10-13
1649781931 Tommy L. Pool Counselor 1205 W University Blvd, Odessa, TX 79764-7119 2017-10-13
1891205217 Tommy L. Pool, II Clinic/Center 1205 W University Blvd, Odessa, TX 79764-7119 2017-10-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710466610 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 3050 W University Blvd, Odessa, TX 79764 2018-08-10
1962897405 H-e-b, Lp Clinical Medical Laboratory 2501 W. University Blvd, Odessa, TX 79764 2015-04-01
1184022758 Md Moinul Islam Physician Assistant 6030 W. University, Odessa, TX 79764 2014-12-15
1962618637 D&s Residential Services Intermediate Care Facility, Mentally Retarded 10036 West Westland Drive, Odessa, TX 79764 2007-05-16
1992119838 Gary Chase Jackson Optometrist 6030 W University Blvd, Odessa, TX 79764 2014-06-18
1609128594 Amanda Lynn Paradeaux Nurse Practitioner 3001 W University Blvd, Odessa, TX 79764 2012-10-03
1760619498 Cindy A Smith Speech-Language Pathologist 8712 Claymoor Dr, Odessa, TX 79764-1252 2009-06-21
1003316084 Maranda Pina Garza Licensed Vocational Nurse 24 Bookins Ct, Odessa, TX 79764-1401 2018-02-16
1255378717 United Supermarkets LLC Durable Medical Equipment & Medical Supplies 2751 N County Rd W, Odessa, TX 79764-1665 2006-06-01
1578112454 Shaikat Banerjee Pharmacist 2751 N County Rd W, Odessa, TX 79764-1665 2019-09-04
Find all providers in zip 79764

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427410836 Hailey Selby Counselor 1205 W University Blvd, Odessa, TX 79764-7119 2016-03-24
1184031551 Genevia Raylene Slate Counselor 822 N Lee Ave, Odessa, TX 79761-3945 2014-07-17
1942611876 Paula Fleisher Nelson Counselor 1340 Lake Polo Dr, Odessa, FL 33556-1700 2014-05-13
1245529544 Yvette Garcia Counselor 1012 W Macarthur, Odessa, TX 79763 2011-04-07
1518256551 Angela Renee Myers Counselor 2000 Maurice Rd, Odessa, TX 79763-4811 2011-03-30
1104150879 Larry L Anderson Counselor 1418 Shafter Ave, Odessa, TX 79761-3131 2009-09-28
1992938401 Rebecca Marie Christian Counselor 4230 E 53rd St, #1125, Odessa, TX 79762-4850 2009-08-31
1104060094 Roger Martin Counselor 1512 N Grandview Ave, Odessa, TX 79761-3044 2009-04-23
1427113406 Anna Marie Scroggins Counselor 404 E 7th St, Odessa, TX 79761-4518 2006-12-27
1316007271 Glenda G Collins Counselor 1512 N Grandview, Ste E, Odessa, TX 79761-3045 2006-12-11
Find all providers in ODESSA

Competitor

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City ODESSA
Zip Code 79764

Improve Information

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Dataset Information

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.

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