ASU- SANJACINTO SCHOOL BASED CLINIC (NPI# 1417061128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417061128 |
| Entity Type | Organization |
| Organization Name | ASU- SANJACINTO SCHOOL BASED CLINIC |
| Practice Address |
800 Spaulding St San Angelo TX 76903-4930 |
| Mailing Address |
223 S Abe St San Angelo TX 76903-6305 |
| Practice Telephone | 3256557969 |
| Mailing Telephone | 3256557969 |
| Mailing Fax Number | 3256557976 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-10-23 |
| Authorized Official Name | LINDA FERGUSON (DIRECTOR) |
| Authorized Official Telephone | 3256557969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
509681 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 SPAULDING ST |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-4930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205259181 | Jeffri Long | Behavioral Analyst | 800 Spaulding St, San Angelo, TX 76903-4930 | 2014-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914539 | Atrium House Call Clinic, LLC | Nurse Practitioner | 10729 Audelia Rd Ste 210, Dallas, TX 75238-1000 | 2019-10-23 |
| 1376003962 | Jumpstart Health LLC | Nurse Practitioner | 5227 Reading Rd, Rosenberg, TX 77471-5758 | 2019-03-21 |
| 1760983886 | Emilia Okere | Nurse Practitioner | 13119 Hill Canyon Ln, Houston, TX 77072-5636 | 2018-02-23 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1063833754 | Jenny Khan | Nurse Practitioner | 1400 S Loop 336 W, Conroe, TX 77304-3317 | 2013-12-23 |
| 1386853562 | Cherryl Lynn Rowell | Nurse Practitioner | 106 West Rusk Street, Mount Enterprise, TX 75681-0489 | 2007-05-22 |
| 1811967417 | Shawn D. Dowe | Nurse Practitioner | 25615 Us Highway 281 N Ste 250, San Antonio, TX 78258 | 2006-01-25 |
| 1295367795 | Kendra Joy Vandover | Nurse Practitioner | 1401 S University Dr, Nacogdoches, TX 75961-6488 | 2020-02-12 |
| 1255870010 | Charla Lambert Denman | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2017-02-13 |
| 1003284472 | Marie L Neba | Nurse Practitioner | 14226 Ashmore Reef Ct, Sugar Land, TX 77498-7598 | 2015-09-02 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANGELO |
| Zip Code | 76903 |
Please comment or provide details below to improve the information on ASU- SANJACINTO SCHOOL BASED CLINIC.
| 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.