PROF. MARY CLEMENT ATILLO (NPI# 1417448358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417448358 |
| Entity Type | Individual |
| Full Name | PROF. MARY CLEMENT ATILLO |
| Practice Address |
5604 Nelson Oaks Dr Austin TX 78724-7238 |
| Practice Telephone | 9565338038 |
| Mailing Telephone | 9565228038 |
| Enumeration Date | 2018-05-26 |
| Last Update Date | 2018-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 233296 | TX | Nursing Service Providers |
| Street Address |
5604 NELSON OAKS DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78724-7238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164901781 | Brittany Mays | Social Worker | 5410 King Henry Dr, Austin, Austin, TX 78724 | 2018-08-14 |
| 1790174852 | Dane Deciero | Social Worker | 8509 Fm 969, Building 627, C/o Kipp Austin College Prep, Austin, TX 78724 | 2015-01-13 |
| 1194047209 | Beena Benny | Counselor | 7309 Lazy Creek Dr, Austin, TX 78724 | 2010-02-17 |
| 1285726075 | Beverly Jeannine Veltman | Physical Therapist | 6005 Gilbert Rd, Patient Homes, Austin, TX 78724 | 2006-09-29 |
| 1770594764 | Belda Zamora | Family Medicine | 2100 E 6th St, Suite B, Austin, TX 78724 | 2006-08-11 |
| 1184709602 | Oakcrest Manor Nursing Home LLC | Nursing Facility/Intermediate Care Facility | 9808 Crofford Ln, Austin, TX 78724-1004 | 2006-10-25 |
| 1912359407 | Oakcrest Operating LLC | Skilled Nursing Facility | 9808 Crofford Ln, Austin, TX 78724-1004 | 2016-07-07 |
| 1790264174 | Kamilah Corinne Silas | Licensed Vocational Nurse | 8712 Old Manor Rd Apt 2201, Austin, TX 78724-1832 | 2018-08-07 |
| 1750743050 | Justin Rueckert | Student in an Organized Health Care Education/Training Program | 7723 Springdale Rd, Austin, TX 78724-2200 | 2016-03-25 |
| 1669099917 | Kendall Crowns | Pathology | 7723 Springdale Rd, Austin, TX 78724-2200 | 2020-07-02 |
| Find all providers in zip 78724 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598393308 | Yahira Aleman | Licensed Vocational Nurse | 10705 Casitas Dr, Austin, TX 78717-3872 | 2020-03-28 |
| 1245882810 | Shirley Jean Graves | Licensed Vocational Nurse | 401 S Park Dr, Austin, TX 78704-6346 | 2019-07-12 |
| 1457810558 | Bianca Danielle Brown | Licensed Vocational Nurse | 810 E Slaughter Ln Apt 11204, Austin, TX 78744-2139 | 2019-03-18 |
| 1174097059 | Amy Lynn Macafee | Licensed Vocational Nurse | 3737 Executive Center Dr Ste 250, Austin, TX 78731-1640 | 2019-01-14 |
| 1326513664 | Joseph Guptil Connors IIi | Licensed Vocational Nurse | 7409 Cedar Edge Dr, Austin, TX 78744-1705 | 2018-10-12 |
| 1881179240 | Clara Luz Loza | Licensed Vocational Nurse | 1165 Airport Blvd Fl 2, Austin, TX 78702-3152 | 2018-10-01 |
| 1922581693 | Beauty Uzoma Achonye | Licensed Vocational Nurse | 11024 Cairnhill Ct, Austin, TX 78754-2162 | 2018-09-10 |
| 1750862629 | Purity Thande Nash | Licensed Vocational Nurse | 11312 Barns Trl, Austin, TX 78754-6049 | 2018-08-28 |
| 1801377791 | Claudia Yanira Mireles | Licensed Vocational Nurse | 12041 Dessau Rd Apt 809, Austin, TX 78754-1710 | 2018-08-28 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| Find all providers in AUSTIN | ||||
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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.