MARY JESSICA MERTINS (NPI# 1447392303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447392303 |
| Entity Type | Individual |
| Full Name | MARY JESSICA MERTINS |
| Credential | FNP |
| Practice Address |
540 W. 15th Street Hereford TX 79045 |
| Practice Telephone | 8063647512 |
| Practice Fax Number | 8063645256 |
| Mailing Telephone | 8063647512 |
| Mailing Fax Number | 8063645256 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2010-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
617852 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PRESCRIPTION ID NUMBER | 06710 | 01 |
| TX | RN LICENSE NUMBER | 617852 | 01 |
| Street Address |
540 W. 15TH STREET |
| City | HEREFORD |
| State | TX |
| Zip Code | 79045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396737466 | Carolyn S Jansa | Nurse Practitioner | 540 W. 15th Street, Hereford, TX 79045 | 2005-08-16 |
| 1053301234 | Carmen B Flood | Nurse Practitioner | 540 W. 15th Street, Hereford, TX 79045 | 2005-10-27 |
| 1902898075 | Howard R Johnson | Family Medicine | 540 W. 15th Street, Hereford, TX 79045 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386848471 | Strategic Care of Hereford, LLC. | Skilled Nursing Facility | 231 Kingwood Street, Hereford, TX 79045 | 2007-06-12 |
| 1700965431 | Rick Roden Dds Inc | Dentist | 129 W 5th, Hereford, TX 79045 | 2006-11-03 |
| 1417054917 | Cvs Pharmacy Inc | Pharmacy | 101 West Park Ave, Hereford, TX 79045 | 2006-09-20 |
| 1376941682 | Kameshkumar Patel | Dentist | 701 N 25 Mile Ave, Smile Accent Pllc, Hereford, TX 79045 | 2014-12-18 |
| 1174782825 | Hereford Pharmacy, LLC | Pharmacy | 809 S 25 Mile Ave, Hereford, TX 79045 | 2008-06-07 |
| 1780723791 | Trevor Rohm | Emergency Medicine | 540 W 15th St, Hereford, TX 79045 | 2007-02-06 |
| 1043273873 | Sean Daryl Wengroff | Obstetrics & Gynecology | 540 W 15th St, Hereford, TX 79045 | 2006-04-11 |
| 1285600957 | John E Hartin | Nurse Anesthetist, Certified Registered | 540 W 15th St, Hereford, TX 79045 | 2006-02-23 |
| 1376869560 | The Ranch @ La Plata, LLC | Community/Behavioral Health | 121 West Fourth, Hereford, TX 79045-0000 | 2010-04-13 |
| 1588900682 | Shelley Montina Graham | Physical Therapy Assistant | 400 Ranger St, Hereford, TX 79045-2812 | 2012-12-17 |
| Find all providers in zip 79045 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029544 | Kylie Joan Culp | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2020-09-28 |
| 1134770043 | Michelle Lynn Williams | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2019-09-23 |
| 1003394560 | Lauren Brooke Jones | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2018-08-06 |
| 1366928640 | Jennifer Louise Heiman | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2018-07-19 |
| 1205354578 | Mary Ellen Briones | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2017-09-06 |
| 1477094209 | Susan Cruz | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2017-03-13 |
| 1457801599 | Amy Stovall | Nurse Practitioner | 125 W Park Ave, Hereford, TX 79045-4201 | 2016-10-13 |
| 1871965285 | Allison Hall Bromwell | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2015-10-25 |
| 1629417431 | Julie Marie Hutchinson | Nurse Practitioner | 10524 E Highway 92, Hereford, AZ 85615 | 2013-06-14 |
| 1700138328 | Lorena Warren | Nurse Practitioner | 10524 E Highway 92, Hereford, AZ 85615-8371 | 2012-10-05 |
| Find all providers in HEREFORD | ||||
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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.