ERICKSON MATA (NPI# 1467953281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467953281 |
| Entity Type | Individual |
| Full Name | ERICKSON MATA |
| Practice Address |
3201 Cherry Ridge St Ste 400 San Antonio TX 78230-4820 |
| Mailing Address |
11710 Parliament St Apt 706 San Antonio TX 78213-1167 |
| Practice Telephone | 2106920222 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 189977 | TX | Nursing Service Providers |
| Street Address |
3201 CHERRY RIDGE ST STE 400 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78230-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770092835 | Nicholas Emmanuel Venegas | Physical Therapy Assistant | 3201 Cherry Ridge St Ste 400, San Antonio, TX 78230-4820 | 2017-09-21 |
| 1992287502 | Clarissa Barrera | Specialist/Technologist | 3201 Cherry Ridge St Ste 400, San Antonio, TX 78230-4820 | 2018-08-30 |
| 1346742491 | Kristina Marie Garcia | Pediatrics | 3201 Cherry Ridge St Ste 400, San Antonio, TX 78230-4820 | 2018-03-05 |
| 1376045955 | Danielle Nicole Jackson | Licensed Vocational Nurse | 3201 Cherry Ridge St Ste 400, San Antonio, TX 78230-4820 | 2018-02-28 |
| 1275045221 | Francisco Ybarra Sanchez Jr. | Physical Medicine & Rehabilitation | 3201 Cherry Ridge St Ste 400, San Antonio, TX 78230-4820 | 2017-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
| 1861033144 | Aspasia Amtsberg | Licensed Practical Nurse | 7710 W I-10, San Antonio, TX 78230 | 2019-10-08 |
| 1841840212 | Allison Danielle Davidson | Licensed Vocational Nurse | 7710 West, I-10, San Antonio, TX 78230 | 2019-09-17 |
| 1063062800 | Dalisa Kelly Bacon | Nurse's Aide | 7710 West I 10, San Antonio, TX 78230 | 2019-09-13 |
| 1952878134 | Yvette Turner | Licensed Practical Nurse | 4951 Woodstone Dr, Apt 615 Face 2, San Antonio, TX 78230 | 2018-10-25 |
| 1396226270 | Tammy Lynn Saldana | Registered Nurse | 7710 W I10, San Antonio, TX 78230 | 2018-08-28 |
| 1891275699 | Nina Lum Fru Baumgarten | Counselor | 7710 W1h 10, San Antonio, TX 78230 | 2018-08-21 |
| 1952880833 | Rebecca N Khorram | Speech-Language Pathologist | I-10 W 10609 Frontage Rd, 105, San Antonio, TX 78230 | 2018-08-10 |
| 1770071540 | Michael Allen Kent | Counselor | Northwest Atrium, 11550 West I-10, Suite 235, San Antonio, TX 78230 | 2018-04-27 |
| Find all providers in zip 78230 | ||||
| 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 |
|---|---|---|---|---|
| 1366043416 | Ana Swain | Licensed Vocational Nurse | 10202 Bricewood Pl, San Antonio, TX 78254-1995 | 2020-11-05 |
| 1427658418 | Sylvia Cantu | Licensed Vocational Nurse | 966 Keats St, San Antonio, TX 78211-1760 | 2020-10-28 |
| 1497354914 | Alyssa Laurel Salinas | Licensed Vocational Nurse | 415 Gettysburg Rd, San Antonio, TX 78228-2047 | 2020-10-26 |
| 1992305429 | Leah Marie Rodriguez | Licensed Vocational Nurse | 8902 Beaudine Ave, San Antonio, TX 78250-6326 | 2020-10-26 |
| 1427657246 | Solange Teneck | Licensed Vocational Nurse | 8 Bratton Dr, San Antonio, TX 78245-1812 | 2020-10-22 |
| 1902405335 | La'tishia S Barnes | Licensed Vocational Nurse | 534 Hunt Ln Apt 706, San Antonio, TX 78245-2312 | 2020-10-16 |
| 1306443809 | Gloria Taylor | Licensed Vocational Nurse | 5635 Wood Climb St, San Antonio, TX 78233-5036 | 2020-10-07 |
| 1063019578 | Leslie Nicole Sauceda | Licensed Vocational Nurse | 5072 Timberhill Apt 6112, San Antonio, TX 78238-3569 | 2020-10-07 |
| 1487251443 | Ilona Barton | Licensed Vocational Nurse | 11700 Wallstreet Apt 15306, San Antonio, TX 78230-1882 | 2020-10-02 |
| 1730796970 | Donna Latreece Bejarano | Licensed Vocational Nurse | 6418 Eckhert Rd Apt 6302, San Antonio, TX 78240-3151 | 2020-09-30 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78230 |
Please comment or provide details below to improve the information on ERICKSON MATA.
| 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.