SHELIA REAGAN-TEDFORD (NPI# 1528517794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528517794 |
| Entity Type | Individual |
| Full Name | SHELIA REAGAN-TEDFORD |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1100 Smith Dr Alvin TX 77511-5562 |
| Practice Telephone | 2813310082 |
| Practice Fax Number | 2813312624 |
| Mailing Telephone | 2813310082 |
| Mailing Fax Number | 2813312624 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP131977 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | APRN LICENSE | AP131977 | 01 |
| Street Address |
1100 SMITH DR |
| City | ALVIN |
| State | TX |
| Zip Code | 77511-5562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568448181 | Kerry D Mccarroll | Family Medicine | 1100 Smith Dr, Alvin, TX 77511-5562 | 2005-12-15 |
| 1104377928 | One Medic Lane Physicians Pllc | Nurse Practitioner | 1100 Smith Dr, Alvin, TX 77511-5562 | 2016-10-17 |
| 1114327400 | Byron Marshall Jr. | Physician Assistant | 1100 Smith Dr, Alvin, TX 77511-5562 | 2014-08-25 |
| 1427035161 | One Medic Lane Physicians Pllc | Family Medicine | 1100 Smith Dr, Alvin, TX 77511-5562 | 2005-12-23 |
| 1972589737 | Robert Dewitt | Internal Medicine | 1100 Smith Dr, Alvin, TX 77511-5562 | 2005-12-22 |
| 1770569394 | Cynthia Ellen Sload-parker | Physician Assistant | 1100 Smith Dr, Alvin, TX 77511-5562 | 2005-12-15 |
| 1760468391 | Paul E Prasco | Physician Assistant | 1100 Smith Dr, Alvin, TX 77511-5562 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245975 | Chau T Nguyen | Pharmacist | 400 S. Bypass 35, Alvin, TX 77511 | 2020-11-02 |
| 1215548235 | Roozbeh Ghasemi | Dentist | 2101 Alvin Bypass #106, Alvin, TX 77511 | 2020-08-13 |
| 1992287320 | Tamra Sanson | Registered Nurse | 2800 Mustang Rd Apt 403, Alvin, TX 77511 | 2018-09-01 |
| 1265930101 | National Vision, Inc. | Technician/Technologist | 1240 Fm 1462, Ste 300, Alvin, TX 77511 | 2018-01-25 |
| 1275050643 | Hannah Corena Kenney | Specialist/Technologist | 122 Leisure Lane, Alvin, TX 77511 | 2017-08-27 |
| 1700260684 | Alvin Dialysis Renal | Clinic/Center | 101 East House Street, Alvin, TX 77511 | 2015-07-10 |
| 1740682715 | Alvin Family Dental | Dentist | 173 Tovrea Rd., Ste. E., Alvin, TX 77511 | 2014-09-22 |
| 1194158527 | Tison Latoi Price Hudson | Nurse Practitioner | 3128 Texas 35 S, Alvin, TX 77511 | 2013-08-21 |
| 1235577057 | Veruschka Kristel Rivera Colon | Speech-Language Pathologist | 601 E Clements St, Alvin, TX 77511 | 2013-06-14 |
| 1780981555 | Brazoria Urgent Care LLC | Internal Medicine | 2300 Highway 35, Suite A, Alvin, TX 77511 | 2011-02-14 |
| Find all providers in zip 77511 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366867129 | Stacey Lee Mcdonald | Nurse Practitioner | 1502 Meadow Ln, Alvin, TX 77511-3123 | 2014-03-03 |
| 1194158527 | Tison Latoi Price Hudson | Nurse Practitioner | 3128 Texas 35 S, Alvin, TX 77511 | 2013-08-21 |
| 1225121635 | Christi Renee Jensen | Nurse Practitioner | 511 S Gordon St, Suite #d, Alvin, TX 77511-2838 | 2006-09-30 |
| 1558989566 | Steven Willis | Nurse Practitioner | 1111 W Adoue St, Alvin, TX 77511-2718 | 2020-07-07 |
| 1942861562 | Sarah Ruth Johnson | Nurse Practitioner | 1111 W Adoue St, Alvin, TX 77511-2718 | 2019-06-25 |
| 1720555097 | Derek C Bonn | Nurse Practitioner | 1111 W Adoue St, Alvin, TX 77511-2718 | 2018-10-25 |
| 1316447196 | Melissa Chin | Nurse Practitioner | 3128 S Highway 35, Alvin, TX 77511-1404 | 2018-02-18 |
| 1427561125 | Jemyra Calais | Nurse Practitioner | 1111 W Adoue St, Alvin, TX 77511 | 2017-11-16 |
| 1972044824 | Vivian Odoemenem | Nurse Practitioner | 1111 W Adoue St, Alvin, TX 77511-2718 | 2017-03-11 |
| 1952841512 | Ani Joji | Nurse Practitioner | 2020 E Highway 6, Alvin, TX 77511-8507 | 2017-03-02 |
| Find all providers in ALVIN | ||||
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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.