MRS. CHRISTY HACKENBERRY (NPI# 1528549359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528549359 |
| Entity Type | Individual |
| Full Name | MRS. CHRISTY HACKENBERRY |
| Other Name | CHRISTY LOZANO |
| Credential | FNP |
| Practice Address |
408 N Giraud Cotulla TX 78014-3113 |
| Mailing Address |
Po Box 2070 Orange Grove TX 78372-2070 |
| Practice Telephone | 8308792279 |
| Practice Fax Number | 8308792235 |
| Mailing Telephone | 8308792279 |
| Mailing Fax Number | 8308792235 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2019-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP138460 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BOARD OF NURSING | AP138460 | 01 |
| DEA | ML4926626 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 S Eugenia St, Orange Grove, TX 783722309 | 3613822024 | 8556066314 |
| 205 N Commerce St, Dilley, TX 780173500 | 8309654466 | 8309654467 |
| 404 E San Marcos St, Pearsall, TX 780613226 | 8303343336 | 8303345574 |
| Street Address |
408 N GIRAUD |
| City | COTULLA |
| State | TX |
| Zip Code | 78014-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669681300 | Harvey Courser | Physician Assistant | 408 N Giraud, Cotulla, TX 78014-3113 | 2007-05-21 |
| 1841796562 | William Diaz Jr. | Nurse Practitioner | 408 N Giraud, Cotulla, TX 78014-3113 | 2018-04-02 |
| 1346777380 | Peng Zhou Anderson | Nurse Practitioner | 408 N Giraud, Cotulla, TX 78014-3113 | 2017-05-22 |
| 1629472790 | Katherine Pavo Padilla | Nurse Practitioner | 408 N Giraud, Cotulla, TX 78014-3113 | 2014-10-17 |
| 1881911030 | Hometown Healthcare LLC | Clinic/Center | 408 N Giraud, Cotulla, TX 78014-3113 | 2010-04-28 |
| 1174756365 | Craig Tindall Kopecky | Internal Medicine | 408 N Giraud, Cotulla, TX 78014-3113 | 2009-09-03 |
| 1891921599 | Gabriel Tarango | Family Medicine | 408 N Giraud, Cotulla, TX 78014-3113 | 2009-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902363807 | South Texas Rural Health Services, Inc. | Clinic/Center | 651 N. Baylor, Cotulla, TX 78014 | 2019-02-27 |
| 1417412776 | Saimol Thomas | Nurse Practitioner | 611 Thornton, Cotulla, TX 78014 | 2019-01-31 |
| 1346713534 | Maria Dolores Castro | Student in an Organized Health Care Education/Training Program | 105 Stewart, Cotulla, TX 78014 | 2019-01-10 |
| 1902372568 | Elizabeth Marie Lutz | Specialist/Technologist | 310 N. Main St., Cotulla, TX 78014 | 2018-10-22 |
| 1699140392 | Rebecca Renae Valdez | Counselor | 105 South Stewart Street, Cotulla, TX 78014 | 2015-12-07 |
| 1053733014 | Dora A. Fast | Nurse Practitioner | 105 S. Stewart St., Cotulla, TX 78014 | 2014-01-10 |
| 1376800151 | Juanita M Kulesza | Counselor | 611 Thornton Street, Cotulla, TX 78014 | 2012-04-18 |
| 1154648459 | County of Lasalle | Skilled Nursing Facility | 369 Mars Drive, Cotulla, TX 78014 | 2010-04-26 |
| 1295934420 | Ma Angela S Garner | Physical Therapist | 506 N Main Street, #501, Cotulla, TX 78014 | 2007-07-17 |
| 1033317987 | Melinda Ann Haley Bailey | Counselor | 611 Thorton St, Cotulla, TX 78014 | 2007-07-03 |
| Find all providers in zip 78014 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417412776 | Saimol Thomas | Nurse Practitioner | 611 Thornton, Cotulla, TX 78014 | 2019-01-31 |
| 1053733014 | Dora A. Fast | Nurse Practitioner | 105 S. Stewart St., Cotulla, TX 78014 | 2014-01-10 |
| 1841796562 | William Diaz Jr. | Nurse Practitioner | 408 N Giraud, Cotulla, TX 78014-3113 | 2018-04-02 |
| 1346777380 | Peng Zhou Anderson | Nurse Practitioner | 408 N Giraud, Cotulla, TX 78014-3113 | 2017-05-22 |
| 1629472790 | Katherine Pavo Padilla | Nurse Practitioner | 408 N Giraud, Cotulla, TX 78014-3113 | 2014-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.