ANDREA N SCACE (NPI# 1548605975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548605975 |
Entity Type | Individual |
Full Name | ANDREA N SCACE |
Credential | FNP |
Practice Address |
19675 I 45 S Suite 100 Shenandoah TX 77385-8761 |
Mailing Address |
909 Frostwood Dr Suite 1.100 Houston TX 77024-2301 |
Practice Telephone | 2814652873 |
Mailing Telephone | 7133384523 |
Enumeration Date | 2013-04-29 |
Last Update Date | 2017-02-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 237528 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP129901 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | FIRST MEDICARE DIRECT | FH4001420 | 01 |
NC | R/R MEDICARE | P01210648 | 01 |
NC | FIRST CAROLINA CARE, INC | FH4001420 | 01 |
Street Address |
19675 I 45 S SUITE 100 |
City | SHENANDOAH |
State | TX |
Zip Code | 77385-8761 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134727423 | Victoria Templeton | Marriage & Family Therapist | 256 Ed English Dr., Building 4, Unit C, Shenandoah, TX 77385 | 2020-10-09 |
1760089296 | Mark Evar Espiritu Ogbac | Specialist/Technologist, Other | 2119 Pacific Loon Lane, Conroe, TX 77385 | 2020-10-07 |
1285255380 | Tiffany Tran | Pharmacist | 10200 Hwy 242, Conroe, TX 77385 | 2020-04-29 |
1447898994 | Harper's Preserve Dentistry, PC | Dentist | 10160 Hwy 242, Ste 100, Conroe, TX 77385 | 2019-12-16 |
1104462753 | Over The Moon Pediatrics, Pllc | Pediatrics | 17189 I-45 South, Suite 235, The Woodlands, TX 77385 | 2019-11-19 |
1053973453 | Mark William Riepl | Behavior Technician | 19445 David Memorial Dr, Unit #1707, Shenandoah, TX 77385 | 2019-07-05 |
1225690134 | H-e-b, Lp | Clinical Medical Laboratory | 10200 Highway 242, Conroe, TX 77385 | 2019-07-01 |
1932766235 | Houston Mint Dentistry, Pllc | Dentist | 19073 Interstate 45 N Suite 185, Shenandoah, TX 77385 | 2019-05-22 |
1255808283 | Ntn Dental Pllc | Clinic/Center | 10161 Highway 242, Suite 100, Conroe, TX 77385 | 2018-10-29 |
1164902094 | Lindsay Taylor Fleming | Specialist/Technologist | 19221, Interstate 45 S. Ste. 120, Shenandoah, TX 77385 | 2018-08-20 |
Find all providers in zip 77385 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710521422 | Jamie Bruneau | Nurse Practitioner | 129 Vision Park Blvd Ste 109, Shenandoah, TX 77384-3024 | 2019-11-05 |
1841847498 | Claudia Castillo | Nurse Practitioner | 19675 I 45 S Ste 100, Shenandoah, TX 77385-8761 | 2019-08-19 |
1336602069 | Irene Ifesinachi Orioha | Nurse Practitioner | 150 Pine Forest Dr Ste 110, Shenandoah, TX 77384-5303 | 2019-04-09 |
1083184600 | Leslie Jane Ford | Nurse Practitioner | 150 Pine Forest Dr Ste 503, Shenandoah, TX 77384-5304 | 2018-11-26 |
1225514524 | Ann Renee Manuel | Nurse Practitioner | 17189 I H 45 S Ste 475, Shenandoah, TX 77385-3320 | 2018-07-19 |
1205322161 | Brandi Stull | Nurse Practitioner | 1120 Medical Plaza Dr Ste 335, Shenandoah, TX 77380-3254 | 2018-07-03 |
1609373992 | Joy Adaku Ekwueme | Nurse Practitioner | Main Street Medical Clinic, 1120 Medical Plaza Dr, Suite 335, Shenandoah, TX 77380 | 2018-04-12 |
1033617857 | Maria Ivy Claborn | Nurse Practitioner | 150 Pine Forest Dr Ste 101, Shenandoah, TX 77384-5302 | 2018-01-26 |
1730407552 | Matthew Michael Yoder | Nurse Practitioner | 422 1st St, Shenandoah, VA 22849-1504 | 2010-05-05 |
1245256262 | Shelly L. Huckaby | Nurse Practitioner | 17189 I H 45 S Ste 205, Shenandoah, TX 77385 | 2006-07-14 |
Find all providers in SHENANDOAH |
City | SHENANDOAH |
Zip Code | 77385 |
Please comment or provide details below to improve the information on ANDREA N SCACE.
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.