MA ELLEN NOVICIO (NPI# 1578503231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578503231 |
| Entity Type | Individual |
| Full Name | MA ELLEN NOVICIO |
| Credential | APRN |
| Practice Address |
720 Golder Ave Odessa TX 79761-4442 |
| Mailing Address |
Po Box 2129 Odessa TX 79760-2129 |
| Practice Telephone | 4323373117 |
| Practice Fax Number | 4326402868 |
| Mailing Telephone | 4323373117 |
| Mailing Fax Number | 4326402868 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP110326 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
720 GOLDER AVE |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-4442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441428 | Fernando Boccalandro | Specialist | 720 Golder Ave, Odessa, TX 79761-4442 | 2005-10-20 |
| 1255986402 | Alexandra R Fierro | Physician Assistant | 720 Golder Ave, Odessa, TX 79761-4442 | 2019-08-05 |
| 1487119426 | Kailea D Walker | Nurse Practitioner | 720 Golder Ave, Odessa, TX 79761-4442 | 2019-02-04 |
| 1265769004 | Araceli Romero | Nurse Practitioner | 720 Golder Ave, Odessa, TX 79761-4442 | 2009-11-16 |
| 1700061736 | Tejas P Patel | Internal Medicine | 720 Golder Ave, Odessa, TX 79761-4442 | 2008-01-09 |
| 1194855817 | Juanita C Lopez | Specialist | 720 Golder Ave, Odessa, TX 79761-4442 | 2007-03-06 |
| 1821131855 | Odessa Heart Institute | Specialist | 720 Golder Ave, Odessa, TX 79761-4442 | 2007-02-15 |
| 1659361970 | Zoila Reyna Barrera | Physician Assistant | 720 Golder Ave, Odessa, TX 79761-4442 | 2005-10-27 |
| 1124017173 | Sudhir Amaram | Specialist | 720 Golder Ave, Odessa, TX 79761-4442 | 2005-10-20 |
| 1023007085 | Manohar Angirekula | Specialist | 720 Golder Ave, Odessa, TX 79761-4442 | 2005-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| Find all providers in zip 79761 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856275 | Alexis Parker | Nurse Practitioner | 15625 Hawks Crest Loop, Odessa, FL 33556-1701 | 2020-09-16 |
| 1548823966 | Bethany Jeanette Foss | Nurse Practitioner | 1280 W 40 Hwy, Odessa, MO 64076 | 2019-04-22 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1356778195 | Wellness & Injury Medical Center | Nurse Practitioner | 4682 E University Blvd, Suite A, Odessa, TX 79762-8178 | 2013-10-10 |
| 1477853943 | Michelle K Fletes | Nurse Practitioner | 7101 Eastridge Rd, Odessa, TX 79765-8919 | 2010-10-29 |
| 1396850871 | Lee M Macmurdo IIi | Nurse Practitioner | 410 N Hancock Ave, Odessa, TX 79761-5140 | 2006-08-21 |
| 1043295090 | Kathleen Young Harrell | Nurse Practitioner | 17121 Rainbow Terrace, Odessa, FL 33556 | 2005-12-13 |
| 1629059852 | Glori Elizebeth Ferguson | Nurse Practitioner | 1427 Idlewood Ln, Odessa, TX 79761-3427 | 2005-11-05 |
| 1053315309 | Violet Frances Rice | Nurse Practitioner | 510 E Amende Dr, Odessa, WA 99159-7003 | 2005-06-01 |
| 1336756030 | Veronica Garcia | Nurse Practitioner | 540 W 5th St, Odessa, TX 79761-5034 | 2020-09-26 |
| Find all providers in ODESSA | ||||
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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.