MS. MICHELLE RENEE PECK


Address: 14703 Eagle Vista Dr, Eagle's Trace, Houston, TX 77077-5394
Phone: 2812497100

MS. MICHELLE RENEE PECK (NPI# 1578762514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578762514
Entity Type Individual
Full Name MS. MICHELLE RENEE PECK
Credential GNP, ANP
Practice Address 14703 Eagle Vista Dr
Eagle's Trace
Houston
TX 77077-5394
Practice Telephone 2812497100
Mailing Telephone 8328305701
Enumeration Date 2007-07-11
Last Update Date 2013-10-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 689094 TX Nursing Service Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
689094 TX Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
689094 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX RR MEDICARE P00462819 01
TX 187265701 05
TX BCBS 8Y2090 01

Other Providers MICHELLE PECK

NPI Name Taxonomy Address Enumeration
1053818922 Michelle Baisden Peck Nurse Practitioner 7714 Conner Rd Ste 101, Powell, TN 37849-3559 2018-04-09
1942337647 Michelle Peck Pharmacist 8905 Kingston Pike, Knoxville, TN 37923-5005 2007-02-28
1558984302 Michelle Renee Peck Case Manager/Care Coordinator 1882 Winton Rd S Ste 8, Rochester, NY 14618-3950 2020-05-27

Office Location

Street Address 14703 EAGLE VISTA DR
EAGLE'S TRACE
City HOUSTON
State TX
Zip Code 77077-5394

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144224544 Raina Patel Internal Medicine 14703 Eagle Vista Dr, Houston, TX 77077-5275 2005-06-13
1922537034 Sidratu Rugie Issa Nurse's Aide 14703 Eagle Vista Dr, Houston, TX 77077-5394 2017-06-12
1013312792 Crystal Taylor Physical Therapy Assistant 14703 Eagle Vista Dr, Houston, TX 77077-5394 2014-10-24
1841695657 Rushina Desai Physical Therapy Assistant 14703 Eagle Vista Dr, Houston, TX 77077-5394 2014-10-23
1992109854 Barbara Craver Occupational Therapist 14703 Eagle Vista Dr, Houston, TX 77077-5394 2014-10-21
1386984912 Jennifer Blan Speech-Language Pathologist 14703 Eagle Vista Dr, Houston, TX 77077-5394 2013-02-19
1144580192 Eagle's Trace Inc Skilled Nursing Facility 14703 Eagle Vista Dr, Attn: Extended Care Administrator, Houston, TX 77077-5394 2012-05-24
1568741536 Chisaokwu Abdullah Speech-Language Pathologist 14703 Eagle Vista Dr, Houston, TX 77077-5394 2011-08-09
1972805117 Cynthia Marie Dupont Physical Therapist 14703 Eagle Vista Dr, Houston, TX 77077-5394 2010-11-20
1861706558 Erickson Health Medical Group of Texas, Pa Durable Medical Equipment & Medical Supplies 14703 Eagle Vista Dr, Houston, TX 77077-5394 2010-08-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407457922 Tam Minh Ha Pharmacist 2700 S Kirkwood, Houston, TX 77077 2020-11-02
1497396881 Laboratory Concepts Technician, Pathology 2025 Gentryside Dr, Houston, TX 77077 2019-10-07
1447730940 Olufunke O'banion Registered Nurse 1011 South Texas 6, Suite 311, Houston, TX 77077 2018-08-15
1548753536 Jasmine M Mckenzie Specialist 12350 Westhemier Rd, Suite 128, Houston, TX 77077 2018-06-13
1396233698 Waabeke Charlotte Nwikpo Counselor 1919 S Kirkwood Rd Apt 144, Houston, TX 77077 2018-04-23
1447747894 Westside Medical Centers of Texas Pllc Chiropractor 1137 Highway 6 South, Houston, TX 77077 2018-04-20
1649786427 Medical Care Innovation, P.C. Clinic/Center 1254 Enclave Parkway, Houston, TX 77077 2017-12-16
1194242545 Lydia Danielle Breedlove Specialist/Technologist 12310 Rincon Drive, Houston, TX 77077 2017-08-26
1649602962 Bereket Haileab Tsegai Optometrist 11660 Westheimer Rd Ste 125, Houston, TX 77077 2013-08-09
1851733273 Tomekia Alvarez Occupational Therapy Assistant 1815 Enclave Parkway, Apt 6307, Houston, TX 77077 2013-07-26
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700483690 Amy Calder Nurse Practitioner 14441 Memorial Dr Ste 5, Houston, TX 77079-6708 2020-10-05
1992325906 Emily Natosha Bennett Nurse Practitioner 4323 Dragonwick Dr, Houston, TX 77045-3311 2020-04-20
1770113011 Daniel Toussaint Nurse Practitioner 12323 Valley Hills Dr, Houston, TX 77071-3018 2020-01-24
1841830445 Advanced Practice House Calls LLC Nurse Practitioner 9000 Almeda Rd Apt 3201, Houston, TX 77054-4327 2020-01-10
1629614854 Kenneth Emordi Nurse Practitioner 10103 Fondren Rd Ste 464, Houston, TX 77096-4677 2019-11-22
1184260572 Ann Williams Nurse Practitioner 5 Greenway Plz, Houston, TX 77046-0526 2019-11-21
1427515444 Jessica Renaudo Nurse Practitioner 15015 Coral Sands Dr, Houston, TX 77062-2918 2019-02-26
1265958110 Misida Gwanyebit-fodje Nurse Practitioner 18220 Texas 249 Access Road, 230, Houston, TX 77070 2017-08-22
1538684253 Saera Chung Nurse Practitioner 6560 Fannin St Ste 1002, Houston, TX 77030-2713 2017-08-03
1881060093 Cyprine Manduku Nurse Practitioner 8723 Auburn Glen Ln, Houston, TX 77095-4699 2015-08-12
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Competitor

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City HOUSTON
Zip Code 77077

Improve Information

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Dataset Information

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.

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