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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | RR MEDICARE | P00462819 | 01 |
TX | 187265701 | 05 | |
TX | BCBS | 8Y2090 | 01 |
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 |
Street Address |
14703 EAGLE VISTA DR EAGLE'S TRACE |
City | HOUSTON |
State | TX |
Zip Code | 77077-5394 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 77077 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
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 |
Find all providers in HOUSTON |
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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.