EVERCARE FAMILY CLINIC PLLC (NPI# 1619522315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619522315 |
| Entity Type | Organization |
| Organization Name | EVERCARE FAMILY CLINIC PLLC |
| Practice Address |
1259 Fm 1463 Suite 500 Katy TX 77494 |
| Practice Telephone | 7134295051 |
| Mailing Telephone | 7134295051 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | ISRAEL VACARCEL (NURSE PRACTITIONER) |
| Authorized Official Telephone | 8323358410 |
| Authorized Official Credential | APRN-FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NPI | 1205391232 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 418 Highway 90 W Ste 4-6, Sealy, TX 774743900 | 7134295051 |
| Street Address |
1259 FM 1463 SUITE 500 |
| City | KATY |
| State | TX |
| Zip Code | 77494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619440450 | Wishing Well Children's Clinic, Pllc | Pediatrics | 1259 Fm 1463, Suite 300, Katy, TX 77494 | 2019-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245959 | Jerlys Suarez Lopez | Nurse Practitioner | 3810 N. Fry, Ste. 118, Katy, TX 77084 | 2020-11-02 |
| 1265049522 | Jenna Nazminia | Nurse Practitioner | 1615 Barrington Hills Ln, Katy, TX 77450-3686 | 2020-09-29 |
| 1235746728 | Laquinta Hampton | Nurse Practitioner | 24949 Katy Ranch Rd Apt 1712, Katy, TX 77494-7198 | 2020-09-28 |
| 1124633409 | Courtney Oyerbides | Nurse Practitioner | 2103 Blue Water Bay Dr, Katy, TX 77494-6224 | 2020-09-13 |
| 1912519679 | Tiffany Marie Falcon | Nurse Practitioner | 6855 S Mason Rd Apt 12105, Katy, TX 77450-1227 | 2020-08-23 |
| 1639789662 | Augustina C Okoronkwo | Nurse Practitioner | 18906 Hayes Grove Ln, Katy, TX 77449-1680 | 2020-08-04 |
| 1730706953 | Erliz Jessenia Maldonado | Nurse Practitioner | 3919 N Fry Road, Katy, TX 77449 | 2020-07-03 |
| 1609490168 | Ifeyinwa Peggy Eribenne | Nurse Practitioner | 24758 Grand Harbor Dr Apt 1601, Katy, TX 77494-0879 | 2020-06-01 |
| 1831710748 | Ibimina Fiberesima | Nurse Practitioner | 24522 Folkstone Cir, Katy, TX 77494-7601 | 2020-05-01 |
| 1457989998 | Anita Helen Cervantes | Nurse Practitioner | 23722 Indian Hills Way, Katy, TX 77494-2827 | 2020-03-30 |
| Find all providers in KATY | ||||
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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.