MS. MIRANDA JALENE POOL (NPI# 1649425091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649425091 |
| Entity Type | Individual |
| Full Name | MS. MIRANDA JALENE POOL |
| Credential | LPC |
| Practice Address |
706 Old Montgomery Rd Conroe TX 77301-2740 |
| Mailing Address |
17819 Red River Canyon Dr Humble TX 77346-3543 |
| Practice Telephone | 9365381150 |
| Mailing Telephone | 8328100200 |
| Mailing Fax Number | 8886827273 |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
63151 | TX | Behavioral Health & Social Service Providers |
| Y | 363A00000X | Physician Assistant | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
706 OLD MONTGOMERY RD |
| City | CONROE |
| State | TX |
| Zip Code | 77301-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508489998 | Elizabeth Harmon Dalman | Counselor | 706 Old Montgomery Rd, Conroe, TX 77301-2740 | 2020-05-20 |
| 1619378635 | Nelda Marie Axley | Counselor | 706 Old Montgomery Rd, Conroe, TX 77301-2740 | 2014-09-09 |
| 1346522307 | Pradan A Nathan | Psychiatry & Neurology | 706 Old Montgomery Rd, Conroe, TX 77301-2740 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669116 | Lois Talford | Technician | 907 Bellshire Dr. Apt 101, Conroe, TX 77301 | 2019-09-20 |
| 1033694187 | Rgt Dental Care | Dentist | 402 Simonton St. Suite 100, Conroe, TX 77301 | 2018-09-25 |
| 1942782396 | Traci Hines | Counselor | 1427 Apple Orchard Trail, Conroe, TX 77301 | 2018-09-02 |
| 1124507314 | Katie Marie Sandoval | Licensed Vocational Nurse | 602 W Semans St, Conroe, TX 77301 | 2018-08-09 |
| 1811475841 | Ihuoma Chinagorom Enyidede | Licensed Vocational Nurse | 602 W Semands Street, Conroe, TX 77301 | 2018-08-01 |
| 1336626779 | Nancy Mbongeh Ndamukong | Registered Nurse | 202 West Semands Street, Conroe, TX 77301 | 2018-07-27 |
| 1780172585 | Ingeborg Christina Meek | Registered Nurse | 6020 W. Semands Street, Conroe, TX 77301 | 2018-04-26 |
| 1902342926 | Gloria E Kessler | Counselor | 1101 N Thompson St, Conroe, TX 77301 | 2017-01-14 |
| 1770945412 | Standing Oak Homehealthcare LLC | Hospice Care, Community Based | 926 Fife, Conroe, TX 77301 | 2016-03-22 |
| 1316327117 | Ayaba Guiste | Dentist | 1154, 1002 N Loop 336 W, Conroe, TX 77301 | 2015-06-05 |
| Find all providers in zip 77301 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042335 | Mary Elizabeth Arnold | Physician Assistant | 12455 Longmire Lakeview, Conroe, TX 77304-1087 | 2020-10-29 |
| 1760912281 | Merrit Cherry | Physician Assistant | 2236 N Loop 336 W, Conroe, TX 77304-3519 | 2017-06-18 |
| 1306155601 | Whitney Lane Montgomery | Physician Assistant | 4015 Ih 45 South, Suite 110, Conroe, TX 77304 | 2010-10-04 |
| 1679801203 | Lourdes Margarita Orellana | Physician Assistant | 1020 Riverwood Ct Ste 100, Conroe, TX 77304-2973 | 2009-11-19 |
| 1326281445 | Quoc Tran Hoang | Physician Assistant | 100 Medical Center Blvd Ste 118, Conroe, TX 77304-2821 | 2009-04-20 |
| 1568603140 | Pamela Matijevich | Physician Assistant | 4714 Fm 1488 Rd Ste 132, Conroe, TX 77384 | 2009-03-12 |
| 1972780856 | Jamie M Hogan | Physician Assistant | 503 Medical Center Blvd #100, Conroe, TX 77304-2928 | 2008-01-23 |
| 1417130279 | Lynn Ann Mcinnis | Physician Assistant | 2416 Ripplewood Dr, Conroe, TX 77384-3678 | 2007-12-14 |
| 1639282031 | Jennifer Lyn Schmittauer | Physician Assistant | 3251 I H 45 N, Conroe, TX 77304-2185 | 2006-08-17 |
| 1700880515 | Jennifer Dawn Kemmerer | Physician Assistant | 690 S Loop 336 West, Ste 222, Conroe, TX 77304-3320 | 2005-06-09 |
| Find all providers in CONROE | ||||
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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.