NICOLE EVANS-TAYLOR (NPI# 1679986806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679986806 |
| Entity Type | Individual |
| Full Name | NICOLE EVANS-TAYLOR |
| Practice Address |
4847 Slide Road Lubbock TX 79414 |
| Mailing Address |
4847 Slide Rd Lubbock TX 79414-3405 |
| Practice Telephone | 8067928267 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 49721 | TX | Pharmacy Service Providers |
| Street Address |
4847 SLIDE ROAD |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
| 1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
| 1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
| 1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
| 1154445963 | C M Davis Od Pllc | Optometrist | 6002 Slide Road Suite P-8, Lubbock, TX 79414 | 2007-03-19 |
| 1922154632 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5602 Slide Road, Lubbock, TX 79414 | 2007-01-26 |
| 1043393846 | Emily Rose Bohn | Physical Therapist | 3501 S. Loop 289, Lubbock, TX 79414 | 2006-10-23 |
| 1720176928 | Vann Alexander Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 5313 50th Street, Suite D-5, Lubbock, TX 79414 | 2006-10-11 |
| 1952499279 | Bradley Derl Brooks | Dentist | 5301 50th Street #200, Lubbock, TX 79414 | 2006-10-11 |
| 1275627473 | Shannon Michelle Galyean | Dietitian, Registered | 3805 22nd Place, Lubbock, TX 79414 | 2006-10-03 |
| Find all providers in zip 79414 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538384 | Dustin Tyler Smith | Pharmacist | 3615 19th St # Ms 108, Lubbock, TX 79410-1203 | 2020-11-05 |
| 1811503386 | Rebecca Joann Tally | Pharmacist | 6101 43rd St # Stc, Lubbock, TX 79407-3749 | 2020-09-21 |
| 1710596507 | Thara Mary Issac | Pharmacist | 4510 Ironton Ave Apt 9103, Lubbock, TX 79407-3789 | 2020-07-28 |
| 1033727805 | Neely Hudson | Pharmacist | 14310 Uvalde Ave, Lubbock, TX 79423-2777 | 2020-07-17 |
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1851945786 | Will Burkett Ford I | Pharmacist | 6031 75th St, Lubbock, TX 79424-1935 | 2019-07-29 |
| 1700439445 | Megan Elizabeth Sneller | Pharmacist | 5813 91st St, Lubbock, TX 79424-3624 | 2019-07-22 |
| 1447813597 | Tiffany N Coomer | Pharmacist | 8062 Peach St, Lubbock, TX 79404 | 2019-04-15 |
| 1033682059 | Paul Wilbanks | Pharmacist | 12815 Indiana Ave., Lubbock, TX 79423-7942 | 2019-01-03 |
| 1437629300 | Monty Mcminn | Pharmacist | 3805 22nd St Ste 2a, Lubbock, TX 79410-1142 | 2018-12-04 |
| Find all providers in LUBBOCK | ||||
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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.