NATASHA BROOK MADERA (NPI# 1710514260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710514260 |
| Entity Type | Individual |
| Full Name | NATASHA BROOK MADERA |
| Practice Address |
207 S Crescent St Gorman TX 76454-3067 |
| Practice Telephone | 2542430200 |
| Mailing Telephone | 2542430200 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 328812 | TX | Nursing Service Providers |
| Street Address |
207 S CRESCENT ST |
| City | GORMAN |
| State | TX |
| Zip Code | 76454-3067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245396258 | Pyramid Healthcare Corp | Skilled Nursing Facility | 600 W. Roosevelt, Gorman, TX 76454 | 2006-12-28 |
| 1215131446 | Gorman Long Term Care, LLC | Skilled Nursing Facility | 600 W. Roosevelt, Gorman, TX 76454 | 2007-06-12 |
| 1427506914 | Gorman Independent School District | Local Education Agency (LEA) | 114 West Lexington Avenue, Gorman, TX 76454-0008 | 2016-09-14 |
| 1649320300 | Richard Watson | Pharmacist | 104 S. Kent St., Gorman, TX 76454-0249 | 2007-01-12 |
| 1548374531 | George C Simmons Jr | Pharmacy | 117 S Kent St, Gorman, TX 76454-3060 | 2006-08-18 |
| 1396704136 | Daniel Michael Brudnak | Family Medicine | 115 S Kent St, Gorman, TX 76454-3060 | 2006-03-21 |
| 1245781202 | Combined Health Solutions, LLC | Pharmacy | 117 S Kent St, Gorman, TX 76454-3060 | 2016-10-14 |
| 1285046821 | Gorman Pharmacy | Pharmacy | 117 S Kent St, Gorman, TX 76454-3060 | 2014-06-02 |
| 1124399431 | Christopher H Cutrer Dba Gorman Pharmacy | Pharmacy | 117 S Kent St, Gorman, TX 76454-3060 | 2012-01-18 |
| 1578848743 | Christopher Harris Cutrer | Pharmacist | 117 S Kent St, Gorman, TX 76454-3060 | 2011-10-19 |
| Find all providers in zip 76454 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234500 | Ka'leria Cunningham | Licensed Practical Nurse | 442 Carroll Ave, Wake Village, TX 75501-5733 | 2020-10-27 |
| 1073113387 | Tiffiany Hansen | Licensed Practical Nurse | 163 County Road 1856, Chico, TX 76431-3429 | 2020-10-27 |
| 1538769740 | Kerri Kathleen Benavides | Licensed Practical Nurse | 2424 Wilcrest Dr Ste 100, Houston, TX 77042-2753 | 2020-10-27 |
| 1144828740 | Gabriella M Carrillo | Licensed Practical Nurse | 1712 E 13th St, Monahans, TX 79756-2129 | 2020-10-15 |
| 1366040198 | Michelle Merritt Gary | Licensed Practical Nurse | 118 Merritt Ln, Hemphill, TX 75948-3137 | 2020-10-14 |
| 1508464652 | Ariana Wilson | Licensed Practical Nurse | 1125 Elm St, Abilene, TX 79602-3718 | 2020-10-12 |
| 1962009431 | Victoria A Jernigan | Licensed Practical Nurse | 250 County Road 4311, Hondo, TX 78861-5035 | 2020-10-07 |
| 1558968271 | Dana Marie Griffin | Licensed Practical Nurse | 9747 Harbor Mist Ln, Converse, TX 78109-1836 | 2020-10-06 |
| 1184221772 | Coretta Renee Thomas | Licensed Practical Nurse | 1204 G W Jackson Ave, Corsicana, TX 75110-5604 | 2020-10-06 |
| 1194322032 | Flor Karime Jurado | Licensed Practical Nurse | 1410 Cowan Street, Pecos, TX 79772 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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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.