SHARON GUSTAFSON (NPI# 1750780706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750780706 |
| Entity Type | Individual |
| Full Name | SHARON GUSTAFSON |
| Practice Address |
1401 Spruce St Texarkana TX 75501-4329 |
| Practice Telephone | 9035590926 |
| Practice Fax Number | 9037940852 |
| Mailing Telephone | 9035590926 |
| Mailing Fax Number | 9037940852 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| Street Address |
1401 SPRUCE ST |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-4329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659770600 | Artex Transport & Courier LLC | Non-emergency Medical Transport (VAN) | 1401 Spruce St, Texarkana, TX 75501-4329 | 2014-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780955278 | Carlyle Keely Jr. | Driver | 3108 Central St, Texarkana, AR 71854-2918 | 2012-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801998 | Sharonfa Lee Hardy | Driver | 7706 Darnay Dr, Houston, TX 77033-3534 | 2020-11-05 |
| 1265032767 | Lynkup Transport Corp. | Driver | 3301 N 3rd St Ste 116, Abilene, TX 79603-7054 | 2020-10-26 |
| 1568062990 | Esayas Milaki | Driver | 6236 Horton Cir Apt 36a, Fort Worth, TX 76133-3765 | 2020-10-26 |
| 1063010403 | Ramiahtrans LLC | Driver | 1326 S 11th St, Waco, TX 76706-6712 | 2020-10-16 |
| 1841807740 | Tabatha Dawn Holloway | Driver | 2814 Loma Linda Ln, Wichita Falls, TX 76308-4716 | 2020-09-25 |
| 1982219820 | Yolonda C Brown | Driver | 3675 Lake Bend Shore Dr, Spring, TX 77386-4553 | 2020-09-08 |
| 1336752229 | Meosha S Lewis | Driver | 430 Town Creek Dr, Dallas, TX 75232-1649 | 2020-08-28 |
| 1982217436 | Mann On The Run | Driver | 4747 Research Forest Dr Ste 180182, The Woodlands, TX 77381-4912 | 2020-08-25 |
| 1427660240 | Charmette Jones | Driver | 1503 Mustang Lake Ct, Richmond, TX 77406-7963 | 2020-08-21 |
| 1962013755 | Carrie A Mitchell | Driver | 12515 Ashford Riv, Houston, TX 77072-5662 | 2020-08-13 |
| 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.