LISBET IVICIC (NPI# 1760034698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760034698 |
| Entity Type | Individual |
| Full Name | LISBET IVICIC |
| Practice Address |
351 Kearney Blvd San Angelo TX 76908-3215 |
| Mailing Address |
1801 Sunrise Dr Jacksonville FL 32246-2606 |
| Practice Telephone | 3256543876 |
| Mailing Telephone | 9044158010 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11003123 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
351 KEARNEY BLVD |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76908-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164590048 | George E Jones Jr. | Pharmacist | 271 Fort Richardson Avenue, San Angelo, TX 76908 | 2006-12-01 |
| 1679649750 | Denise Robin Lyons | Dentist | Dept of The Air Force, 17th Dental Flight (aetc), Goodfellow Afb, TX 76908 | 2006-11-28 |
| 1326132010 | David Franklin-fernandez | Physician Assistant | 271 Fort Richardson, Goodfellow Afb, TX 76908 | 2006-10-03 |
| 1609961077 | Iris Belmar Ortiz Gonzalez | Dentist | 271 Ft Richardson Ave, Goodfellow Afb, TX 76908 | 2006-10-03 |
| 1386106409 | Olivia Rosemary Tighe | Student in an Organized Health Care Education/Training Program | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908 | 2019-04-06 |
| 1740785906 | Krishna Kidambi | Internal Medicine | 271 Fort Richardson Avenue, San Angelo, TX 76908 | 2018-03-28 |
| 1295263663 | Peter Dang | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908 | 2017-05-30 |
| 1134589211 | Michelle Quinn | Family Medicine | 271 Fort Richardson Ave, Goodfellow Air Force Base, TX 76908 | 2016-03-02 |
| 1699057414 | Lakeshia Tamara Carter-logan | Physician Assistant | 271 Fort Richardson Ave, 17th Medical Group, Goodfellow Afb, TX 76908 | 2011-09-19 |
| 1548550064 | Egypt-rah Y Mcadoo | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908 | 2011-04-18 |
| Find all providers in zip 76908 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1487269064 | Delilah Deguire-guerra | Nurse Practitioner | 143 Oakwood St, San Angelo, TX 76903-8631 | 2020-09-10 |
| 1215571914 | Dawn Cumbie Burwick | Nurse Practitioner | 431 W 34th St, San Angelo, TX 76903-2323 | 2019-11-05 |
| 1033767504 | Kate Elizabeth Young | Nurse Practitioner | 1621 Iowa Ave, San Angelo, TX 76904-6888 | 2019-08-28 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1487096665 | Mary Beth Luttrell | Nurse Practitioner | 1610s Chadbourne St, San Angelo, TX 76903-8510 | 2013-07-29 |
| 1336490614 | Toyha Drew Harper | Nurse Practitioner | 1601 S Chadbourne St, San Angelo, TX 76903-8509 | 2012-09-26 |
| 1992944565 | Kathe Ann Conner | Nurse Practitioner | 1901 Johnson St, San Angelo, TX 76909-0001 | 2009-02-05 |
| 1083859946 | David Earl Cooper | Nurse Practitioner | 1825 Christoval Rd, San Angelo, TX 76903-8602 | 2008-12-06 |
| 1821245929 | Roseann Hester | Nurse Practitioner | Angelo State University Clinic, San Angelo, TX 76909-0001 | 2008-08-20 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76908 |
Please comment or provide details below to improve the information on LISBET IVICIC.
| 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.