MYOUNGSOOK JEONG (NPI# 1770834947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770834947 |
| Entity Type | Individual |
| Full Name | MYOUNGSOOK JEONG |
| Credential | ANP |
| Practice Address |
1300 S Gregg St Big Spring TX 79720-4325 |
| Mailing Address |
1000 Fm 300 Levelland TX 79336-6235 |
| Practice Telephone | 4325174557 |
| Practice Fax Number | 4325174561 |
| Mailing Telephone | 8068947842 |
| Mailing Fax Number | 8068943378 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2014-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 788220 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
788220 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 281971602 | 05 |
| Street Address |
1300 S GREGG ST |
| City | BIG SPRING |
| State | TX |
| Zip Code | 79720-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942316765 | Hariharan Ramamurthy | Internal Medicine | 1300 S Gregg St, Big Spring, TX 79720-4325 | 2006-08-22 |
| 1659995645 | Lark Michelle Olivas | Nurse Practitioner | 1300 S Gregg St, Big Spring, TX 79720-4325 | 2020-06-04 |
| 1578101184 | Howard County Community Health Center Pharmacy | Pharmacy | 1300 S Gregg St, Big Spring, TX 79720-4325 | 2019-12-13 |
| 1659920759 | Roxana Hurtado | Dentist | 1300 S Gregg St, Big Spring, TX 79720-4325 | 2019-09-11 |
| 1972917938 | Jeri Farmer | Dental Hygienist | 1300 S Gregg St, Big Spring, TX 79720-4325 | 2014-06-18 |
| 1801218920 | Shawn Harris | Registered Nurse | 1300 S Gregg St, Big Spring, TX 79720-4325 | 2014-01-08 |
| 1164778080 | Yasoda Vardhani Boyapati | Dentist | 1300 S Gregg St, Big Spring, TX 79720-4325 | 2012-07-29 |
| 1609171149 | South Plains Rural Health Services, Inc | Clinic/Center | 1300 S Gregg St, Big Spring, TX 79720-4325 | 2011-01-13 |
| 1285937045 | Laurie Wooten Harris | Nurse Practitioner | 1300 S Gregg St, Big Spring, TX 79720-4325 | 2010-12-15 |
| 1083702948 | Russell W Jones | Nurse Practitioner | 1300 S Gregg St, Suite A, Big Spring, TX 79720-4325 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174072 | Sharron Harrell | Technician | 407 Driver Rd, Big Spring, TX 79720 | 2019-09-23 |
| 1760049357 | Big Spring Urgent Care Pllc | Clinic/Center | 1700 Wfm 700 Suite B, Big Spring, TX 79720 | 2019-05-20 |
| 1558927582 | West Texas Injury Prevention | Nurse Practitioner | 1111 Scurry, Big Spring, TX 79720 | 2019-05-15 |
| 1417442781 | Caprise Carrisalez | Licensed Vocational Nurse | 2536 Westover, #140, Big Spring, TX 79720 | 2018-06-28 |
| 1235644758 | Connect2speech, LLC | Speech-Language Pathologist | 603 S Gregg St Ste C, Big Spring, TX 79720 | 2017-12-06 |
| 1396256913 | Pf Development 16, LLC | Home Health | 609 S Gregg St, Big Spring, TX 79720 | 2017-10-23 |
| 1497202063 | Wiggins-worthy Wellness Pllc | Clinic/Center | 607 N Main St., Big Spring, TX 79720 | 2016-09-01 |
| 1336537109 | Sangwook Kang | Nurse Anesthetist, Certified Registered | 1601 W 11th Place, Big Spring, TX 79720 | 2015-01-02 |
| 1245542091 | Mme II LLC | Durable Medical Equipment & Medical Supplies | 1903 S Gregg St, Big Spring, TX 79720 | 2010-07-09 |
| 1699945659 | Treasa Kerby Wells | Registered Nurse | 2103 Morrison Drive, Big Spring, TX 79720 | 2008-03-06 |
| Find all providers in zip 79720 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831661388 | Bryan Thomas Anderson | Nurse Practitioner | 1601 W 11th Pl, Big Spring, TX 79720-4114 | 2018-12-21 |
| 1528150265 | Paula K Farquhar | Nurse Practitioner | 1700 West Fm 700, Big Spring, TX 79720 | 2006-09-29 |
| 1891809273 | Debra Kay Woods | Nurse Practitioner | 1901 Highway 87 N, Big Spring, TX 79720-0283 | 2006-08-19 |
| 1487767968 | Donna Fay Yates | Nurse Practitioner | 1901 Highway 87 N, Big Spring, TX 79720-0283 | 2006-08-17 |
| 1154434322 | Ming Suie Whitten | Nurse Practitioner | 1901 Highway 87 N, Big Spring, TX 79720-0283 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306245 | Julie Gunnarson | Nurse Practitioner | 435 Tioga St, Burleson, TX 76028-8197 | 2020-11-03 |
| 1033710488 | Angela Renee Aston | Nurse Practitioner | 805 Kelly Creek, Bulverde, TX 78163 | 2020-11-03 |
| 1629678347 | Prime Telecare LLC | Nurse Practitioner | 2251 Bagdad Rd Unit 102, Cedar Park, TX 78613-6521 | 2020-10-30 |
| 1063012508 | Kelsey Jean Reisch | Nurse Practitioner | 5001 Orleans Cir, Rowlett, TX 75088-6175 | 2020-10-26 |
| 1124628557 | Jessica Buchanan | Nurse Practitioner | 212 Sheridan Loop, Belton, TX 76513-8024 | 2020-10-26 |
| 1811596323 | Rachel Christine Jarrell | Nurse Practitioner | 10080 Research Forest Dr, The Woodlands, TX 77354-6780 | 2020-10-26 |
| 1356940837 | Katherine Anna Nack | Nurse Practitioner | 6100 Harris Pkwy Ste 285, Fort Worth, TX 76132-4127 | 2020-10-26 |
| 1558960104 | Suzette Roberts | Nurse Practitioner | 2505 Pebble Lodge Ln, Friendswood, TX 77546-5587 | 2020-10-23 |
| 1982203675 | Ilse Deyanire Trevino | Nurse Practitioner | 6233 Tepepan Dr, Brownsville, TX 78521-7135 | 2020-10-22 |
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | BIG SPRING |
| Zip Code | 79720 |
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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.