KELLI LONGORIA (NPI# 1780169946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780169946 |
| Entity Type | Individual |
| Full Name | KELLI LONGORIA |
| Practice Address |
2700 Citizens Plz Ste 400 Victoria TX 77901-5757 |
| Practice Telephone | 3612373945 |
| Mailing Telephone | 3612373945 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP139043 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2700 CITIZENS PLZ STE 400 |
| City | VICTORIA |
| State | TX |
| Zip Code | 77901-5757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
| 1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
| 1871058099 | Still Water Springs | Counselor | 103 East Airline Road, Suite 3, Victoria, TX 77901 | 2019-02-01 |
| 1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
| 1003324823 | Raul Hernandez | Physical Therapy Assistant | 101 W Goodwin Ave Ste 600, Victoria, TX 77901 | 2018-01-15 |
| 1568916153 | Bdcv / Vpsc Associates, LLC | Dietitian, Registered | 4206 N Ben Jordan Street, Victoria, TX 77901 | 2016-08-11 |
| 1801349535 | James H Jarrett Jr. | Dietitian, Registered | 4206 N. Ben Jordan Street, Victoria, TX 77901 | 2016-07-29 |
| 1508218736 | Philip Henneke | Case Manager/Care Coordinator | 1802 N. Laurent, Victoria, TX 77901 | 2016-07-12 |
| 1194084145 | Kelly E. Rogers | Speech-Language Pathologist | 2903 B. Azalea St., Victoria, TX 77901 | 2012-05-11 |
| 1023393790 | Frederick B Niegos Mdpa | Internal Medicine | 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 | 2011-10-13 |
| Find all providers in zip 77901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366098915 | Zachary Barber | Nurse Practitioner | 605 E San Antonio St # 509, Victoria, TX 77901-6050 | 2019-08-09 |
| 1396304390 | Olanrewaju Omobola Olurode | Nurse Practitioner | 104 Buckskin Trl, Victoria, TX 77904-2962 | 2019-06-12 |
| 1497238869 | Crystal Joan Douglas | Nurse Practitioner | 9006 N Navarro St, Victoria, TX 77904-1565 | 2018-09-12 |
| 1790270106 | Jeremiah E Bast | Nurse Practitioner | 605 E San Antonio St Ste 509e, Victoria, TX 77901-6079 | 2018-06-27 |
| 1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
| 1578913323 | Acadia Matilda Joines | Nurse Practitioner | 104 Watermark, Victoria, TX 77904-1168 | 2016-06-13 |
| 1518337690 | Nikki Reger | Nurse Practitioner | 102 Andrew Dr, Victoria, TX 77904-2938 | 2015-10-01 |
| 1336524974 | Adan Hinojosa Adame | Nurse Practitioner | 102 Contento St, Victoria, TX 77905-0688 | 2015-07-24 |
| 1235522509 | Kristi Williams | Nurse Practitioner | 728 Menke Rd, Victoria, TX 77905-5757 | 2015-03-11 |
| 1346524303 | Pamela Ross Breazeale | Nurse Practitioner | 117 Cumberland Gap, Victoria, TX 77904-2416 | 2011-10-07 |
| Find all providers in VICTORIA | ||||
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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.