JESSIE HOAK (NPI# 1790065936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790065936 |
| Entity Type | Individual |
| Full Name | JESSIE HOAK |
| Credential | ACNS-BC |
| Practice Address |
3605 Executive Dr San Angelo TX 76904-6884 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 3252454000 |
| Practice Fax Number | 3252454615 |
| Mailing Telephone | 6154653194 |
| Mailing Fax Number | 6154652875 |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 718752 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PENDING | 05 |
| Street Address |
3605 EXECUTIVE DR |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-6884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716264 | San Angelo Ambulatory Surgery Center | Clinic/Center | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2005-11-08 |
| 1497233134 | Brittney Hughes | Specialist/Technologist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2018-08-03 |
| 1275954232 | Michael Matthews | Physician Assistant | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2013-12-18 |
| 1326384553 | Soheil Daftarian | Ophthalmology | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-12-16 |
| 1134463300 | Melissa Mcarthur | Audiologist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-11-12 |
| 1134472509 | Kayla Joy Gibbs | Nurse Practitioner | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-10-22 |
| 1124383567 | Michael Keesey Boyd | Surgery | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-07-11 |
| 1427297506 | Jennifer D Slaven | Clinical Nurse Specialist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2009-02-12 |
| 1144485756 | West Texas Medical Associates | Family Medicine | 3605 Executive Dr, San Angelo, TX 76904 | 2008-07-23 |
| 1750544367 | West Texas Medical Associates | Nurse Anesthetist, Certified Registered | 3605 Executive Dr, San Angelo, TX 76904 | 2008-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073588539 | Christa D Martin | Clinical Nurse Specialist | Box 11019 Asu, 1901 Johnson Street, San Angelo, TX 76909-1019 | 2006-02-20 |
| 1508105982 | Rachael A Conover | Clinical Nurse Specialist | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2013-02-05 |
| 1265755474 | San Angelo Hospital, Lp | Clinical Nurse Specialist | 3334 Loop 306, San Angelo, TX 76904-5941 | 2010-03-03 |
| 1528202025 | Patricia Douglass Vanover | Clinical Nurse Specialist | 3334 Loop 306, San Angelo, TX 76904-5941 | 2009-04-28 |
| 1871737387 | Deborah Ann Pope | Clinical Nurse Specialist | 3334 Loop 306, San Angelo, TX 76904-5941 | 2009-04-28 |
| 1326170259 | Wanda H Lange | Clinical Nurse Specialist | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2007-03-09 |
| 1568572691 | Gayle Porter | Clinical Nurse Specialist | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2006-08-30 |
| 1609834639 | Rebecca C Taylor | Clinical Nurse Specialist | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2006-05-01 |
| 1144297185 | Valarie V. Mills | Clinical Nurse Specialist | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2006-03-08 |
| 1932173473 | Keith M Duryea | Clinical Nurse Specialist | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2006-02-13 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
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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.