MS. PETRA DE LEON (NPI# 1811340490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811340490 |
| Entity Type | Individual |
| Full Name | MS. PETRA DE LEON |
| Credential | FNP-C |
| Practice Address |
304 E San Patricio Ave Mathis TX 78368-2350 |
| Practice Telephone | 3615472203 |
| Practice Fax Number | 3615472098 |
| Mailing Telephone | 3615472203 |
| Mailing Fax Number | 3615472098 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP131476 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
304 E SAN PATRICIO AVE |
| City | MATHIS |
| State | TX |
| Zip Code | 78368-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558464966 | Jose A Aguinaga | Physician Assistant | 304 E San Patricio Ave, Mathis Medical Center Pa, Mathis, TX 78368-2350 | 2006-09-07 |
| 1477920809 | Trio Hospice - Rural Inc | Hospice Care, Community Based | 304 E San Patricio Ave, Mathis, TX 78368-2350 | 2015-09-02 |
| 1962816934 | Trio Hospice - Rural, Inc | In Home Supportive Care | 304 E San Patricio Ave, Mathis, TX 78368-2350 | 2014-06-17 |
| 1629312194 | Smartlab, Inc | Clinical Medical Laboratory | 304 E San Patricio Ave, Mathis, TX 78368-2350 | 2012-11-21 |
| 1023319944 | Smartlab | Clinical Medical Laboratory | 304 E San Patricio Ave, Mathis, TX 78368-2350 | 2010-11-09 |
| 1821224098 | Mathis Medical Center Pa | Clinic/Center | 304 E San Patricio Ave, Mathis, TX 78368-2350 | 2009-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942769351 | Sabrina Ann Gonzales | Specialist/Technologist | 602 E San Patricio Ave, Mathis, TX 78368 | 2019-03-15 |
| 1629500897 | Little Bit of Sunshine Adult Center | Clinic/Center | 108 E San Patricio Ave, Mathis, TX 78368 | 2017-03-28 |
| 1134374713 | South Padre Island Pediatric Center | Clinic/Center | 220 E. St. Mary's Street, Mathis, TX 78368 | 2008-11-24 |
| 1811087000 | William Angustus Henderson | Dentist | 1312 E San Patricio, Mathis, TX 78368 | 2006-10-16 |
| 1780775668 | Lakeview Home Care Inc | Home Health | 307 East San Patricio, Mathis, TX 78368 | 2006-09-27 |
| 1083815534 | Mathis I.s.d. | Local Education Agency (LEA) | 602 E. San Patricio Avenue, Mathis, TX 78368-1179 | 2007-05-31 |
| 1104329713 | Jamie Hartnett | Registered Nurse | 305 Willow Dr, Mathis, TX 78368-1539 | 2018-03-10 |
| 1750377073 | Mathis Health Care Center Ltd. Co | Skilled Nursing Facility | 1220 Loop 459, Mathis, TX 78368-1804 | 2005-09-22 |
| 1124508932 | Melinda Ortiz-flores | Physical Therapy Assistant | 1220 Loop 459, Mathis, TX 78368-1804 | 2018-08-21 |
| 1669952669 | Nichole Marie Alvarado | Occupational Therapy Assistant | 1220 Loop 459, Mathis, TX 78368-1804 | 2018-08-19 |
| Find all providers in zip 78368 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538305438 | Karyn Elaine Mills | Nurse Practitioner | 213 S Duval St, Mathis, TX 78368-2613 | 2008-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| 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.