SUPREME CHOICE MED CARE LLC (NPI# 1821343765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821343765 |
| Entity Type | Organization |
| Organization Name | SUPREME CHOICE MED CARE LLC |
| Practice Address |
5002 S Lake Houston Pkwy Ste 7 Houston TX 77049-2631 |
| Mailing Address |
1922 Brown School Ct Richmond TX 77406-6727 |
| Practice Telephone | 8329711588 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |
| Authorized Official Name | CHERYL A JACKSON (PRESIDENT) |
| Authorized Official Telephone | 8329711588 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
673649 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5002 S LAKE HOUSTON PKWY STE 7 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77049-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013220268 | Cheryl Jackson | Nurse Practitioner | 5002 S Lake Houston Pkwy Ste 7, Houston, TX 77049-2631 | 2010-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059032 | Cheryl Melissa Lewis | Nurse Practitioner | 18360 Wallisville Road, Houston, TX 77049 | 2018-10-15 |
| 1962757898 | Lmr Webster Street Pharmacy Incorporated | Pharmacy | 11519 Wallisville Rd Ste 500, Houston, TX 77049 | 2012-07-17 |
| 1083816458 | Wallisville Dental Associates, Pa | Dentist | 14570 Wallisville Road, Suite 2, Houston, TX 77049 | 2007-06-05 |
| 1144376823 | Phuong T Nguyen | Dentist | 14570 Wallisville Rd Suite #2, Houston, TX 77049 | 2007-01-26 |
| 1366524324 | Gmn Vision LLC | Durable Medical Equipment & Medical Supplies | 14570 Wallisville Rd, Suite 3b, Houston, TX 77049 | 2006-10-19 |
| 1801993795 | Jadalia Home Health Agency, Inc. | Home Health | 14651 Leacrest Drive, Houston, TX 77049 | 2006-09-20 |
| 1881662344 | South Lake Houston Emergency Medical Services | Ambulance | 14418 Beaumont Highway, Houston, TX 77049 | 2006-03-10 |
| 1770579872 | Karen Elizabeth Smith-cook | Pediatrics | 13711 Wallisville Rd, Houston, TX 77049 | 2005-09-23 |
| 1275015489 | Alexander Chernyshov | Counselor | 13711 Wallisville Rd, Houston, TX 77049 | 2018-09-04 |
| 1295090389 | Oyelola Omowunmi Atobajeun | Dentist | 5607 Uvalde Rd, Houston, TX 77049 | 2012-07-05 |
| Find all providers in zip 77049 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1104426311 | Erin Krim Gordon | Nurse Practitioner | 2202 Quenby St, Houston, TX 77005-1502 | 2020-10-27 |
| 1003415902 | Hope Ozumba | Nurse Practitioner | 8544 Dairy View Ln, Houston, TX 77072-3907 | 2020-10-21 |
| 1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
| 1962001362 | Eshcol Clinic | Nurse Practitioner | 9935 Bissonnet St Unit B, Houston, TX 77036-8413 | 2020-10-19 |
| 1013516483 | Shazia Mominkhawaja | Nurse Practitioner | 2222 Greenhouse Rd Ste 400, Houston, TX 77084-7288 | 2020-10-18 |
| 1851908610 | Iyobo Elegon | Nurse Practitioner | 8511 Dawnridge Dr, Houston, TX 77071-2441 | 2020-09-25 |
| 1548877541 | Lifespan Psychiatry and Wellness Center Pllc | Nurse Practitioner | 8700 Commerce Park Dr Ste 220, Houston, TX 77036-7431 | 2020-09-24 |
| 1811503345 | Alyssa Cory Hildebrand | Nurse Practitioner | 2450 Fondren Rd Ste 111, Houston, TX 77063-2314 | 2020-09-21 |
| 1245846088 | Adriana Ortiz | Nurse Practitioner | 7218 Shady Corners Ln, Houston, TX 77040-4733 | 2020-09-17 |
| Find all providers in HOUSTON | ||||
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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.