ANA LICONA (NPI# 1861926289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861926289 |
| Entity Type | Individual |
| Full Name | ANA LICONA |
| Credential | APRN, FNP-C |
| Practice Address |
1430 Pasadena Blvd Pasadena TX 77502-2414 |
| Mailing Address |
8939 Clearwood Dr Houston TX 77075-1801 |
| Practice Telephone | 7134770400 |
| Practice Fax Number | 7134772711 |
| Mailing Telephone | 7139102244 |
| Mailing Fax Number | 7139103444 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2018-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP133654 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AANP | AP133654 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396209227 | Ana Licona | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-01-24 |
| Street Address |
1430 PASADENA BLVD |
| City | PASADENA |
| State | TX |
| Zip Code | 77502-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487603148 | Wagih A Gendi | Pediatrics | 1430 Pasadena Blvd, #a, Pasadena, TX 77502-2414 | 2006-05-09 |
| 1184873689 | Gendi Pediatrics, P.a. | Pediatrics | 1430 Pasadena Blvd, Ste A, Pasadena, TX 77502-2414 | 2008-09-09 |
| 1972778751 | Women Specialists of Bayshore Pllc | Obstetrics & Gynecology | 1430 Pasadena Blvd, Ste D, Pasadena, TX 77502-2433 | 2008-04-23 |
| 1083807770 | Leanne Shaw Skinner | Advanced Practice Midwife | 1430 Pasadena Blvd, Suite D, Pasadena, TX 77502-2414 | 2007-08-25 |
| 1871791798 | Gendi Pedaitrics | Clinic/Center | 1430 Pasadena Blvd, Suite A, Pasadena, TX 77502-3406 | 2007-07-03 |
| 1114011053 | Jana Marie Cryan | Advanced Practice Midwife | 1430 Pasadena Blvd, Pasadena, TX 77502-2414 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306310040 | Daniel Max & Marcandrea LLC | Optometrist | 310 Southmore Ave, Pasadena, TX 77502 | 2019-01-16 |
| 1700393931 | Michelle D Hanson | Family Medicine | 1430 Pasadena Blvd Ste A, Pasadena, TX 77502 | 2018-01-09 |
| 1164952693 | Christopher James Coroneos | Student in an Organized Health Care Education/Training Program | 1515 Holocombe Blvd. The University of Texas Md Anderso, Houston, TX 77502 | 2017-06-18 |
| 1205368529 | National Vision, Inc. | Technician/Technologist | 1008 E Southmore Ave, Suite 120, Pasadena, TX 77502 | 2017-03-28 |
| 1265973101 | Ahmad Khalil | Dentist | 1313 Strawberry Rd, Pasadena, TX 77502 | 2017-03-11 |
| 1609242486 | Abc Dentistry Strawberry, Pllc | Dentist | 1319 Strawberry, Pasadena, TX 77502 | 2015-08-17 |
| 1578812079 | Apollo Healthcare At Bay Area, Lp | Skilled Nursing Facility | 4900 E. Sam Houston South, Pasadena, TX 77502 | 2012-08-30 |
| 1487956553 | Kkt Medical, Pllc | Clinic/Center | 2615 Strawberry Road, Pasadena, TX 77502 | 2010-11-23 |
| 1780811604 | Richard Daniel Hall | Chiropractor | 1210 W Allendale Rd, Pasadena, TX 77502 | 2009-06-18 |
| 1285880435 | Angel Amador Roman | Dentist | 2515 Strawberry, Pasadena, TX 77502 | 2008-08-07 |
| Find all providers in zip 77502 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092504 | Kyle Kettle | Nurse Practitioner | 5030 Crenshaw Rd Ste 120, Pasadena, TX 77505-3141 | 2020-10-30 |
| 1013516640 | Heather Mekins | Nurse Practitioner | 721 Bridge Dr, Pasadena, MD 21122-4553 | 2020-10-24 |
| 1891394953 | Tammy Jean Bobbitt-gray | Nurse Practitioner | 10801 Choate Rd, Pasadena, TX 77507-1503 | 2020-10-20 |
| 1467067447 | Lizette Cabral | Nurse Practitioner | 1144 N Mentor Ave, Pasadena, CA 91104-3824 | 2020-09-15 |
| 1679188304 | Kimberly Yam | Nurse Practitioner | 1575 N Lake Ave Ste 208, Pasadena, CA 91104-2340 | 2020-09-10 |
| 1215569785 | Kristine Elizabeth Chesney | Nurse Practitioner | 1288 Holmespun Dr, Pasadena, MD 21122-2578 | 2020-02-12 |
| 1598304958 | Sophia A Phillip | Nurse Practitioner | 65 N Madison Ave Ste 800, Pasadena, CA 91101-2038 | 2020-01-03 |
| 1831748359 | Altagracia Garza | Nurse Practitioner | 908 Southmore Ave Ste 130, Pasadena, TX 77502-1100 | 2019-09-06 |
| 1548817919 | Ansela Chaluparambil | Nurse Practitioner | 3326 Watters Rd Bldg D, Pasadena, TX 77504-2053 | 2019-08-21 |
| 1972155828 | Michelle Elizabeth Hinkey | Nurse Practitioner | 8109 Ritchie Hwy # 100, Pasadena, MD 21122-6917 | 2019-07-11 |
| Find all providers in PASADENA | ||||
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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.