ELLEN EVANGELINE TREADWAY


Address: 2194 Eastex Fwy Ste B, Beaumont, TX 77703-4981
Phone: 4098992750

ELLEN EVANGELINE TREADWAY (NPI# 1871052068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871052068
Entity Type Individual
Full Name ELLEN EVANGELINE TREADWAY
Other Name ELLEN EVANGELINE ESCARENO
Credential FNP-C
Practice Address 2194 Eastex Fwy Ste B
Beaumont
TX 77703-4981
Mailing Address 8425 Manion Dr
Beaumont
TX 77706-3926
Practice Telephone 4098992750
Practice Fax Number 4098992757
Mailing Telephone 2813866730
Enumeration Date 2019-03-18
Last Update Date 2019-03-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP139519 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers ELLEN TREADWAY

NPI Name Taxonomy Address Enumeration
1760510622 Ellen Casteel Treadway Registered Nurse 318 E Franklin St, Shelbyville, TN 37160-3416 2007-03-01

Office Location

Street Address 2194 EASTEX FWY STE B
City BEAUMONT
State TX
Zip Code 77703-4981

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548494685 Yugal Maheshwari, M.d.,p.a. Internal Medicine 2194 Eastex Fwy Ste B, Beaumont, TX 77703-4981 2009-05-04
1851713895 Yugal Maheshwari, M.d., P.a. Internal Medicine 2194 Eastex Fwy Ste B, Beaumont, TX 77703-4981 2014-01-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548687684 Christie N Beaugh Counselor 2574 North 11th Street, Beaumont, TX 77703 2014-03-26
1366728040 Beaumont Orthodontic Specialists Dentist 3954 Eastex Freeway, Beaumont, TX 77703 2011-10-26
1033395660 Danari, Inc Durable Medical Equipment & Medical Supplies 2190 Eastex Freeway, Beaumont, TX 77703 2008-01-14
1801091848 Catholic Charities of Southeast Texas Counselor 2780 Eastex Freeway, Beaumont, TX 77703 2007-06-19
1487874400 Joseph W Provo IIi Dentist 1460 Ih 10 East, Suite A, Beaumont, TX 77703 2007-05-01
1023134608 Assisted Living Concepts Inc Assisted Living Facility 2910 Toccoa Road, Beaumont, TX 77703 2007-03-22
1134233059 Golden Traingle Living Centers Inc Intermediate Care Facility, Mentally Retarded 4415 Jerry, Beaumont, TX 77703 2006-08-18
1225142144 Golden Triangle Living Centers Inc Intermediate Care Facility, Mentally Retarded 6270 Carnation Dr, Beaumont, TX 77703 2006-08-18
1760588123 Patrick Joseph Concannon Radiologic Technologist 2002 Holcombe Blvd, Houston, TX 77703 2006-09-15
1487214987 Edalynn Roper Home Health Aide 4885 Detroit St, Beaumont, TX 77703-1416 2019-06-17
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033725718 Wendi Ellen Ames Nurse Practitioner 350 Pine St Ste 755, Beaumont, TX 77701-2437 2020-09-18
1093340697 Amber Tenille Goldsmith Nurse Practitioner 4347 Phelan Blvd, Beaumont, TX 77707-2159 2020-03-04
1851925267 Trey Perkins Nurse Practitioner 3650 N Major Dr Ste A, Beaumont, TX 77713-9573 2020-02-25
1972141158 Lisa Marie Davila Nurse Practitioner 14870 Michelle Ln, Beaumont, TX 77713-2308 2019-12-18
1467095224 Fines Pafira Pruett Nurse Practitioner 35232 Hogan Dr, Beaumont, CA 92223-7407 2019-10-24
1952944399 Kevin Ray Jones Nurse Practitioner 6040 Carrie Ln, Beaumont, TX 77713-4192 2019-10-17
1447891320 Summer Mcclain Nurse Practitioner 740 Hospital Dr Ste 250, Beaumont, TX 77701-4666 2019-10-02
1114579059 Amy Rae Hederman Nurse Practitioner 3070 College St Ste 100b, Beaumont, TX 77701-4652 2019-07-11
1245898808 Primary Care Anywhere, Pllc Nurse Practitioner 4347 Phelan, Suite 101, Beaumont, TX 77707 2019-05-30
1548824253 Lisa Marie Leger Nurse Practitioner 3129 College St Ste 200, Beaumont, TX 77701-4682 2019-04-29
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Competitor

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City BEAUMONT
Zip Code 77703

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Dataset Information

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.

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