JAELYNDA PROTHERO (NPI# 1881295053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881295053 |
| Entity Type | Individual |
| Full Name | JAELYNDA PROTHERO |
| Practice Address |
13787 Macdona Lacoste Rd Lot 20 Atascosa TX 78002-3532 |
| Practice Telephone | 2105024681 |
| Mailing Telephone | 2105024681 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 1010784 | TX | Nursing Service Providers |
| Street Address |
13787 MACDONA LACOSTE RD LOT 20 |
| City | ATASCOSA |
| State | TX |
| Zip Code | 78002-3532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801260542 | D' Polvo Logistics, LLC | Non-emergency Medical Transport (VAN) | 14805 Ladd Rd, Atascosa, TX 78002-3460 | 2015-11-18 |
| 1023339470 | Jozett Mikel Kayser-erfurth | Nurse Practitioner | 10841 Aliann Dr, Atascosa, TX 78002-4230 | 2010-06-21 |
| 1417117037 | Edward (eddie) D Riojas | Assisted Living Facility | 14212 Greenwood Rd, Atascosa, TX 78002-4765 | 2008-06-17 |
| 1699071613 | Riojas1 Services, LLC | Assisted Living Facility | 14212 Greenwood Rd, Atascosa, TX 78002-4765 | 2011-02-09 |
| 1154474138 | Consuelo Villarreal Salinas | Assisted Living Facility | 17425 Luckey Rd, Atascosa, TX 78002-5563 | 2007-01-21 |
| 1154462497 | Longoria Personal Care Home, Inc | Assisted Living Facility | 16740 Ih 35 S Unit 2, Atascosa, TX 78002-5773 | 2007-02-09 |
| 1225657505 | Christopher Juarez | Rehabilitation Practitioner | 11675 Fowler Rd, Atascosa, TX 78002-5783 | 2020-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225657505 | Christopher Juarez | Rehabilitation Practitioner | 11675 Fowler Rd, Atascosa, TX 78002-5783 | 2020-04-15 |
| 1801260542 | D' Polvo Logistics, LLC | Non-emergency Medical Transport (VAN) | 14805 Ladd Rd, Atascosa, TX 78002-3460 | 2015-11-18 |
| 1023339470 | Jozett Mikel Kayser-erfurth | Nurse Practitioner | 10841 Aliann Dr, Atascosa, TX 78002-4230 | 2010-06-21 |
| 1417117037 | Edward (eddie) D Riojas | Assisted Living Facility | 14212 Greenwood Rd, Atascosa, TX 78002-4765 | 2008-06-17 |
| 1154462497 | Longoria Personal Care Home, Inc | Assisted Living Facility | 16740 Ih 35 S Unit 2, Atascosa, TX 78002-5773 | 2007-02-09 |
| 1154474138 | Consuelo Villarreal Salinas | Assisted Living Facility | 17425 Luckey Rd, Atascosa, TX 78002-5563 | 2007-01-21 |
| 1699071613 | Riojas1 Services, LLC | Assisted Living Facility | 14212 Greenwood Rd, Atascosa, TX 78002-4765 | 2011-02-09 |
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215933 | Alexis D Wilson | Licensed Vocational Nurse | 1610 Maple Ave, Midland, TX 79705-6910 | 2020-11-06 |
| 1861093635 | Janice Joseph | Licensed Vocational Nurse | 3705 Roland Rd, Beaumont, TX 77708-3211 | 2020-11-06 |
| 1366043416 | Ana Swain | Licensed Vocational Nurse | 10202 Bricewood Pl, San Antonio, TX 78254-1995 | 2020-11-05 |
| 1962003855 | Leashia Armstong | Licensed Vocational Nurse | 12603 Woodforest Blvd Apt 1210, Houston, TX 77015-3430 | 2020-11-05 |
| 1770184970 | Jasminn Williams | Licensed Vocational Nurse | 3323 Renaissance Dr, Dallas, TX 75287-5950 | 2020-11-04 |
| 1780285130 | Chinonso Jonathan Anyiwo | Licensed Vocational Nurse | 804 Serenity Dr, Cedar Hill, TX 75104-3182 | 2020-11-03 |
| 1972104362 | Adrianna Orosco | Licensed Vocational Nurse | 5511 Shorthorn Dr, Laredo, TX 78046-6179 | 2020-11-03 |
| 1346841764 | Anitra Da'shai Mayes | Licensed Vocational Nurse | 1516 Gurley Ln Apt 3104, Waco, TX 76706-3531 | 2020-11-03 |
| 1588265995 | Penny Reanne Hinders | Licensed Vocational Nurse | 817 Speight Ave Apt 121, Waco, TX 76706-1419 | 2020-11-03 |
| 1750981445 | Kaitlyn Walters | Licensed Vocational Nurse | 403 Ward St, Lufkin, TX 75901-4945 | 2020-10-30 |
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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.