SHERITA NICOLE BAGBY MCCOLLUM (NPI# 1912203407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912203407 |
| Entity Type | Individual |
| Full Name | SHERITA NICOLE BAGBY MCCOLLUM |
| Credential | LMT |
| Practice Address |
1830 Snake River Rd Suite B Katy TX 77449-1843 |
| Mailing Address |
1111 Houghton Rd #1711 Katy TX 77450-3070 |
| Practice Telephone | 8328481800 |
| Mailing Telephone | 8328481800 |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT111427 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1830 SNAKE RIVER RD SUITE B |
| City | KATY |
| State | TX |
| Zip Code | 77449-1843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386600138 | Rafael D Guerrero | Psychiatry & Neurology | 1830 Snake River Rd, Suite E, Katy, TX 77449-1843 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454507 | Mariah Maldonado | Behavior Technician | 2502 Providence Point Dr., Katy, TX 77449 | 2020-10-12 |
| 1053927863 | Helping Hands Senior Care, LLC | Home Health | 20135 Cable Brook Ln, Katy, TX 77449 | 2020-09-17 |
| 1730706953 | Erliz Jessenia Maldonado | Nurse Practitioner | 3919 N Fry Road, Katy, TX 77449 | 2020-07-03 |
| 1154956225 | Jptx Pllc | Dentist | 3011 West Grand Parkway North, Suite 200, Katy, TX 77449 | 2020-03-09 |
| 1831737345 | Tmd Services LLC | Non-emergency Medical Transport (VAN) | 21022 Iris Bloom Street, Katy, TX 77449 | 2019-12-16 |
| 1558911081 | Samatha Renee Morris | Technician | 27427 Slate Crossing Lane, Katy, TX 77449 | 2019-09-17 |
| 1275188518 | Sanitas Medical Center of Texas Pa | Clinic/Center | 2610 N. Mason Rd, Katy, TX 77449 | 2019-08-05 |
| 1265087472 | Sanitas Medical Center of Texas Pa | Family Medicine | 2610 North Mason Road, Katy, TX 77449 | 2019-08-05 |
| 1255993192 | Chelsea Rae Mitchell | Counselor | 21606 Ivory Gate Ln, Katy, TX 77449 | 2019-07-01 |
| 1376104992 | Vision Republic, Pllc | Optometrist | 23021 Mortan Ranch Rd., Ste D, Katy, TX 77449 | 2019-06-25 |
| Find all providers in zip 77449 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083211817 | Lauren Jean | Massage Therapist | 22706 Coriander Dr, Katy, TX 77450-1526 | 2020-10-05 |
| 1366057655 | Shihhan Hong | Massage Therapist | 1550 Katy Flewellen Rd Apt 1110, Katy, TX 77494-6323 | 2020-09-13 |
| 1902319270 | Stacie Phillips | Massage Therapist | 22706 Johndale Ct, Katy, TX 77494-8282 | 2017-11-09 |
| 1669822045 | Stephanie Santana | Massage Therapist | 21326 Park Run Dr, Katy, TX 77450-4810 | 2016-06-16 |
| 1720436348 | Maria Armada | Massage Therapist | 20000 Saums Rd Apt 4204, Katy, TX 77449-3376 | 2016-05-25 |
| 1457722035 | Apolinio Raul Perez | Massage Therapist | 25815 Silver Timbers Ln, Katy, TX 77494-0727 | 2015-10-08 |
| 1962813626 | Viviana Molinas | Massage Therapist | 20501 Katy Fwy Ste 130, Katy, TX 77450-1940 | 2014-05-15 |
| 1194019364 | Susanne Lynn Novotny | Massage Therapist | 2126 Crystal Downs Dr, Katy, TX 77450-8666 | 2011-06-06 |
| 1366747727 | Candice Lynn Bronaugh | Massage Therapist | 4231 La Terre De Vin Ct, Katy, TX 77449-0227 | 2011-01-17 |
| 1447274162 | Lorie Ann Eubank | Massage Therapist | 2521 Patna Dr, Katy, TX 77493-1357 | 2006-07-26 |
| Find all providers in KATY | ||||
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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.