ILARIA MENA REYES (NPI# 1912354242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912354242 |
| Entity Type | Individual |
| Full Name | ILARIA MENA REYES |
| Other Name | ILARIA MENA |
| Credential | RN FNP-C |
| Practice Address |
14120 Northwest Blvd Corpus Christi TX 78410-5121 |
| Mailing Address |
919 Hidden Rdg Irving TX 75038-3813 |
| Practice Telephone | 3612412626 |
| Practice Fax Number | 3619040178 |
| Mailing Telephone | 4692822711 |
| Mailing Fax Number | 4692822609 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
703826 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP131082 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 360767301 | 05 |
| Street Address |
14120 NORTHWEST BLVD |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78410-5121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942201439 | Mohamad Ayman Ghraowi | Internal Medicine | 14120 Northwest Blvd, Corpus Christi, TX 78410-5121 | 2005-08-09 |
| 1083158802 | Padgett Parker | Physician Assistant | 14120 Northwest Blvd, Corpus Christi, TX 78410-5121 | 2016-12-13 |
| 1407885262 | M Ayman Ghraowi, Md Pa | Radiology | 14120 Northwest Blvd, Corpus Christi, TX 78410-5121 | 2006-07-02 |
| 1508813247 | Lalitha Madhav Janaki | Radiology | 14120 Northwest Blvd, Corpus Christi, TX 78410-5121 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006736 | Ifeyinwa B Nwolisa | Pharmacist | 4101 Ih 69, Suite C, Corpus Christi, TX 78410 | 2020-09-08 |
| 1417486333 | Calallen Dental & Orthodontics Pllc | Dentist | 14101 Northwest Blvd Ste 111, Corpus Christi, TX 78410 | 2017-06-05 |
| 1811395734 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 14017 Northest Blvd., Suite 109-b, Corpus Christi, TX 78410 | 2014-12-09 |
| 1811324841 | Nicholas S Baucum | Chiropractor | 14902 Trinity River Dr Ste 2, Corpus Christi, TX 78410 | 2013-10-04 |
| 1477865954 | Brett D Chapman | Dentist | 13725 Northwest Blvd., Medical Plaza 1, Ste. 1, Corpus Christi, TX 78410 | 2010-07-13 |
| 1063644227 | Professionals Inserting Central Catheters, Inc. | Registered Nurse | 4309 Lavaca River Ct, Corpus Christi, TX 78410 | 2009-08-20 |
| 1568639177 | Whisper Creek Adult Day Care, Inc. | Custodial Care Facility | 13665 Teague Lane, Corpus Christi, TX 78410 | 2008-05-13 |
| 1821143637 | Albert Henry Guzman | Durable Medical Equipment & Medical Supplies | 4613 Cornett Dr, Corpus Christi, TX 78410 | 2007-01-24 |
| 1083771026 | Erica Contreras | Physical Therapy Assistant | 13138 Leopard St, Corpus Christi, TX 78410 | 2007-01-02 |
| 1619065604 | John Theodore Thompson | Dentist | 4101 Us Hwy 77 Ste M 1a, Corpus Christi, TX 78410 | 2006-10-11 |
| Find all providers in zip 78410 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467946111 | Audra Renae Deardorf | Nurse Practitioner | 601 Texan Trl Ste 200, Corpus Christi, TX 78411-2551 | 2018-06-17 |
| 1104433531 | Coastal Bend House Calls | Nurse Practitioner | 4444 Corona Dr Ste 130, Corpus Christi, TX 78411-4322 | 2020-09-29 |
| 1235769118 | Eliana Irigoyen | Nurse Practitioner | 10838 Leopard St, Corpus Christi, TX 78410-2607 | 2020-01-20 |
| 1508373481 | Nurse Practitioners of Corpus Christi Pllc | Nurse Practitioner | 5721 Esplanade Dr, Corpus Christi, TX 78414-4138 | 2018-01-02 |
| 1801314281 | Stacey Rene Sanchez | Nurse Practitioner | 3022 Mckinzie Rd, Corpus Christi, TX 78410-2628 | 2017-09-06 |
| 1023561214 | Aimee Adams | Nurse Practitioner | 3022 Mckinzie Rd, Corpus Christi, TX 78410-2628 | 2016-07-25 |
| 1558797217 | Yusef Ghamarian | Nurse Practitioner | 5950 Saratoga Blvd, Corpus Christi, TX 78414-4100 | 2013-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740588 | Jessica Claudia Cazaubon | Nurse Practitioner | 13327 Crim Rd, Houston, TX 77049-3448 | 2020-11-04 |
| 1629679147 | Magdoleen Awad | Nurse Practitioner | 1602 Morning Dove Ct, Carrollton, TX 75007-1462 | 2020-11-02 |
| 1215536131 | Linnet Litakuli Nandwa | Nurse Practitioner | 6509 Sheerwater Rd, Arlington, TX 76002-3680 | 2020-10-21 |
| 1902405301 | Texas Suburban Visiting Physician Services | Nurse Practitioner | 2200 Smith Barry Rd, Pantego, TX 76013-5800 | 2020-10-19 |
| 1437757432 | Katie Jo Dixon | Nurse Practitioner | 4300 Speedway Unit 4775, Austin, TX 78765-2032 | 2020-10-12 |
| 1376140954 | Melissa Kujawski | Nurse Practitioner | 332 Enid Dr, Lewisville, TX 75056-5874 | 2020-10-06 |
| 1952908188 | Sari Alhaik | Nurse Practitioner | 411 Park Grove Dr Ste 620, Katy, TX 77450-1576 | 2020-10-01 |
| 1669089421 | Heather Ann Votion | Nurse Practitioner | 4501 S General Bruce Dr Ste 75, Temple, TX 76502-1466 | 2020-09-25 |
| 1245847318 | Xin Peng | Nurse Practitioner | 707 Walsh Hill Trl, Cedar Park, TX 78613-4855 | 2020-09-23 |
| 1194331470 | Clara Dornisha Green | Nurse Practitioner | 5847 Acacia Cir Apt 1816, El Paso, TX 79912-4881 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78410 |
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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.