SIDRATU RUGIE ISSA (NPI# 1922537034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922537034 |
| Entity Type | Individual |
| Full Name | SIDRATU RUGIE ISSA |
| Credential | EAGLES TRACE |
| Practice Address |
14703 Eagle Vista Dr Houston TX 77077-5394 |
| Practice Telephone | (832) 430-0138 |
| Mailing Telephone | 8324300138 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | NA10091344 | TX | Nursing Service Related Providers |
| Street Address |
14703 EAGLE VISTA DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77077-5394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144224544 | Raina Patel | Internal Medicine | 14703 Eagle Vista Dr, Houston, TX 77077-5275 | 2005-06-13 |
| 1013312792 | Crystal Taylor | Physical Therapy Assistant | 14703 Eagle Vista Dr, Houston, TX 77077-5394 | 2014-10-24 |
| 1841695657 | Rushina Desai | Physical Therapy Assistant | 14703 Eagle Vista Dr, Houston, TX 77077-5394 | 2014-10-23 |
| 1992109854 | Barbara Craver | Occupational Therapist | 14703 Eagle Vista Dr, Houston, TX 77077-5394 | 2014-10-21 |
| 1386984912 | Jennifer Blan | Speech-Language Pathologist | 14703 Eagle Vista Dr, Houston, TX 77077-5394 | 2013-02-19 |
| 1144580192 | Eagle's Trace Inc | Skilled Nursing Facility | 14703 Eagle Vista Dr, Attn: Extended Care Administrator, Houston, TX 77077-5394 | 2012-05-24 |
| 1568741536 | Chisaokwu Abdullah | Speech-Language Pathologist | 14703 Eagle Vista Dr, Houston, TX 77077-5394 | 2011-08-09 |
| 1972805117 | Cynthia Marie Dupont | Physical Therapist | 14703 Eagle Vista Dr, Houston, TX 77077-5394 | 2010-11-20 |
| 1861706558 | Erickson Health Medical Group of Texas, Pa | Durable Medical Equipment & Medical Supplies | 14703 Eagle Vista Dr, Houston, TX 77077-5394 | 2010-08-05 |
| 1396978532 | Cynthia Tran Kieu | Nurse Practitioner | 14703 Eagle Vista Dr, Houston, TX 77077-5394 | 2009-09-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457922 | Tam Minh Ha | Pharmacist | 2700 S Kirkwood, Houston, TX 77077 | 2020-11-02 |
| 1497396881 | Laboratory Concepts | Technician, Pathology | 2025 Gentryside Dr, Houston, TX 77077 | 2019-10-07 |
| 1447730940 | Olufunke O'banion | Registered Nurse | 1011 South Texas 6, Suite 311, Houston, TX 77077 | 2018-08-15 |
| 1548753536 | Jasmine M Mckenzie | Specialist | 12350 Westhemier Rd, Suite 128, Houston, TX 77077 | 2018-06-13 |
| 1396233698 | Waabeke Charlotte Nwikpo | Counselor | 1919 S Kirkwood Rd Apt 144, Houston, TX 77077 | 2018-04-23 |
| 1447747894 | Westside Medical Centers of Texas Pllc | Chiropractor | 1137 Highway 6 South, Houston, TX 77077 | 2018-04-20 |
| 1649786427 | Medical Care Innovation, P.C. | Clinic/Center | 1254 Enclave Parkway, Houston, TX 77077 | 2017-12-16 |
| 1194242545 | Lydia Danielle Breedlove | Specialist/Technologist | 12310 Rincon Drive, Houston, TX 77077 | 2017-08-26 |
| 1649602962 | Bereket Haileab Tsegai | Optometrist | 11660 Westheimer Rd Ste 125, Houston, TX 77077 | 2013-08-09 |
| 1851733273 | Tomekia Alvarez | Occupational Therapy Assistant | 1815 Enclave Parkway, Apt 6307, Houston, TX 77077 | 2013-07-26 |
| Find all providers in zip 77077 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) 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 |
|---|---|---|---|---|
| 1831705540 | Patrictia Wright | Nurse's Aide | 440 Benmar Dr Ste 2289, Houston, TX 77060-3077 | 2020-09-17 |
| 1144841743 | Divine Services Unlimited LLC | Nurse's Aide | 15003 Lance Cir, Houston, TX 77053-2591 | 2020-05-05 |
| 1437700697 | Kelly Mcnulty | Nurse's Aide | 6606 Alderson St, Houston, TX 77020-3240 | 2019-09-27 |
| 1386298990 | Jatoya Deshun Mcmillian | Nurse's Aide | 16226 Los Altos Dr, Houston, TX 77083-3808 | 2019-07-31 |
| 1356815609 | Tammorrow Moore | Nurse's Aide | 2111 Bluebonnet Place Cir, Houston, TX 77019-2939 | 2019-01-18 |
| 1952890451 | Charminghearts Health Care LLC | Nurse's Aide | 5206 Fm 1960 Rd W Ste 212n, Houston, TX 77069-4406 | 2018-05-09 |
| 1992200471 | Braonna Brooks | Nurse's Aide | 5938 Schroeder Rd Apt 2, Houston, TX 77021-3554 | 2018-03-27 |
| 1184123663 | Kizzie Jimmerson | Nurse's Aide | 838 Greens Rd, Houston, TX 77060-1417 | 2018-02-09 |
| 1376041269 | Wilma Burks | Nurse's Aide | 5603 Northridge Dr, Houston, TX 77033-2937 | 2018-01-25 |
| 1184133993 | Mary T. Collins | Nurse's Aide | 7313 Northline Dr Apt 711, Houston, TX 77076-1550 | 2017-09-25 |
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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.