MARISSA JO LEDESMA (NPI# 1932669710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932669710 |
Entity Type | Individual |
Full Name | MARISSA JO LEDESMA |
Credential | LVN |
Practice Address |
2102 W Teege Ave Harlingen TX 78550-4667 |
Practice Telephone | 9564123337 |
Mailing Telephone | 9564123337 |
Enumeration Date | 2019-03-20 |
Last Update Date | 2019-03-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | 347680 | TX | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 1790847531 | 05 |
Street Address |
2102 W TEEGE AVE |
City | HARLINGEN |
State | TX |
Zip Code | 78550-4667 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104326677 | Rosio Barba | Licensed Vocational Nurse | 2102 W Teege Ave, Harlingen, TX 78550-4667 | 2018-02-20 |
1699398958 | Martha Patricia Aguas | Licensed Vocational Nurse | 2102 W Teege Ave, Harlingen, TX 78550-4667 | 2020-05-21 |
1679103923 | Armando Levi Perez | Registered Nurse | 2102 W Teege Ave, Harlingen, TX 78550-4667 | 2020-01-24 |
1205466554 | Lesly Maribel Garcia | Licensed Vocational Nurse | 2102 W Teege Ave, Harlingen, TX 78550-4667 | 2020-01-24 |
1467082719 | Pedro L Solis | Registered Nurse | 2102 W Teege Ave, Harlingen, TX 78550-4667 | 2020-01-24 |
1306476643 | Kristen Lauren Ramirez | Licensed Vocational Nurse | 2102 W Teege Ave, Harlingen, TX 78550-4667 | 2020-01-24 |
1952949679 | Victor Manuel Perez | Licensed Vocational Nurse | 2102 W Teege Ave, Harlingen, TX 78550-4667 | 2019-12-12 |
1407494149 | Zorayma Miozki Medrano | Licensed Vocational Nurse | 2102 W Teege Ave, Harlingen, TX 78550-4667 | 2019-12-12 |
1013555747 | Iannelly Sarai Gonzalez | Licensed Vocational Nurse | 2102 W Teege Ave, Harlingen, TX 78550-4667 | 2019-12-12 |
1912545641 | Cristina Palacios | Registered Nurse | 2102 W Teege Ave, Harlingen, TX 78550-4667 | 2019-12-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598378077 | Bruce Dylan Bauer | Pharmacist | 1921 South Sunshine Strip, Harlingen, TX 78550 | 2020-08-25 |
1952920647 | Av Rehab LLC | Skilled Nursing Facility | 2902 S 77 Sunshine Strip, Harlingen, TX 78550 | 2020-04-13 |
1982260105 | Daniella Concha | Student in an Organized Health Care Education/Training Program | 3102 Haine Drive, Apt 411, Harlingen, TX 78550 | 2019-05-13 |
1669036539 | Ayman Khaddam | Student in an Organized Health Care Education/Training Program | 2121 Pease Street, Mob Suite 200, Vbmc - Utrgv Im, Harlingen, TX 78550 | 2019-04-26 |
1104382738 | Abrazos De Jesus Healthcare, LLC | Home Health | 804 N Commerce, Harlingen, TX 78550 | 2019-02-19 |
1912462136 | Deep Sea Dental Pllc | Clinic/Center | 603 South Expressway 83, Suite H2, Harlingen, TX 78550 | 2019-02-01 |
1710442082 | Mary Angela Alexander | Dietitian, Registered | 1740 Christian Cir, Harlingen, TX 78550 | 2019-01-31 |
1376025080 | El Valle Quality Home Care | Technician | 1212 E. Harrison Ave, Suite 136, Harlingen, TX 78550 | 2018-08-30 |
1144717547 | Velma Hughes | Nurse Practitioner | 2424 Riverside Drive, Harlingen, TX 78550 | 2018-04-20 |
1730686494 | Angelica Maria Ortiz | Student in an Organized Health Care Education/Training Program | Utrgv Psychiatry Residency Program, 2102 Treasure Hills Blvd, Harlingen, TX 78550 | 2018-04-10 |
Find all providers in zip 78550 |
Taxonomy Code | 167G00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Psychiatric Technician |
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992219042 | Dante Anduhar Bilal Budd | Licensed Psychiatric Technician | 9415 Water Edge Point Ln, Humble, TX 77396-1903 | 2017-11-28 |
1679718456 | Roland Nnandi Alabaroaye | Licensed Psychiatric Technician | 9802 Forum Park Dr, 3267, Houston, TX 77036-8207 | 2008-12-09 |
1023594389 | Brendah Namwawa | Licensed Psychiatric Technician | 602 W Semands St, Conroe, TX 77301-1867 | 2018-07-18 |
1548273907 | David Allen Turner | Licensed Psychiatric Technician | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-08-15 |
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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.