VIVIAN ODOEMENEM (NPI# 1972044824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972044824 |
| Entity Type | Individual |
| Full Name | VIVIAN ODOEMENEM |
| Credential | FNP |
| Practice Address |
1111 W Adoue St Alvin TX 77511-2718 |
| Mailing Address |
Po Box 3345 Houston TX 77253-3345 |
| Practice Telephone | 2818241480 |
| Practice Fax Number | 2812206407 |
| Mailing Telephone | 7137969955 |
| Enumeration Date | 2017-03-11 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP133142 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22999 Highway 59 N Ste 232, Kingwood, TX 773394440 | 6143160442 | |
| 8307 Knight Rd, Houston, TX 77054 | 7137969955 |
| Street Address |
1111 W ADOUE ST |
| City | ALVIN |
| State | TX |
| Zip Code | 77511-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588875314 | Margaret Denise Rhone | Counselor | 1111 W Adoue St, Alvin, TX 77511 | 2007-05-24 |
| 1558989566 | Steven Willis | Nurse Practitioner | 1111 W Adoue St, Alvin, TX 77511-2718 | 2020-07-07 |
| 1629602354 | Shari Wilson | Registered Nurse | 1111 W Adoue St, Alvin, TX 77511-2718 | 2020-03-03 |
| 1942861562 | Sarah Ruth Johnson | Nurse Practitioner | 1111 W Adoue St, Alvin, TX 77511-2718 | 2019-06-25 |
| 1720555097 | Derek C Bonn | Nurse Practitioner | 1111 W Adoue St, Alvin, TX 77511-2718 | 2018-10-25 |
| 1306325832 | Agnes Gwaro | Nurse Practitioner | 1111 W Adoue St, Alvin, TX 77511-2718 | 2018-08-07 |
| 1528567237 | Jahri Wilson | Registered Nurse | 1111 W Adoue St, Alvin, TX 77511-2718 | 2018-02-08 |
| 1427561125 | Jemyra Calais | Nurse Practitioner | 1111 W Adoue St, Alvin, TX 77511 | 2017-11-16 |
| 1679084602 | Shemika Bell | Counselor | 1111 W Adoue St, Alvin, TX 77511-2718 | 2017-10-17 |
| 1649728270 | Natalia Bushina-vernor | Dentist | 1111 W Adoue St, Alvin, TX 77511-2718 | 2016-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245975 | Chau T Nguyen | Pharmacist | 400 S. Bypass 35, Alvin, TX 77511 | 2020-11-02 |
| 1215548235 | Roozbeh Ghasemi | Dentist | 2101 Alvin Bypass #106, Alvin, TX 77511 | 2020-08-13 |
| 1992287320 | Tamra Sanson | Registered Nurse | 2800 Mustang Rd Apt 403, Alvin, TX 77511 | 2018-09-01 |
| 1265930101 | National Vision, Inc. | Technician/Technologist | 1240 Fm 1462, Ste 300, Alvin, TX 77511 | 2018-01-25 |
| 1275050643 | Hannah Corena Kenney | Specialist/Technologist | 122 Leisure Lane, Alvin, TX 77511 | 2017-08-27 |
| 1700260684 | Alvin Dialysis Renal | Clinic/Center | 101 East House Street, Alvin, TX 77511 | 2015-07-10 |
| 1740682715 | Alvin Family Dental | Dentist | 173 Tovrea Rd., Ste. E., Alvin, TX 77511 | 2014-09-22 |
| 1194158527 | Tison Latoi Price Hudson | Nurse Practitioner | 3128 Texas 35 S, Alvin, TX 77511 | 2013-08-21 |
| 1235577057 | Veruschka Kristel Rivera Colon | Speech-Language Pathologist | 601 E Clements St, Alvin, TX 77511 | 2013-06-14 |
| 1780981555 | Brazoria Urgent Care LLC | Internal Medicine | 2300 Highway 35, Suite A, Alvin, TX 77511 | 2011-02-14 |
| Find all providers in zip 77511 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366867129 | Stacey Lee Mcdonald | Nurse Practitioner | 1502 Meadow Ln, Alvin, TX 77511-3123 | 2014-03-03 |
| 1194158527 | Tison Latoi Price Hudson | Nurse Practitioner | 3128 Texas 35 S, Alvin, TX 77511 | 2013-08-21 |
| 1225121635 | Christi Renee Jensen | Nurse Practitioner | 511 S Gordon St, Suite #d, Alvin, TX 77511-2838 | 2006-09-30 |
| 1558989566 | Steven Willis | Nurse Practitioner | 1111 W Adoue St, Alvin, TX 77511-2718 | 2020-07-07 |
| 1942861562 | Sarah Ruth Johnson | Nurse Practitioner | 1111 W Adoue St, Alvin, TX 77511-2718 | 2019-06-25 |
| 1720555097 | Derek C Bonn | Nurse Practitioner | 1111 W Adoue St, Alvin, TX 77511-2718 | 2018-10-25 |
| 1316447196 | Melissa Chin | Nurse Practitioner | 3128 S Highway 35, Alvin, TX 77511-1404 | 2018-02-18 |
| 1427561125 | Jemyra Calais | Nurse Practitioner | 1111 W Adoue St, Alvin, TX 77511 | 2017-11-16 |
| 1952841512 | Ani Joji | Nurse Practitioner | 2020 E Highway 6, Alvin, TX 77511-8507 | 2017-03-02 |
| 1568905446 | Pulcharia Thompson | Nurse Practitioner | 1612 Callaway Dr, Alvin, TX 77511 | 2016-11-28 |
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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.