ANISSA DUSENBERRY (NPI# 1013484286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013484286 |
| Entity Type | Individual |
| Full Name | ANISSA DUSENBERRY |
| Other Name | ANISSA WRIGHT |
| Credential | R.R.T. |
| Practice Address |
8702 17th St Lubbock TX 79416-1930 |
| Practice Telephone | 8064076560 |
| Mailing Telephone | 8064076560 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
99243 | TX | Technologists, Technicians & Other Technical Service Providers |
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
458493 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
8702 17TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637325 | Rad X Mobile Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8702 17th St, Lubbock, TX 79416-1930 | 2019-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336476514 | Trey Colin Petty | Radiologic Technologist | 4508 37th St, Lubbock, TX 79414-2615 | 2009-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842980 | Brandi Bentley | Radiologic Technologist | 10605 Camillia Blossom Ln, Austin, TX 78748-3009 | 2020-05-14 |
| 1013480961 | Eclipse Massage Therapy | Radiologic Technologist | 4321 Center St., Deer Park, TX 77536 | 2019-01-03 |
| 1538529946 | Christopher Smith | Radiologic Technologist | 3600 W Loop 250 N Apt 1059, Midland, TX 79707-3437 | 2016-02-26 |
| 1417222159 | Gina Bernal | Radiologic Technologist | 1022 Huey, Corpus Christi, TX 78418-1606 | 2012-03-13 |
| 1609031897 | Julio Morales Maldonado | Radiologic Technologist | 2403 Naomi St, Unit 12, Houston, TX 77054-4022 | 2008-07-28 |
| 1972763662 | Sergio Garcia | Radiologic Technologist | 618 W 12th St, Weslaco, TX 78596-7408 | 2008-06-16 |
| 1942460985 | Vanessa Kay Magness | Radiologic Technologist | 774 Airway Ave, Tyler, TX 75704-7806 | 2008-06-12 |
| 1598959355 | Kanu Kanu Nwankwo | Radiologic Technologist | 11311 Bayou Place Ln, Houston, TX 77099-4243 | 2007-09-04 |
| 1174720502 | Bhawna Oberoi | Radiologic Technologist | 6002 Tamsworth Ct, Allen, TX 75002-5472 | 2007-06-29 |
| 1932302049 | Home Care X-ray Service, Inc. | Radiologic Technologist | 207 Buckingham Pl, Hewitt, TX 76643-4204 | 2007-06-06 |
| Find all providers with the same taxonomy | ||||
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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.