JAMES ADDISON PUCKETT (NPI# 1093200107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093200107 |
Entity Type | Individual |
Full Name | JAMES ADDISON PUCKETT |
Credential | RNC-NIC, MSN, NNP-BC |
Practice Address |
5430 Fredericksburg Rd San Antonio TX 78229 |
Mailing Address |
11718 Drought Pass Helotes TX 78023-4446 |
Practice Telephone | 8002433839 |
Mailing Telephone | 9562513528 |
Enumeration Date | 2018-06-30 |
Last Update Date | 2018-08-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
813526 | TX | Nursing Service Providers |
Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
AP138325 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487870473 | James Michael Puckett | Dentist | 800 W Main St Ste B, Jamestown, NC 27282-8830 | 2007-04-18 |
1477698926 | James Puckett | Preventive Medicine | 6111 Highway 49, Suite 119, Hattiesburg, MS 39401 | 2007-02-21 |
1497795942 | James B. Puckett | Internal Medicine | One Doctors Drive, Asheville, NC 28801 | 2006-06-06 |
1376067942 | James Edward Puckett Jr. | Counselor | 600 3rd St N, La Crosse, WI 54601-6234 | 2017-07-26 |
1295024800 | James Lee Puckett | Emergency Medicine | 101 The City Dr S, Orange, CA 92868-3201 | 2011-04-04 |
1790824829 | James L. Puckett | Nuclear Medicine | 1 Hospital Dr, Clarion, PA 16214 | 2007-02-05 |
Street Address |
5430 FREDERICKSBURG RD |
City | SAN ANTONIO |
State | TX |
Zip Code | 78229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922001114 | Edward Raymond Rashid | Ophthalmology | 5430 Fredericksburg Rd, Ste 100, San Antonio, TX 78229 | 2005-05-23 |
1619402468 | Mylinh Sarah Nguyen Dougherty | Nurse Practitioner | 5430 Fredericksburg Rd, Suite 508, San Antonio, TX 78229-3539 | 2017-04-28 |
1124570262 | Amy Lynn Marin | Nurse Practitioner | 5430 Fredericksburg Rd, Suite 508, San Antonio, TX 78229-3539 | 2016-10-24 |
1437607322 | Brieanna Jeanette Flowers-joseph | Registered Nurse | 5430 Fredericksburg Rd, #508, San Antonio, TX 78229-3539 | 2016-09-20 |
1427502806 | Helen Lukefahr Tanner | Physician Assistant | 5430 Fredericksburg Rd, Suite 508, San Antonio, TX 78229-3539 | 2016-08-15 |
1447609656 | Angela Garza | General Acute Care Hospital | 5430 Fredericksburg Rd, Suite 508, San Antonio, TX 78229-3539 | 2016-06-08 |
1164882874 | Jeremiah Stecki | Registered Nurse | 5430 Fredericksburg Rd, Suite 508, San Antonio, TX 78229-3539 | 2016-02-24 |
1750761722 | Pamela Rae Krause | Registered Nurse | 5430 Fredericksburg Rd, Suite 508, San Antonio, TX 78229-3539 | 2015-06-04 |
1861872087 | Pamela Lorbieski | Registered Nurse | 5430 Fredericksburg Rd, Suite 508, San Antonio, TX 78229-3539 | 2015-06-03 |
1326428582 | Glenda Weidendorf | Registered Nurse | 5430 Fredericksburg Rd, Suite 508, San Antonio, TX 78229-3539 | 2015-06-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
Find all providers in zip 78229 |
Taxonomy Code | 363LN0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831589217 | Socorro Kintanar Quimson | Nurse Practitioner | 5414 Fredericksburg Road, Ste 100, San Antonio, TX 78229 | 2015-01-23 |
1831458629 | Colleen Marie Gips | Nurse Practitioner | 15247 Bent Moss St, San Antonio, TX 78232-4247 | 2012-05-14 |
1669526596 | Maricel Navarro Maxey | Nurse Practitioner | 5414 Fredericksburg Rd Ste 100, San Antonio, TX 78229-3646 | 2007-01-22 |
1932673969 | Alessandra Brietzke | Nurse Practitioner | 5430 Fredericksburg Rd Ste 508, San Antonio, TX 78229-3561 | 2019-01-12 |
1699249789 | Sara Michele Botello | Nurse Practitioner | 5430 Fredericksburg Rd Ste 508, San Antonio, TX 78229-3561 | 2019-01-11 |
1093281164 | Sara Katherine Rollins | Nurse Practitioner | 5430 Fredericksburg Rd Ste 508, San Antonio, TX 78229 | 2018-10-16 |
1295218618 | Cynthia Marie Sandoval | Nurse Practitioner | 5430 Fredericksburg Rd Ste 508, San Antonio, TX 78229-3561 | 2018-09-11 |
1639667439 | Seema Thomas | Nurse Practitioner | Pediatrix Medical Group, 5430 Frederiksburg Road, San Antonio, TX 78229 | 2018-04-26 |
1477059764 | Christine Andrea Hrdlicka | Nurse Practitioner | 5430 Fredericksburg Rd Ste 508, San Antonio, TX 78229 | 2018-04-04 |
1285138412 | Keri Lillian Daggett | Nurse Practitioner | 4502 Medical Dr, San Antonio, TX 78229 | 2018-03-21 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78229 |
Please comment or provide details below to improve the information on JAMES ADDISON PUCKETT.
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.