KANDACE WILKERSON (NPI# 1104301456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104301456 |
| Entity Type | Individual |
| Full Name | KANDACE WILKERSON |
| Practice Address |
3805 E Everglade Ave Odessa TX 79762-7048 |
| Practice Telephone | 4327033450 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 344724 | TX | Nursing Service Providers |
| Street Address |
3805 E EVERGLADE AVE |
| City | ODESSA |
| State | TX |
| Zip Code | 79762-7048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
| 1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
| 1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
| 1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
| 1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in zip 79762 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1003423047 | Kathy Kim-nhung Duong | Licensed Vocational Nurse | 2306 Boise Dr, Odessa, TX 79762-2109 | 2020-09-24 |
| 1598379570 | Marisela Mendoza | Licensed Vocational Nurse | 1820 Lone Star Dr, Odessa, TX 79766-9040 | 2020-09-07 |
| 1457903643 | Teresa Ann Isom | Licensed Vocational Nurse | 400 E 38th St, Odessa, TX 79762-6835 | 2019-07-09 |
| 1851863807 | Brittany Nicole Armendariz | Licensed Vocational Nurse | 11470 W Edna St # A, Odessa, TX 79763-8407 | 2018-12-31 |
| 1487139655 | Caitlin Shannon Mcgill | Licensed Vocational Nurse | 13515 W County Road 123, Odessa, TX 79765-8802 | 2018-10-03 |
| 1679057103 | Becky Lamb | Licensed Vocational Nurse | 1715 E 11th St, Odessa, TX 79761-2916 | 2018-09-20 |
| 1346723251 | Vickie Gomez | Licensed Vocational Nurse | 13075 W Citation Dr, Odessa, TX 79763-8109 | 2018-09-07 |
| 1063994077 | Stacy Lynn Cruz | Licensed Vocational Nurse | 2303 Walnut Ave, Odessa, TX 79761-1431 | 2018-09-06 |
| 1629550876 | Ashlea Aguirre | Licensed Vocational Nurse | 1445 Haywood Ave, Odessa, TX 79761-3445 | 2018-09-04 |
| 1548741796 | Brittany Honesto | Licensed Vocational Nurse | 8700 Cornell Ave, Odessa, TX 79765-2149 | 2018-08-26 |
| Find all providers in ODESSA | ||||
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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.