RUBY CROX GAITAN (NPI# 1194075325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194075325 |
| Entity Type | Individual |
| Full Name | RUBY CROX GAITAN |
| Practice Address |
3108 S Fillmore St Amarillo TX 79110-1026 |
| Practice Telephone | 8063745516 |
| Practice Fax Number | 8063734769 |
| Mailing Telephone | 8063745516 |
| Mailing Fax Number | 8063734769 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 57005 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LMSW | 57005 | 01 |
| Street Address |
3108 S FILLMORE ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79110-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356397301 | Amarillo Multiservice Center for The Aging, Inc. | Clinic/Center | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2006-05-25 |
| 1992256887 | Angelica Sanchez Lopez | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2016-10-17 |
| 1891109773 | Breezi Leeann Wilson | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-18 |
| 1619380516 | Christel Holt | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-09 |
| 1417207408 | Petra Lashun Telford | Licensed Vocational Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-17 |
| 1952651929 | Patsy Haner | Physical Therapy Assistant | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-17 |
| 1386994432 | Isaac Valdez | Physical Therapy Assistant | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-17 |
| 1407106545 | Jacinda J Perez | Licensed Vocational Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-17 |
| 1326395898 | Donnice Johnson | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-08-14 |
| 1467709337 | Ruth A Yates | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972060234 | Brenda Carole Hoot | Dietitian, Registered | 5111 Canyon Drive, Amarillo, TX 79110 | 2019-02-22 |
| 1861856288 | Andrea Walker | Contractor | 4004 Business Park Dr, Amarillo, TX 79110 | 2016-04-12 |
| 1801181508 | Kendra Mclaughlin | Counselor | 7601 S Western St, Amarillo, TX 79110 | 2011-06-10 |
| 1780620674 | Mobile Xray of Amarillo | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4303 South Fannin, Amarillo, TX 79110-0000 | 2006-06-21 |
| 1649373861 | Daniel M Novak | Internal Medicine | 3108 S. Fillmore St., Amarillo, TX 79110-1026 | 2006-09-06 |
| 1093732166 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 4215 Canyon Dr, Amarillo, TX 79110-1105 | 2006-07-16 |
| 1427658947 | Samantha Michelle Chandler | Pharmacist | 4215 Canyon Dr, Amarillo, TX 79110-1105 | 2020-10-26 |
| 1649893876 | Kristofer Rice | Pharmacist | 4215 Canyon Dr, Amarillo, TX 79110-1105 | 2020-05-21 |
| 1750462149 | Wal-mart Stores Texas, LLC | Technician/Technologist | 4215 Canyon Dr, Amarillo, TX 79110-1105 | 2006-10-18 |
| 1376086959 | Nec Amarillo South Emergency Center, Lp | Clinic/Center | 4121 S Georgia St, Amarillo, TX 79110-1117 | 2016-11-30 |
| Find all providers in zip 79110 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512445 | Amber Michelle Mattheus | Social Worker | 4215 Sw 21st Ave Ste B, Amarillo, TX 79106-6011 | 2020-06-09 |
| 1275000804 | Reagan Michelle Maldonado | Social Worker | 6010 W Amarillo Blvd Rm 1251, Amarillo, TX 79106-1990 | 2018-11-01 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1669921029 | Kelli Mangold | Social Worker | 4215 Sw 21st Ave, Amarillo, TX 79106-6011 | 2016-09-27 |
| 1861846412 | Jeremy Wessel Glover | Social Worker | 920 S Austin St, Amarillo, TX 79102-1216 | 2016-04-20 |
| 1174988695 | Cynthia Gable | Social Worker | 301 S Polk St Ste 640a, Amarillo, TX 79101-1403 | 2015-12-28 |
| 1639446065 | Alanna L Hepler | Social Worker | 5507 Sw 9th Ave, Amarillo, TX 79106-4130 | 2011-11-30 |
| 1346547189 | Susan E Stokes | Social Worker | 2610 S Ong St, Amarillo, TX 79109-2335 | 2011-02-14 |
| 1205156874 | Holly Campidilli, Mssw, Lmsw-ipr | Social Worker | 123 Mary Jon Dr, Amarillo, TX 79119-7678 | 2010-06-07 |
| 1033346259 | Rosalinda I Barrera | Social Worker | 6010 Amarillo Boulevard West, Amarillo, TX 79103 | 2009-06-15 |
| Find all providers in AMARILLO | ||||
Please comment or provide details below to improve the information on RUBY CROX GAITAN.
| 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.