KRISTIN GOTTENBOS (NPI# 1265975023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265975023 |
| Entity Type | Individual |
| Full Name | KRISTIN GOTTENBOS |
| Practice Address |
5262 Sgt Lytle Ave El Paso TX 79906-3242 |
| Practice Telephone | 9155956137 |
| Mailing Telephone | 9155956137 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 317065 | TX | Nursing Service Providers |
| Street Address |
5262 SGT LYTLE AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79906-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922562073 | Anthony Patrick Perales | Physical Therapist | 11133 Ssg Sims St, Fort Bliss, TX 79906 | 2019-01-23 |
| 1336610237 | Guadalupe Gomez | Social Worker | 1026 Chafee Rd, El Paso, TX 79906 | 2018-12-17 |
| 1598259525 | Phillip Harrison | Physician Assistant | Mendoza Clinic, 11335 Ssg Sims, Fort Bliss, TX 79906 | 2018-06-22 |
| 1447601950 | Kayla Gale Hone | Dental Hygienist | 11344 Ssg Sims, Fort Bliss, TX 79906 | 2016-06-27 |
| 1104283498 | Respira, Inc. | Durable Medical Equipment & Medical Supplies | 1611 Marshall Road, Fort Bliss, TX 79906 | 2016-01-19 |
| 1083967657 | National Vision, Inc. | Technician/Technologist | Fort Bliss Main Exchange, Bldg. 1616, Ste. F107, Fort Bliss, TX 79906 | 2012-10-19 |
| 1306074729 | Jennifer Stierwalt Domingo | Psychiatry & Neurology | Building 2489, Ricker Road, West Bliss Clinic, Fort Bliss, TX 79906 | 2009-06-24 |
| 1912176223 | Progreso Eyecare | Optometrist | Bldg. 1611 Marshall Road, Main Px Mall, Fort Bliss, TX 79906 | 2008-02-21 |
| 1932165651 | Gulabdas D Hariyani | General Practice | 6380 Morgan Ave, Suite E, El Paso, TX 79906 | 2006-04-21 |
| 1447750443 | Torey Elaina Sippio-james | Registered Nurse | 5613 Rattlesnake Springs Rd Apt D, El Paso, TX 79906-2106 | 2018-02-15 |
| Find all providers in zip 79906 | ||||
| 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 |
|---|---|---|---|---|
| 1851906838 | Daniel Thurman | Licensed Vocational Nurse | 11920 Auburn Sands Dr, El Paso, TX 79934-3148 | 2020-09-15 |
| 1063026979 | Jennifer Bernal | Licensed Vocational Nurse | 340 Toyota Rd, El Paso, TX 79927-3285 | 2020-09-08 |
| 1295347987 | Ashly Elizabeth Jones | Licensed Vocational Nurse | 14204 Firewood Dr, El Paso, TX 79938-2706 | 2020-08-23 |
| 1700498847 | Elizabeth Torres | Licensed Vocational Nurse | 3413 Tierra Ruby Dr, El Paso, TX 79938-4798 | 2020-08-19 |
| 1790396026 | Alyssa Ciszek | Licensed Vocational Nurse | 11607 Pellicano Dr Apt 2107, El Paso, TX 79936-6623 | 2020-08-11 |
| 1346859782 | Lisa Marie Cruz | Licensed Vocational Nurse | 604 Cactus Creek Pl, El Paso, TX 79928-5843 | 2020-07-30 |
| 1568070878 | Jessica Hernandez | Licensed Vocational Nurse | 4232 Loma Taurina Dr, El Paso, TX 79934-3704 | 2020-07-22 |
| 1497374466 | Lizbeth Acevedo Valenzuela | Licensed Vocational Nurse | 3611 Van Buren Ave, El Paso, TX 79930-5807 | 2020-04-10 |
| 1851920177 | Fatima Melendez | Licensed Vocational Nurse | 788 Babylonia Dr, El Paso, TX 79907-2703 | 2020-04-07 |
| 1265060446 | Jaime Gonzalez | Licensed Vocational Nurse | 969 Warwick Rd, El Paso, TX 79907-3240 | 2020-04-01 |
| Find all providers in EL PASO | ||||
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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.