MR. DERRICK IOZZIO (NPI# 1275171183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275171183 |
| Entity Type | Individual |
| Full Name | MR. DERRICK IOZZIO |
| Credential | CPS |
| Practice Address |
10717 Quartz St El Paso TX 79924-1644 |
| Practice Telephone | 9152609185 |
| Mailing Telephone | 9152609185 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
10717 QUARTZ ST |
| City | EL PASO |
| State | TX |
| Zip Code | 79924-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
| 1962906735 | Clara Nohely Velasquez-morales | Pharmacist | 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 | 2018-03-19 |
| 1861846305 | Attea Catherine Costanzo | Speech-Language Pathologist | 5132 Prince Edward, El Paso, TX 79924 | 2016-04-21 |
| 1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
| 1700287034 | San Lorenzo Adult Provider Services and Pediatrics LLC | In Home Supportive Care | 5625 Hemmingway, El Paso, TX 79924 | 2014-09-05 |
| 1790194561 | Amir A Yavari | Dentist | 10039 Dyer Street, El Paso, TX 79924 | 2014-08-06 |
| 1366781676 | Mary L Halliburton | Dietitian, Registered | 4741 Joel Drive, Apt 33, El Paso, TX 79924 | 2013-02-06 |
| 1902144330 | El Paso Viva Dental | Dentist | 9584 Dyer St., Suite B, El Paso, TX 79924 | 2013-01-18 |
| 1053682823 | Florentino Ray Penilla | Pharmacist | 10090 Rushing Road, El Paso, TX 79924 | 2012-01-25 |
| 1518296284 | Jeffrey Charles Gorbett | Pharmacist | 10780 Kenworthy, El Paso, TX 79924 | 2009-12-09 |
| Find all providers in zip 79924 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144865809 | Medella Healthcare, Inc. | Peer Specialist | 10420 Montwood Dr Ste N108, El Paso, TX 79935-2701 | 2019-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515238 | Jennifer Cannon | Peer Specialist | 26110 White Sage Cove Ln, Spring, TX 77386-3944 | 2020-10-09 |
| 1972133270 | Lisa Marie Hickey | Peer Specialist | 2004 Running Brook Ln, Pearland, TX 77584-6778 | 2020-01-25 |
| 1972152551 | Peer Support of Texas LLC | Peer Specialist | 1801 N Hampton Rd Ste 272, Desoto, TX 75115-2391 | 2019-09-06 |
| 1295394419 | Willie Charles Brantley | Peer Specialist | 3501 Brewster St, Houston, TX 77026-4446 | 2019-06-11 |
| 1629581491 | Map Care Solutions, LLC | Peer Specialist | 1114 Lost Creek Blvd Ste 500, Austin, TX 78746 | 2017-11-14 |
| 1083149835 | Kathryn Cordell | Peer Specialist | 2400 Greenbriar Road, Gatesville, TX 76528 | 2017-04-28 |
| 1871114454 | Courtney B Nixon | Peer Specialist | 1013 Delesandri Ln, Kemah, TX 77565-3142 | 2020-05-05 |
| 1174143051 | Joseph Lee Kastigar | Peer Specialist | 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 | 2020-04-21 |
| 1902445653 | Lazaro James Seriale | Peer Specialist | 7500 Plum Creek Dr Apt 4512, Houston, TX 77012-4022 | 2019-12-29 |
| 1558904557 | Cullen Johnson Roth | Peer Specialist | 12301 Main St, Houston, TX 77035-6207 | 2019-10-22 |
| 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.