MISS LISE MARY MUELLER-GOODRUM (NPI# 1285117861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285117861 |
| Entity Type | Individual |
| Full Name | MISS LISE MARY MUELLER-GOODRUM |
| Credential | BSN, RN |
| Practice Address |
16961 Mockingbird Ct Conroe TX 77385-3723 |
| Practice Telephone | 9365244436 |
| Mailing Telephone | 9365244436 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
56776 | TX | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
56776 | TX | Nursing Service Providers |
| Street Address |
16961 MOCKINGBIRD CT |
| City | CONROE |
| State | TX |
| Zip Code | 77385-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727423 | Victoria Templeton | Marriage & Family Therapist | 256 Ed English Dr., Building 4, Unit C, Shenandoah, TX 77385 | 2020-10-09 |
| 1760089296 | Mark Evar Espiritu Ogbac | Specialist/Technologist, Other | 2119 Pacific Loon Lane, Conroe, TX 77385 | 2020-10-07 |
| 1285255380 | Tiffany Tran | Pharmacist | 10200 Hwy 242, Conroe, TX 77385 | 2020-04-29 |
| 1447898994 | Harper's Preserve Dentistry, PC | Dentist | 10160 Hwy 242, Ste 100, Conroe, TX 77385 | 2019-12-16 |
| 1104462753 | Over The Moon Pediatrics, Pllc | Pediatrics | 17189 I-45 South, Suite 235, The Woodlands, TX 77385 | 2019-11-19 |
| 1053973453 | Mark William Riepl | Behavior Technician | 19445 David Memorial Dr, Unit #1707, Shenandoah, TX 77385 | 2019-07-05 |
| 1225690134 | H-e-b, Lp | Clinical Medical Laboratory | 10200 Highway 242, Conroe, TX 77385 | 2019-07-01 |
| 1932766235 | Houston Mint Dentistry, Pllc | Dentist | 19073 Interstate 45 N Suite 185, Shenandoah, TX 77385 | 2019-05-22 |
| 1255808283 | Ntn Dental Pllc | Clinic/Center | 10161 Highway 242, Suite 100, Conroe, TX 77385 | 2018-10-29 |
| 1164902094 | Lindsay Taylor Fleming | Specialist/Technologist | 19221, Interstate 45 S. Ste. 120, Shenandoah, TX 77385 | 2018-08-20 |
| Find all providers in zip 77385 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626779 | Nancy Mbongeh Ndamukong | Registered Nurse | 202 West Semands Street, Conroe, TX 77301 | 2018-07-27 |
| 1497979330 | Linda B. Rankin | Registered Nurse | 19221 I-45 South, Suite 430, Conroe, TX 77385 | 2007-04-12 |
| 1306498423 | Sabrina Sanchez | Registered Nurse | 602 W Semands St, Conroe, TX 77301-1867 | 2019-07-09 |
| 1174187348 | Valerie Riebli | Registered Nurse | 602 W Semands St, Conroe, TX 77301-1867 | 2019-04-23 |
| 1922561083 | Ashley Mendoza | Registered Nurse | 602 W Semands St, Conroe, TX 77301-1867 | 2019-04-07 |
| 1922563493 | Shannon Frances Griffin | Registered Nurse | 602 W Semands St, Conroe, TX 77301-1867 | 2019-02-08 |
| 1518435023 | Chidinma Onyekwelu | Registered Nurse | 602 W Semands St, Conroe, TX 77301-1867 | 2018-11-02 |
| 1104392299 | Chanelle Dargin | Registered Nurse | 602 W Semands St, Conroe, TX 77301-1867 | 2018-10-17 |
| 1588145585 | Michelle Lynn Holmes | Registered Nurse | 602 W Semands St, Conroe, TX 77301-1867 | 2018-08-27 |
| 1639659063 | Barbara Elina Leverett | Registered Nurse | 602 W Semands St, Conroe, TX 77301-1867 | 2018-08-15 |
| Find all providers in CONROE | ||||
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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.