MARILYN OMOMEN (NPI# 1316337215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316337215 |
Entity Type | Individual |
Full Name | MARILYN OMOMEN |
Credential | AGNP |
Practice Address |
1605 S 31st Temple TX 76508-0001 |
Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
Practice Telephone | 2542150100 |
Enumeration Date | 2015-01-29 |
Last Update Date | 2016-11-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
785075 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP127499 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1605 S 31ST |
City | TEMPLE |
State | TX |
Zip Code | 76508-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861454878 | Juvencio Velasquez Jr. | Internal Medicine | 1605 S 31st, Temple, TX 76508-0001 | 2006-04-05 |
1295259836 | Branden Pharris White | Nurse Practitioner | 1605 S 31st, Temple, TX 76508-0001 | 2017-07-26 |
1659641355 | Mohini Vijayalakshmi Bollineni | Internal Medicine | 1605 S 31st, Temple, TX 76508 | 2012-01-11 |
1407144660 | Viju Moses | Internal Medicine | 1605 S 31st, Temple, TX 76508-0221 | 2011-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
Find all providers in zip 76508 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164066031 | Kimberly Monique Fryer | Nurse Practitioner | 253 E Highway 78, Temple, GA 30179-4348 | 2019-11-04 |
1093213696 | Lisa Monda | Nurse Practitioner | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2018-01-29 |
1265559892 | Heather Macbeth-estrada | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2007-03-26 |
1881707289 | Tara Lynn Roberts | Nurse Practitioner | 1901 Veterans Memorial Dr, 112, Temple, TX 76504-7451 | 2006-08-17 |
1689683682 | David Nathan Efries | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2006-08-07 |
1033143383 | Colleen Eleanor Nadolski | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-1032 | 2006-07-11 |
1588600563 | Linda Kay Poole | Nurse Practitioner | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2006-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275778 | Anel Odette Chavez | Nurse Practitioner | 1006 Sage Ln, Edinburg, TX 78539-7820 | 2020-11-04 |
1104427335 | Randel Bond | Nurse Practitioner | 337 Woodstone Loop, Cibolo, TX 78108-3268 | 2020-11-04 |
1467051870 | Melinda Davis-mcclendon | Nurse Practitioner | 2158 River Edge Dr, Belton, TX 76513-1429 | 2020-10-19 |
1053910489 | Morgan Lee Lemoine | Nurse Practitioner | 1811 Stephen Dr, Wylie, TX 75098-0258 | 2020-10-17 |
1255939740 | Melissa Walles George | Nurse Practitioner | 941 Scotland Dr, Desoto, TX 75115-2058 | 2020-10-15 |
1487251377 | Karen Baricaua Bautista | Nurse Practitioner | 1912 78th St, Lubbock, TX 79423-2455 | 2020-10-05 |
1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
1033723184 | Rita Chibuzor Nwajei | Nurse Practitioner | 2726 Atlas Dr, Missouri City, TX 77459-6745 | 2020-09-06 |
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.