MRS. LYDIA BUNDICK (NPI# 1316483092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316483092 |
| Entity Type | Individual |
| Full Name | MRS. LYDIA BUNDICK |
| Credential | RN |
| Practice Address |
2929 Calder St Suite 100 Beaumont TX 77702-1845 |
| Practice Telephone | 4098339797 |
| Practice Fax Number | 4096546921 |
| Mailing Telephone | 4098339797 |
| Mailing Fax Number | 4096546886 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 804089 | TX | Nursing Service Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP133119 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP133119 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 368262701 | 05 |
| Street Address |
2929 CALDER ST SUITE 100 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152873 | Muhammed T Aziz | Internal Medicine | 2929 Calder St, Ste 100, Beaumont, TX 77702-1841 | 2005-05-31 |
| 1215389267 | Courtney Kay Wagner-bijak | Registered Nurse | 2929 Calder St, Suite 100, Beaumont, TX 77702-1845 | 2016-07-01 |
| 1255776498 | Vida Keller Riston Rn Cnm PC | Advanced Practice Midwife | 2929 Calder St, Beaumont, TX 77702-1845 | 2013-05-01 |
| 1477748663 | Charles R Christy | Nurse Practitioner | 2929 Calder St, Suite 100, Beaumont, TX 77702-1845 | 2007-09-11 |
| 1639361926 | Jeffery Blair Demuth | Counselor | 2929 Calder St, Suite 100, Beaumont, TX 77702-1845 | 2007-08-10 |
| 1760692867 | Steven Christiansen Murdock | Counselor | 2929 Calder St, Suite 100, Beaumont, TX 77702-1845 | 2007-05-23 |
| 1538293642 | Sherri Blackwell | Registered Nurse | 2929 Calder St, Suite 100, Beaumont, TX 77702-1845 | 2007-03-14 |
| 1083778161 | Jacqueline Martin | Registered Nurse | 2929 Calder St, Suite 100, Beaumont, TX 77702-1845 | 2006-12-21 |
| 1366511339 | Edward F Rod Jr, Dds, Inc. | Clinic/Center | 2929 Calder St, #302, Beaumont, TX 77702-1845 | 2006-11-06 |
| 1790892396 | Julius F Deiparine | Psychiatry & Neurology | 2929 Calder St, Suite 100, Beaumont, TX 77702-1845 | 2006-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871747881 | Ashley Corinne Cox-rion | Nurse Practitioner | 3030 North St Ste 510, Beaumont, TX 77702-1434 | 2008-11-05 |
| 1871134312 | Benn Sanford | Nurse Practitioner | 2929 Calder St Ste 100, Beaumont, TX 77702-1841 | 2019-10-07 |
| 1548656903 | Tammy Toups | Nurse Practitioner | 755 N 11th Street, Suite P5200, Beaumont, TX 77702 | 2015-04-13 |
| 1427475029 | Masoraya Nelson | Nurse Practitioner | 3406 College St, Beaumont, TX 77701-4612 | 2014-03-21 |
| 1821032665 | Lera Susan Kasseroler | Nurse Practitioner | 2750 S 8th St, Beaumont, TX 77701-7719 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262570 | Holly Joyce Carlstrand | Nurse Practitioner | 18 Carmel Chase Ct, Manvel, TX 77578-3452 | 2020-10-13 |
| 1700483690 | Amy Calder | Nurse Practitioner | 14441 Memorial Dr Ste 5, Houston, TX 77079-6708 | 2020-10-05 |
| 1104423300 | Donna Ann Ford | Nurse Practitioner | 1605 Turtle Dr, San Angelo, TX 76904-7708 | 2020-10-01 |
| 1497361653 | Alexis Jolivet | Nurse Practitioner | 8706 Shiloh St, Texas City, TX 77591-2327 | 2020-09-22 |
| 1851906960 | Ann Nnenna Ugbeme | Nurse Practitioner | 1601 Lisburn Dr, Mckinney, TX 75071-3357 | 2020-09-15 |
| 1528673233 | Lashika R Meanus | Nurse Practitioner | 10501 Matador Dr, Mckinney, TX 75072-2952 | 2020-09-10 |
| 1700498391 | Raphael Udalor | Nurse Practitioner | 3631 Campfield Ct, Katy, TX 77449-8621 | 2020-08-17 |
| 1326664020 | Tasha Samantha Leonard | Nurse Practitioner | 622 Orlandis Ln, Rosenberg, TX 77469-5084 | 2020-06-19 |
| 1962025171 | Shewana Spencer | Nurse Practitioner | 613 W Bluff St, Woodville, TX 75979-5125 | 2020-05-21 |
| 1992325906 | Emily Natosha Bennett | Nurse Practitioner | 4323 Dragonwick Dr, Houston, TX 77045-3311 | 2020-04-20 |
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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.