LARISSA DENISE WILSON (NPI# 1407357510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407357510 |
| Entity Type | Individual |
| Full Name | LARISSA DENISE WILSON |
| Credential | LVN |
| Practice Address |
3330 Fannin St Beaumont TX 77701-3801 |
| Practice Telephone | 4098323304 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 339866 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777410 | Larissa Wilson | Counselor | 9112 Rolling Green Ave, Oklahoma City, OK 73132-2055 | 2020-10-13 |
| Street Address |
3330 FANNIN ST |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77701-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811943467 | Advanced Pediatric Care, Inc. | Home Health | 3330 Fannin St, Beaumont, TX 77701-3801 | 2006-05-25 |
| 1811548761 | Darlene Wimbley | Home Health Aide | 3330 Fannin St, Beaumont, TX 77701-3801 | 2019-09-23 |
| 1851947733 | Mary Heaton | Home Health Aide | 3330 Fannin St, Beaumont, TX 77701-3801 | 2019-08-15 |
| 1740848753 | Megan Richard | Home Health Aide | 3330 Fannin St, Beaumont, TX 77701-3801 | 2019-06-04 |
| 1639635212 | Tamara Mingo | Home Health Aide | 3330 Fannin St, Beaumont, TX 77701-3801 | 2019-02-19 |
| 1396209375 | Rosa Andrew | Home Health Aide | 3330 Fannin St, Beaumont, TX 77701-3801 | 2019-01-24 |
| 1538640362 | Beth Hudson | Home Health Aide | 3330 Fannin St, Beaumont, TX 77701-3801 | 2018-08-29 |
| 1972084200 | Analia Linette Torres | Home Health Aide | 3330 Fannin St, Beaumont, TX 77701-3801 | 2018-08-24 |
| 1306327986 | Cruskaya Orualis Robinson | Home Health Aide | 3330 Fannin St, Beaumont, TX 77701-3801 | 2018-08-22 |
| 1326528290 | Makayla Leeann Fondrick | Home Health Aide | 3330 Fannin St, Beaumont, TX 77701-3801 | 2018-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891296604 | Jessica Paige Seago | Licensed Vocational Nurse | 3330 Fannin, Beaumont, TX 77701 | 2018-02-27 |
| 1154833135 | Shannon Denard | Naturopath | 1595 S. M.l. King Jr. Parkway, Beaumont, TX 77701 | 2017-10-30 |
| 1558818096 | Kelli North | Nurse Practitioner | 810 Hospital Dr Ste. 235, Beaumont, TX 77701 | 2016-09-01 |
| 1821446055 | La Costa of Beaumont Pa | Dentist | 3870 College Street, Suite #200, Beaumont, TX 77701 | 2016-05-27 |
| 1811361462 | Azuka Ginigeme | Pharmacist | 3605 College Street, Walgreens Pharmacy, Beaumont, TX 77701 | 2015-11-19 |
| 1093184921 | Coastal Spine & Pain Institute, Pllc | Specialist | 3070 College Street, Suite 300, Beaumont, TX 77701 | 2015-09-22 |
| 1831584663 | H-e-b, Lp | Clinical Medical Laboratory | 3590 College Street, Beaumont, TX 77701 | 2015-03-30 |
| 1205272648 | Yalanda S Jessie | Counselor | 755 S 11th St Ste 246, Beaumont, TX 77701 | 2013-05-13 |
| 1871856443 | Henry Clay Williams | Day Training, Developmentally Disabled Services | 2316 Orange St., Beaumont, TX 77701 | 2012-06-19 |
| 1053670398 | Park Infusioncare, Lp | Durable Medical Equipment & Medical Supplies | 3695 Stagg Dr, Beaumont, TX 77701 | 2012-05-07 |
| Find all providers in zip 77701 | ||||
| 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 |
|---|---|---|---|---|
| 1861093635 | Janice Joseph | Licensed Vocational Nurse | 3705 Roland Rd, Beaumont, TX 77708-3211 | 2020-11-06 |
| 1932728615 | Rakeyla Cheatham | Licensed Vocational Nurse | 9410 Landis Dr, Beaumont, TX 77707-1153 | 2020-04-13 |
| 1437708542 | Megan Ho | Licensed Vocational Nurse | 6380 Madera Ln, Beaumont, TX 77706-4049 | 2019-09-11 |
| 1891296604 | Jessica Paige Seago | Licensed Vocational Nurse | 3330 Fannin, Beaumont, TX 77701 | 2018-02-27 |
| 1538660766 | Angela Rochelle Nickerson | Licensed Vocational Nurse | 2355 Rockwell St, Beaumont, TX 77701-8029 | 2018-02-22 |
| 1265932834 | Katelyn Finch | Licensed Vocational Nurse | 8620 Kimberly Dr, Beaumont, TX 77707-1432 | 2018-02-20 |
| 1760991731 | Sandra Catrice Young | Licensed Vocational Nurse | 5750 N Major Drive # 201, Beaumont, TX 77713-9025 | 2017-09-21 |
| 1326561994 | Funmilayo Falese Olukanni | Licensed Vocational Nurse | 35456 Snead St, Beaumont, CA 92223-6215 | 2017-07-25 |
| 1861938508 | Jace Eugene Thompson | Licensed Vocational Nurse | 410 Windfields Way, Beaumont, CA 92223-7011 | 2017-01-18 |
| 1427410364 | Jacob Garcia | Licensed Vocational Nurse | 38686 Florence Ave, Beaumont, CA 92223 | 2016-03-21 |
| Find all providers in BEAUMONT | ||||
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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.