MARY PATRICE ELMORE (NPI# 1407838998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407838998 |
Entity Type | Individual |
Full Name | MARY PATRICE ELMORE |
Credential | RNC, WHNP |
Practice Address |
808 Joliet Ave Unit 110 Lubbock TX 79415-1148 |
Mailing Address |
5219 City Bank Pkwy Suite 135 Lubbock TX 79407-3544 |
Practice Telephone | 0687610545 |
Practice Fax Number | 8067610546 |
Mailing Telephone | 8067610333 |
Mailing Fax Number | 8067222908 |
Enumeration Date | 2005-11-18 |
Last Update Date | 2018-09-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP110878 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942607346 | Mary Elmore | Social Worker | 1320 E Paradise Ln, Phoenix, AZ 85022-3201 | 2014-12-01 |
1891148557 | Mary Shehata Elmore | Physician Assistant | 601 Elmwood Ave, Rochester, NY 14642-3021 | 2016-07-18 |
1730349119 | Mary Louise Elmore | Occupational Therapy Assistant | 2814 S Indiana Ave, Caldwell, ID 83605-5925 | 2008-06-10 |
Street Address |
808 JOLIET AVE UNIT 110 |
City | LUBBOCK |
State | TX |
Zip Code | 79415-1148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508475765 | Molly Jean Bates | Nurse Practitioner | 808 Joliet Ave Unit 110, Lubbock, TX 79415-1148 | 2020-07-23 |
1174042790 | Megan Nicole Anthony | Nurse Practitioner | 808 Joliet Ave Unit 110, Lubbock, TX 79415-1148 | 2017-09-14 |
1609309194 | Angie Maldonado | Nurse Practitioner | 808 Joliet Ave Unit 110, Lubbock, TX 79415-1148 | 2017-04-11 |
1538580022 | Lindsey Nicole Risdon | Nurse Practitioner | 808 Joliet Ave Unit 110, Lubbock, TX 79415-1148 | 2013-12-30 |
1861787723 | Stacey Lee Zube | Nurse Practitioner | 808 Joliet Ave Unit 110, Lubbock, TX 79415-1148 | 2011-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
1851575906 | Diego Rivera, M.d., P.a. | Family Medicine | 111 University Ave, Lubbock, TX 79415 | 2007-12-26 |
1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
Find all providers in zip 79415 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538247408 | Rita Sanchez Rodriguez | Nurse Practitioner | 3405 22nd St Ste 300, Lubbock, TX 79410-1305 | 2006-11-01 |
1134175888 | Muriel Ann Henneman | Nurse Practitioner | 5815 76th St, #14 Briercroft, Lubbock, TX 79424-1721 | 2006-05-25 |
1639160989 | Marie Lenore Hart | Nurse Practitioner | 2102 Oxford Ave, Lubbock, TX 79410-1131 | 2005-11-03 |
1770993420 | Sandra Denise Eastling | Nurse Practitioner | 301 40th St, Lubbock, TX 79404-2746 | 2014-05-03 |
1750678132 | Shirley Don Leblanc | Nurse Practitioner | 1313 Broadway Ste 5, Lubbock, TX 79401-3209 | 2011-07-06 |
1861697104 | Christine Nichole Stuart | Nurse Practitioner | 301 40th St, Lubbock, TX 79404-2746 | 2007-06-18 |
1679654776 | Shirley L Wetsel | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2006-10-17 |
1851314587 | Susan Jane Edwards | Nurse Practitioner | 1318 Broadway St, Lubbock, TX 79401-3206 | 2006-07-25 |
1669418414 | Lana A Chambers | Nurse Practitioner | 3601 4th St, Suite 3b100, Lubbock, TX 79430-8340 | 2006-06-21 |
1487690236 | Mia Latham | Nurse Practitioner | 3601 4th St, Suite 3b100, Lubbock, TX 79430-0002 | 2006-06-21 |
Find all providers in LUBBOCK |
Please comment or provide details below to improve the information on MARY PATRICE ELMORE.
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.