MRS. TAMARA RACHELLE BAVOUSETT (NPI# 1427272749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427272749 |
| Entity Type | Individual |
| Full Name | MRS. TAMARA RACHELLE BAVOUSETT |
| Other Name | MS. TAMARA RACHELLE GAWLIK |
| Credential | RN, C-PNP |
| Practice Address |
6100 Eastridge Rd Odessa TX 79762-5002 |
| Practice Telephone | 4323322080 |
| Practice Fax Number | 8662987237 |
| Mailing Telephone | 4323322080 |
| Mailing Fax Number | 8662987237 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2014-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
657564 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 214730801 | 05 |
| Street Address |
6100 EASTRIDGE RD |
| City | ODESSA |
| State | TX |
| Zip Code | 79762-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104950658 | Carl D Brown | Psychiatry & Neurology | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2007-03-15 |
| 1952969529 | Veronica Aguilar | Nurse Practitioner | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2019-05-30 |
| 1114456449 | Atanacio Gomez | Family Medicine | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2017-06-09 |
| 1558801191 | Jaci Rich | Nurse Practitioner | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2017-03-01 |
| 1174068480 | Patricia Stoltz | Clinical Nurse Specialist | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2016-12-21 |
| 1306152103 | Compass Pediatrics, Pllc | Clinic/Center | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2010-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
| 1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
| 1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
| 1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
| 1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in zip 79762 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942770029 | Emily Gena Copeland | Nurse Practitioner | 5113 Wayland Dr, Odessa, TX 79762-5520 | 2018-11-30 |
| 1114404209 | Suzanne Cearley | Nurse Practitioner | 840 W Clements St, Odessa, TX 79763-4601 | 2018-07-23 |
| 1215155130 | Glenda Ruth Wright | Nurse Practitioner | 303 E 7th St, Odessa, TX 79761-4579 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1275134355 | Trevor Hill | Nurse Practitioner | 19708 Northwest Fwy Ste 500, Jersey Village, TX 77065-5626 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
| 1356949697 | Elizabeth Danielle Harrington | Nurse Practitioner | 213 Woodbine Dr, Burleson, TX 76028-6175 | 2020-10-09 |
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1679189567 | Jessica Dawn Crow | Nurse Practitioner | 801 Nuthatch Ct, Northlake, TX 76226-2863 | 2020-09-16 |
| 1457965436 | Jeanan Alameddine | Nurse Practitioner | 823 Catalpa Pl, Missouri City, TX 77459-5709 | 2020-09-07 |
| 1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
| 1760095251 | Chelsey Jensen Bailey | Nurse Practitioner | 433 Sagebrush Dr, Aledo, TX 76008-1340 | 2020-08-25 |
| 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.