DIVINA G BUCCELLATO (NPI# 1427619675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427619675 |
| Entity Type | Individual |
| Full Name | DIVINA G BUCCELLATO |
| Credential | NP |
| Practice Address |
3070 Colorado Cv San Antonio TX 78253-6294 |
| Mailing Address |
3040 Colorado Cove San Antonio TX 78253 |
| Practice Telephone | 2032288485 |
| Mailing Telephone | 2032288485 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
141736 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3070 COLORADO CV |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78253-6294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587431 | Mysa Dental Pllc | Clinic/Center | 13762 Potranco Rd, Suite 400, San Antonio, TX 78253 | 2020-10-30 |
| 1831796770 | Keesha Ann Green | Behavior Technician | 5522 Lone Star Pkwy Building #3 Suite 101, San Antonio, TX 78253 | 2020-10-05 |
| 1164044392 | H-e-b, Lp | Clinical Medical Laboratory | 14325 Potranco Rd, San Antonio, TX 78253 | 2020-05-11 |
| 1790318400 | Judith Poole | Massage Therapist | 10919 Culebra Rd Ste 112, Room 5, San Antonio, TX 78253 | 2020-02-20 |
| 1780217976 | Tovar Dental, Pllc | Dentist | 11840 Alamo Ranch Parkway, #90, San Antonio, TX 78253 | 2020-02-17 |
| 1104468263 | Diane-claire Villarreal | Behavior Technician | 522 Lonestar Parkway Suite 101, San Antonio, TX 78253 | 2019-10-10 |
| 1194374215 | Deren Robert Green | Counselor | 1401 Dezarae Lot #3, San Antonio, TX 78253 | 2019-09-11 |
| 1508425554 | Michael Lavaughn Nash | Physical Therapist | 11919 Culebra Road, Bldg. 1, Suite 101, San Antonio, TX 78253 | 2019-06-12 |
| 1548823263 | Bexar County Emergency Services District Number Two | Ambulance | 7045 Old Talley Rd., San Antonio, TX 78253 | 2019-04-18 |
| 1053879742 | Donnelle D Storrs | Nurse Practitioner | Soba Recovery Center Texas, 1401 Dezarae, San Antonio, TX 78253 | 2019-03-12 |
| Find all providers in zip 78253 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737941 | Barton Skinner | Nurse Practitioner | 17806 W I-10, Suite 300, San Antonio, TX 78257 | 2020-10-14 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1194298844 | Taylor Phillips Johnson | Nurse Practitioner | 805 W Woodlawn Ave, San Antonio, TX 78212-3355 | 2019-01-05 |
| 1568947505 | Zachary Taliaferro | Nurse Practitioner | 4204 Gardendale St Ste 312, San Antonio, TX 78229-3141 | 2018-09-25 |
| 1891292181 | Amy Michelle Olvera | Nurse Practitioner | 225 E Sonterra Blvd Ste 201, San Antonio, TX 78258 | 2018-04-12 |
| 1114429982 | Neil Vito Loma Dolotina | Nurse Practitioner | 10455 Horn Blvd, San Antonio, TX 78240-2590 | 2018-03-07 |
| 1386156776 | Connie Cortina Reyes | Nurse Practitioner | 14510 Triple Crown Ln, San Antonio, TX 78248-2502 | 2017-10-25 |
| 1407381056 | Amanda Ann Rodriguez | Nurse Practitioner | 9140 Timber Path Apt 3002, San Antonio, TX 78250-7602 | 2017-04-20 |
| 1255883799 | Esteban Salas Aguirre Jr. | Nurse Practitioner | 10439 Royal Est, San Antonio, TX 78245-3195 | 2016-11-01 |
| 1992176242 | Diana Long | Nurse Practitioner | 25606 Weigela, San Antonio, TX 78261-2821 | 2015-10-13 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78253 |
Please comment or provide details below to improve the information on DIVINA G BUCCELLATO.
| 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.