MINI VETTICADAN (NPI# 1477079556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477079556 |
| Entity Type | Individual |
| Full Name | MINI VETTICADAN |
| Credential | MLS (ASCP) |
| Practice Address |
3245 Reid Dr Ste B Corpus Christi TX 78404-2518 |
| Mailing Address |
90 Ember Branch Dr Missouri City TX 77459-1108 |
| Practice Telephone | 3615008452 |
| Mailing Telephone | 8327469758 |
| Enumeration Date | 2017-08-20 |
| Last Update Date | 2017-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
03345289 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3245 REID DR STE B |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78404-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810866 | Eileen Michelle Isaacs | Social Worker | 1315 Sante Fe St. Ste. 215, Corpus Christi, TX 78404 | 2020-08-05 |
| 1386109791 | Sanil John | Specialist/Technologist, Other | South Texas Brain and Spine Centers, 1227 3rd St, Corpus Christi, TX 78404 | 2019-02-11 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1740704303 | Edwin Gabriel Otero | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St # 9b, Corpus Christi, TX 78404 | 2017-07-26 |
| 1053832170 | Melissa D Ponder | Emergency Medicine | 600 Elizabeth St Ste 6b, Corpus Christi, TX 78404 | 2017-06-28 |
| 1821533480 | Collen Mora | Nurse Practitioner | 1533 5th Street, Coprus Christi, TX 78404 | 2017-01-05 |
| 1013365717 | Terri L Sutphin | Speech-Language Pathologist | 1001 Louisiana Ave., Ste #402, Corpus Christi, TX 78404 | 2016-06-03 |
| 1982067872 | Janareddy Mandadi | Pharmacist | 1335 Santa Fe, Shoreline Pharmacy, Corpus Christi, TX 78404 | 2016-03-30 |
| 1932514007 | Debra Carpenter Guzman | Nurse Practitioner | 1600 S Staples, Ste 150, Corpus Christi, TX 78404 | 2014-06-26 |
| 1083037451 | Michelle Lynn Freshcoln Talbert | Registered Nurse | 309 Ohio Ave., Corpus Christi, TX 78404 | 2014-01-21 |
| Find all providers in zip 78404 | ||||
| Taxonomy Code | 246RM2200X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Medical Laboratory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366932501 | Brooke Johnson | Technician, Pathology | 26022 Budde Rd Ste B103, Spring, TX 77380-2014 | 2018-05-14 |
| 1518342807 | Michael Thai | Technician, Pathology | 15814 Mission Terrace Ct, Houston, TX 77083-5266 | 2015-07-28 |
| 1205227766 | Donald Eugene Prentiss Jr. | Technician, Pathology | 10713 N Ranch Road 620, Bldg E Ste 525, Austin, TX 78726-1756 | 2015-02-05 |
| 1669894598 | Rose Udeh-nwosuocha | Technician, Pathology | 16100 Cairnway Dr Ste 225, Houston, TX 77084-3500 | 2014-01-12 |
| 1891085197 | Cathy Kekeocha | Technician, Pathology | 5755 College St Ste C, Beaumont, TX 77707-3518 | 2011-04-08 |
| 1548598964 | Charlotte Miles Porter | Technician, Pathology | 9210 Hanover Cv, Converse, TX 78109-2947 | 2009-11-23 |
| 1689829418 | Charlotte B Vdovychenko | Technician, Pathology | 2801 Brazos Blvd, Apt 4309, Euless, TX 76039-5435 | 2008-11-20 |
| 1093869489 | Andre Laboratory Inc | Technician, Pathology | 1570 Lomaland, Suite C, El Paso, TX 79935 | 2007-01-22 |
| 1033228127 | Rose Toon | Technician, Pathology | 2718 Barbee St, Houston, TX 77004-5367 | 2006-08-30 |
| 1316055155 | Kay Wadsworth | Technician, Pathology | 14423 Dartwood Dr, Houston, TX 77049-3801 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78404 |
Please comment or provide details below to improve the information on MINI VETTICADAN.
| 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.