PATRICIA D DRAGO (NPI# 1538241419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538241419 |
| Entity Type | Individual |
| Full Name | PATRICIA D DRAGO |
| Credential | NP |
| Practice Address |
2990 N Broadway Ave Tyler TX 75702-2149 |
| Mailing Address |
Po Box 844273 Dallas TX 75284-4273 |
| Practice Telephone | 9035931892 |
| Mailing Telephone | 9035359041 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2014-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
592323 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 101388004 | 05 | |
| TX | BCBS | 883N41 | 01 |
| TX | BCBS | 80N282 | 01 |
| TX | TRICARE | 45-2578435 | 01 |
| TX | 101388001 | 05 | |
| TX | 101388003 | 05 | |
| TX | 101388005 | 05 | |
| TX | RN LICENSE | 592323 | 01 |
| Street Address |
2990 N BROADWAY AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75702-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043206147 | Jacqueline Catney Dubois | Pediatrics | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2005-09-23 |
| 1780169300 | Perla Cornelio Lopez | Nurse Practitioner | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2018-09-28 |
| 1346739778 | Rita Ekpen Ozomah | Nurse Practitioner | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2018-05-01 |
| 1376093278 | Stacy R Fogle | Nurse Practitioner | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2016-10-04 |
| 1548663784 | Lamesa Bell | Nurse Practitioner | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2014-10-02 |
| 1780944033 | Amber N Cook | Family Medicine | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2012-05-21 |
| 1831360304 | Chijioke F Isinguzo | Emergency Medicine | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2008-03-12 |
| 1225215395 | Shari Elizabeth Bass | Pediatrics | 2990 N Broadway Ave, Tyler, TX 75702 | 2008-01-30 |
| 1285848234 | Don Earl Horn | Social Worker | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2007-05-09 |
| 1790999779 | Glenda Butler Mccloud | Registered Nurse | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114914132 | Holly Walker Patterson | Nurse Practitioner | 706 Turtle Creek Dr, Tyler, TX 75701-1833 | 2005-10-04 |
| 1346739778 | Rita Ekpen Ozomah | Nurse Practitioner | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2018-05-01 |
| 1548663784 | Lamesa Bell | Nurse Practitioner | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2014-10-02 |
| 1316268931 | Julie Ann Aucar | Nurse Practitioner | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2010-06-17 |
| 1952439432 | Tamara Jones | Nurse Practitioner | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2007-02-28 |
| 1336200682 | Shana Kay Caldwell | Nurse Practitioner | 305 W Rusk St, Tyler, TX 75701-1514 | 2006-12-12 |
| 1255413134 | Brenda Morgan-webber | Nurse Practitioner | 214 E Houston St, Tyler, TX 75702-8131 | 2006-10-19 |
| 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 |
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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.