LAUREN GAYLE RICOSSA (NPI# 1578106753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578106753 |
Entity Type | Individual |
Full Name | LAUREN GAYLE RICOSSA |
Credential | FNP |
Practice Address |
2908 Fern Lake Cutoff Marshall TX 75672-1593 |
Mailing Address |
Po Box 1139 George West TX 78022-1139 |
Practice Telephone | 4096793091 |
Mailing Telephone | 4096793091 |
Enumeration Date | 2019-10-21 |
Last Update Date | 2020-03-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP142292 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP142292 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2908 FERN LAKE CUTOFF |
City | MARSHALL |
State | TX |
Zip Code | 75672-1593 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043783376 | Alexander Barroga | Licensed Vocational Nurse | 605 Pr 1332, Marshall, TX 75672 | 2019-01-09 |
1699256909 | Paula Dawn Swilley | Occupational Therapy Assistant | 7247 Strickland Springs Rd, Marshall, TX 75672 | 2018-08-24 |
1255825394 | Dayspring Therapeutic Equestrian Center of Harrison County Inc | Specialist | 2609 Fern Lake Cutoff, Marshall, TX 75672 | 2018-06-21 |
1225587934 | Jeremy Scott Utley | Nurse Practitioner | 808 Harper Dr., Marshall, TX 75672 | 2016-09-23 |
1710352513 | Abel Stevenson | Pharmacist | 300 East End Blvd, Marshall, TX 75672 | 2015-12-04 |
1689898488 | Wilson Chiropractic Clinic | Chiropractor | 2005 E Grand Ave, Marshall, TX 75672 | 2007-04-12 |
1730277187 | John Carrell Cayce | Dentist | 2302 S Washington St, Marshall, TX 75672 | 2006-10-11 |
1649239005 | Katharine J Balbuena Md | Physical Medicine & Rehabilitation | 811 South Washington, Marshall, TX 75672 | 2006-03-22 |
1245583848 | Bob J Herrin | General Practice | 104 Albemarle Rd., Marshall, TX 75672-1526 | 2012-10-19 |
1801350814 | Ursula Candy Betancourt | Occupational Therapy Assistant | 4590 Fm 1793, Marshall, TX 75672-1620 | 2019-01-23 |
Find all providers in zip 75672 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578190088 | Michelle Ann Orange | Nurse Practitioner | 230 Wagon Trl, Marshall, AR 72650-7002 | 2020-03-25 |
1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
1679135958 | Bernice Alice Theule | Nurse Practitioner | 111 S Hamilton St, Marshall, MI 49068-1537 | 2019-07-08 |
1891207379 | Amy Ellen Jean Howell | Nurse Practitioner | 1174 W Michigan Ave Ste B, Marshall, MI 49068-1625 | 2017-10-24 |
1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
1225587934 | Jeremy Scott Utley | Nurse Practitioner | 808 Harper Dr., Marshall, TX 75672 | 2016-09-23 |
1235594342 | Shelly Wisz | Nurse Practitioner | 720 Old Us 27 North, Marshall, MI 49068 | 2015-12-17 |
1730478686 | John Lloyd English | Nurse Practitioner | 618 S Grove St Ste 100-300, Marshall, TX 75670 | 2011-03-31 |
1669786216 | Pamela Madden Frisby | Nurse Practitioner | 4401 Us Hwy 25/70, Marshall, NC 28753 | 2010-08-05 |
1427293067 | Diane Marie Weinreich | Nurse Practitioner | 4 N Jefferson Ave, Marshall, MO 65340-2148 | 2008-12-11 |
Find all providers in MARSHALL |
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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.