RACHEL MARIE GLEAVES (NPI# 1588905061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588905061 |
Entity Type | Individual |
Full Name | RACHEL MARIE GLEAVES |
Credential | PA-C |
Practice Address |
3001 Jbs Pkwy Odessa TX 79762-8126 |
Mailing Address |
Po Box 2129 Odessa TX 79760-2129 |
Practice Telephone | 4326406700 |
Practice Fax Number | 4326404606 |
Mailing Telephone | 4326402408 |
Enumeration Date | 2013-03-08 |
Last Update Date | 2014-08-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA09240 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3001 JBS PKWY |
City | ODESSA |
State | TX |
Zip Code | 79762-8126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801839170 | Getnet Aberra | Family Medicine | 3001 Jbs Pkwy, Odessa, TX 79762-8126 | 2006-06-14 |
1437529047 | Julia Catherine Gilmore | Physician Assistant | 3001 Jbs Pkwy, Odessa, TX 79762-8126 | 2015-09-25 |
1871930065 | Zhibo Yang | Pediatrics | 3001 Jbs Pkwy, Odessa, TX 79762-8126 | 2013-05-28 |
1427283415 | Dinesh Nanjunde Gowda | Pediatrics | 3001 Jbs Pkwy, Odessa, TX 79762-8126 | 2009-05-20 |
1942361936 | Tabatha J Pittman | Physician Assistant | 3001 Jbs Pkwy, Odessa, TX 79762-8126 | 2006-12-13 |
1326061086 | Kevin Benson | Pediatrics | 3001 Jbs Pkwy, Odessa, TX 79762-8126 | 2006-07-25 |
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 | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750893152 | Chad Nicholas Adams | Physician Assistant | 3051 E University Blvd, Odessa, TX 79762-7902 | 2017-10-26 |
1154795250 | First Physicians Westview Medical Clinic | Physician Assistant | 1220 W University Blvd, Odessa, TX 79764-7118 | 2015-11-30 |
1710370861 | Jeneva Ann Marmolejo | Physician Assistant | 3051 E University Blvd, Odessa, TX 79762-7902 | 2015-03-13 |
1669755906 | Laura Vuelvas Salcido | Physician Assistant | 1220 W University Blvd, Odessa, TX 79764-7118 | 2011-09-22 |
1154417202 | Tina M Butler | Physician Assistant | 500 E 4th St, Odessa, TX 79761-5110 | 2006-10-05 |
1659361970 | Zoila Reyna Barrera | Physician Assistant | 720 Golder Ave, Odessa, TX 79761-4442 | 2005-10-27 |
1912909789 | Bret Alan Baker | Physician Assistant | 4222 Wendover Ave, Suite 600, Odessa, TX 79762-5945 | 2005-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
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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.