MRS. LYNDA ELIZABETH BOCKMON (NPI# 1609089481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609089481 |
Entity Type | Individual |
Full Name | MRS. LYNDA ELIZABETH BOCKMON |
Credential | ANP-BC, ACNP-BC |
Practice Address |
910 E Houston St Tyler TX 75702-8369 |
Mailing Address |
221 W. Colorado Blvd Pavilion 2, Suite 425 Dallas TX 75208-5500 |
Practice Telephone | 9035257995 |
Mailing Telephone | 2149473231 |
Enumeration Date | 2007-05-08 |
Last Update Date | 2019-08-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
718484 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | BLUE CROSS BLUE SHIELD | 000560448001 | 01 |
TX | TRICARE | 752616977008 | 01 |
TX | 189237401 | 05 | |
TX | BCBS | 8Y2322 | 01 |
NY | 01951633 | 05 |
Street Address |
910 E HOUSTON ST |
City | TYLER |
State | TX |
Zip Code | 75702-8369 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518962299 | Nina Beth Partin | Physician Assistant | 910 E Houston St, Ste 550, Tyler, TX 75702-8369 | 2005-06-17 |
1396212437 | Courtney Elizabeth Clifton | Nurse Practitioner | 910 E Houston St, Tyler, TX 75702-8369 | 2018-10-26 |
1275991994 | Good News Medical, Pllc | Family Medicine | 910 E Houston St, Tyler, TX 75702-8369 | 2016-02-09 |
1154788941 | April Michelle Coursey | Nurse Practitioner | 910 E Houston St, Ste 550, Tyler, TX 75702-8369 | 2016-01-25 |
1417343526 | Dana R Pillans | Nurse Practitioner | 910 E Houston St, Ste 530, Tyler, TX 75702-8369 | 2015-04-15 |
1770973844 | Sharon L Brooks | Registered Nurse | 910 E Houston St, Ste. 550, Tyler, TX 75702-8369 | 2015-01-28 |
1376948620 | Kirsten Stuber | Nurse Practitioner | 910 E Houston St, Suite 100, Tyler, TX 75702-8369 | 2014-10-29 |
1417352931 | Texas Oncology, P.a. | Clinic/Center | 910 E Houston St, Suite 100, Tyler, TX 75702-8369 | 2014-10-27 |
1811241292 | Mandy Green | Nurse Practitioner | 910 E Houston St, Ste 230, Tyler, TX 75702-8369 | 2012-11-06 |
1902158751 | Ashley Lesniewski | Nurse Practitioner | 910 E Houston St, Suite 330, Tyler, TX 75702-8369 | 2012-10-03 |
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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 |
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Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104329218 | Ifeoma Juliet Ezeigwe | Nurse Practitioner | 601 Beechwood Dr, Tyler, TX 75701-7735 | 2018-03-14 |
1851814172 | Tessa Nicole Mauldin | Nurse Practitioner | 5040 Kinsey Dr Ste 300, Tyler, TX 75703-3046 | 2017-07-18 |
1366899288 | Jeta Laurie Bowman | Nurse Practitioner | 520 Douglas Blvd, Tyler, TX 75702 | 2016-05-20 |
1669644191 | Margaret Jan Smith | Nurse Practitioner | 700 Olympic Plaza Cir Ste 600, Etmc Orthopedic Institute, Tyler, TX 75701-1954 | 2008-03-25 |
1497948129 | Natalie Gayle Bryant | Nurse Practitioner | 928 N Glenwood Blvd, Tyler, TX 75702 | 2007-08-27 |
1710086665 | Stephanie Adams Mowery | Nurse Practitioner | 1910 Roseland Blvd, Tyler, TX 75701 | 2006-09-21 |
1770697344 | Ellen Garner Gastauer | Nurse Practitioner | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2006-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275778 | Anel Odette Chavez | Nurse Practitioner | 1006 Sage Ln, Edinburg, TX 78539-7820 | 2020-11-04 |
1104427335 | Randel Bond | Nurse Practitioner | 337 Woodstone Loop, Cibolo, TX 78108-3268 | 2020-11-04 |
1467051870 | Melinda Davis-mcclendon | Nurse Practitioner | 2158 River Edge Dr, Belton, TX 76513-1429 | 2020-10-19 |
1053910489 | Morgan Lee Lemoine | Nurse Practitioner | 1811 Stephen Dr, Wylie, TX 75098-0258 | 2020-10-17 |
1255939740 | Melissa Walles George | Nurse Practitioner | 941 Scotland Dr, Desoto, TX 75115-2058 | 2020-10-15 |
1487251377 | Karen Baricaua Bautista | Nurse Practitioner | 1912 78th St, Lubbock, TX 79423-2455 | 2020-10-05 |
1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
1033723184 | Rita Chibuzor Nwajei | Nurse Practitioner | 2726 Atlas Dr, Missouri City, TX 77459-6745 | 2020-09-06 |
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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.