MR. NICODEMUS WUANTAI NAIMODU (NPI# 1669090619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669090619 |
| Entity Type | Individual |
| Full Name | MR. NICODEMUS WUANTAI NAIMODU |
| Credential | RN |
| Practice Address |
3708 20th St Ste A Lubbock TX 79410-1228 |
| Mailing Address |
5016 Hanover St Lubbock TX 79416-1235 |
| Practice Telephone | 8067448999 |
| Mailing Telephone | 8067829177 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 1001356 | TX | Nursing Service Providers |
| Street Address |
3708 20TH ST STE A |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295235216 | Stephanie Ann Brannan | Registered Nurse | 3708 20th St Ste A, Lubbock, TX 79410-1228 | 2018-02-16 |
| 1548874480 | Mary Ellen Mendez | Licensed Vocational Nurse | 3708 20th St Ste A, Lubbock, TX 79410-1228 | 2020-09-08 |
| 1861004897 | Jessica Danielle Cano | Registered Nurse | 3708 20th St Ste A, Lubbock, TX 79410-1228 | 2020-08-20 |
| 1134738636 | April D Mccarthy | Registered Nurse | 3708 20th St Ste A, Lubbock, TX 79410-1228 | 2020-07-30 |
| 1528677846 | Angela Kaye Diaz | Licensed Vocational Nurse | 3708 20th St Ste A, Lubbock, TX 79410-1228 | 2020-07-23 |
| 1851909352 | Karen Eugena Nichols | Licensed Vocational Nurse | 3708 20th St Ste A, Lubbock, TX 79410-1228 | 2020-07-21 |
| 1376151142 | Juanita Torres | Licensed Vocational Nurse | 3708 20th St Ste A, Lubbock, TX 79410-1228 | 2020-07-17 |
| 1245848241 | Lisa Davila Lang | Registered Nurse | 3708 20th St Ste A, Lubbock, TX 79410-1228 | 2020-07-16 |
| 1114535119 | Carla Patschke | Registered Nurse | 3708 20th St Ste A, Lubbock, TX 79410-1228 | 2020-07-16 |
| 1306463690 | Marina Sage Richter | Licensed Vocational Nurse | 3708 20th St Ste A, Lubbock, TX 79410-1228 | 2020-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275142077 | Detra Johnson | Registered Nurse | 7510 102nd St, Lubbock, TX 79424-6882 | 2020-07-28 |
| 1578172730 | Glenda Catherine Abuton Baz | Registered Nurse | 5001 Chicago Ave Apt 421, Lubbock, TX 79414-1733 | 2020-07-23 |
| 1407476559 | Katherine Vardeman | Registered Nurse | 3243 93rd St, Lubbock, TX 79423-3747 | 2020-04-18 |
| 1033748389 | Jamie Elizabeth Garza | Registered Nurse | 2811 Oakridge Ave Apt 103, Lubbock, TX 79407-2861 | 2020-04-07 |
| 1609403948 | Catherine Martin | Registered Nurse | 3002 26th St, Lubbock, TX 79410-3049 | 2020-03-26 |
| 1407483514 | Debbie Lynn Leclear | Registered Nurse | 3780 20th Street Suite A, Lubbock, TX 79410-6382 | 2020-03-26 |
| 1831729110 | Genevieve Billa | Registered Nurse | 6312 73rd St Apt 1107, Lubbock, TX 79424-1964 | 2020-01-25 |
| 1619538139 | Crystal Michelle Chandler | Registered Nurse | 5817 79th St, Lubbock, TX 79424-1723 | 2019-06-25 |
| 1992268924 | Cara Duvall Bainum | Registered Nurse | 211 Zoar Ave, Lubbock, TX 79416-3102 | 2019-04-08 |
| 1497216840 | Verneda Angel Kimfila | Registered Nurse | 6530 7th St, Lubbock, TX 79416-3770 | 2019-03-28 |
| Find all providers in LUBBOCK | ||||
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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.