AVA SELF MANAGEMENT (NPI# 1700191525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700191525 |
| Entity Type | Organization |
| Organization Name | AVA SELF MANAGEMENT |
| Practice Address |
3001 W Waco Dr Suite B Waco TX 76707-3272 |
| Practice Telephone | 2547564040 |
| Practice Fax Number | 2547564042 |
| Mailing Telephone | 2547564040 |
| Mailing Fax Number | 2547564042 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |
| Authorized Official Name | MRS. VICKI RIDDLING ELLISON (CEO) |
| Authorized Official Telephone | 2547564040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5015 | TX | Chiropractic Providers |
| Street Address |
3001 W WACO DR SUITE B |
| City | WACO |
| State | TX |
| Zip Code | 76707-3272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588184493 | Yukiyo Shimosawa | Specialist/Technologist | 1010 N 17th St, Waco, TX 76707 | 2017-06-21 |
| 1851730022 | Krystal Ann Estrada | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| 1598902744 | Narconon Hawaii | Substance Abuse Rehabilitation Facility | 90-1011 Lexington Avenue, Kapolei, HI 76707 | 2009-01-09 |
| 1851413520 | Albert Bryan Lewter Jr. | Dentist | 1501 N 25th St, Waco, TX 76707 | 2007-04-04 |
| 1114010733 | Remmel Henry | Dentist | 225 W. West Waco Dr., Waco, TX 76707 | 2006-10-02 |
| 1952831968 | Ashley Fowler | Social Worker | 1600 Providence Dr, Waco, TX 76707 | 2017-06-13 |
| 1710368105 | Lauren Riddle | Family Medicine | 1600 Providence Dr, Attn: Traci Mitchell - Admn, Waco, TX 76707 | 2015-06-11 |
| 1780096578 | Calvin Bradley | Family Medicine | 1600 Providence Dr, Waco, TX 76707 | 2014-05-28 |
| 1861831034 | Ryan David Laschober | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| 1760821946 | Brandi Escalante Street | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| Find all providers in zip 76707 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043841018 | Nancy Holguin | Chiropractor | 4900 Bagby Ave Apt 602, Waco, TX 76711-0022 | 2020-01-29 |
| 1427610765 | Andrew Oestreich | Chiropractor | 5201 Bosque Blvd Ste 240, Waco, TX 76710-4676 | 2019-07-08 |
| 1437718913 | Centex Spine & Rehab, LLC | Chiropractor | 7111 Bosque Blvd Ste 101, Waco, TX 76710-4067 | 2019-06-10 |
| 1124575873 | Benjamin Jacob Barrett | Chiropractor | 7003 Woodway Dr Ste 313, Waco, TX 76712-6163 | 2016-09-09 |
| 1225374663 | Healthshield, Inc. | Chiropractor | 611 W. Hwy. 6, Suite # 113, Waco, TX 76710-7545 | 2012-12-12 |
| 1215122163 | Stafford Layton Martin | Chiropractor | 1917 N 18th St, Waco, TX 76707-1513 | 2007-09-12 |
| 1336342948 | Shamonica Trunell | Chiropractor | 6701 Sanger Ave Ste 104, Waco, TX 76710-7736 | 2007-06-09 |
| 1215077953 | Marilyn F Goodman | Chiropractor | 1545 Wooded Acres Dr, Waco, TX 76710-2838 | 2007-02-08 |
| 1700926839 | Britton Ross Myers | Chiropractor | 1221 Hewitt Dr, Suite C, Waco, TX 76712-8490 | 2007-02-07 |
| 1821135575 | Steve L. Farnsworth | Chiropractor | 2208 Washington Ave, Waco, TX 76701-1019 | 2007-01-31 |
| Find all providers in WACO | ||||
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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.