IVAN ROY (NPI# 1710514419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710514419 |
| Entity Type | Individual |
| Full Name | IVAN ROY |
| Practice Address |
2202 Wnw Loop 323 Apt 614 Tyler TX 75702-1165 |
| Practice Telephone | 9038302342 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
2202 WNW LOOP 323 APT 614 |
| City | TYLER |
| State | TX |
| Zip Code | 75702-1165 |
| 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 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770133670 | Ann Mitchell | Technician | 4500 Richmond Rd, Tyler, TX 75703-1205 | 2019-09-13 |
| 1932757945 | Gracelyn Hernandez Kuester | Technician | 14320 Country Road 420, Tyler, TX 75704 | 2019-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700838 | Ucasa, LLC | Technician | 11200 Westheimer Rd Ste 115, Houston, TX 77042-3236 | 2020-11-06 |
| 1770181281 | Joyce Ann Fugit | Technician | 8024 Serenity Dr., Pearland, TX 77584 | 2020-10-16 |
| 1700484276 | Princess Bacote-brown | Technician | 1038 Cheyenne Ridge Dr, Rosharon, TX 77583-8099 | 2020-10-15 |
| 1063019842 | Maricela Martinez De Lopez | Technician | 3819 Moler St, Dallas, TX 75211-6041 | 2020-10-05 |
| 1689288011 | Ysauro Maldonado Jr. | Technician | 17827 Abd Rd, Harlingen, TX 78552-1752 | 2020-09-02 |
| 1073127460 | Syndy Thi Nguyen | Technician | 3426 Meadowside Dr, Sachse, TX 75048-2269 | 2020-09-02 |
| 1760096382 | Stephanie Brooks | Technician | 10214 Valley Wlnd Dr, Houston, TX 77078 | 2020-09-01 |
| 1194336222 | Honey Hands Personal Care Services LLC | Technician | 4907 Spring Ave # 202, Dallas, TX 75210-1360 | 2020-08-12 |
| 1184234502 | Home of Elegance | Technician | 2901 Thorson Ln Apt 1207, Fort Worth, TX 76116-2077 | 2020-08-01 |
| 1780200956 | Donna Sue Martin | Technician | 5022 Spencer Hwy, Pasadena, TX 77505-1508 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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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.