CLARISSA SYVONNE ELIZONDO (NPI# 1740846955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740846955 |
| Entity Type | Individual |
| Full Name | CLARISSA SYVONNE ELIZONDO |
| Credential | PA |
| Practice Address |
2412 50th St Lubbock TX 79412-2504 |
| Mailing Address |
4515 Marsha Sharp Fwy Lubbock TX 79407-2520 |
| Practice Telephone | 8067447223 |
| Practice Fax Number | 8067403325 |
| Mailing Telephone | 8067447223 |
| Mailing Fax Number | 8067403325 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA13169 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 420 Fm 213 Unit B, Odonnell, TX 793513410 | 8064414694 |
| Street Address |
2412 50TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79412-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023718 | Melissa Henry | Family Medicine | 2412 50th St, Lubbock, TX 79412 | 2005-06-20 |
| 1003370909 | Kayleigh Mccarrell | Nurse Anesthetist, Certified Registered | 2412 50th St, Lubbock, TX 79412-2504 | 2019-01-24 |
| 1558852913 | Mason Gibson | Anesthesiologist Assistant | 2412 50th St, Lubbock, TX 79412 | 2018-05-22 |
| 1770074288 | Addie L Powers | Nurse Anesthetist, Certified Registered | 2412 50th St, Lubbock, TX 79412-2504 | 2018-05-21 |
| 1760993844 | Lennon Ndi | Nurse Practitioner | 2412 50th St, Lubbock, TX 79412-2504 | 2017-10-17 |
| 1639607062 | Paula Galloway | Anesthesiologist Assistant | 2412 50th St, Lubbock, TX 79412-2504 | 2017-05-30 |
| 1386181949 | Andrea Griego | Nurse Anesthetist, Certified Registered | 2412 50th St, Lubbock, TX 79412-2504 | 2017-01-20 |
| 1902342231 | Norah Bate | Nurse Practitioner | 2412 50th St, Lubbock, TX 79412-2504 | 2017-01-10 |
| 1659754695 | Ramya Krishna Undamatla | Internal Medicine | 2412 50th St, Lubbock, TX 79412-2504 | 2015-07-08 |
| 1548648942 | Elizabeth Walterscheid Kennelly | Anesthesiologist Assistant | 2412 50th St, Lubbock, TX 79412-2504 | 2015-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420864 | The Kidney Care Center, LLC | Clinic/Center | 3702 Interstate 27, Lubbock, TX 79412 | 2020-02-28 |
| 1639531254 | Lori Ann Boyd | Dietitian, Registered | 2412 50 Th Street, Lubbock, TX 79412 | 2016-03-23 |
| 1073989083 | Jesse Garcia | Social Worker | 6104 Ave. Q South Drive, Lubbock, TX 79412 | 2015-08-12 |
| 1316294408 | Ronald Caporale | Physician Assistant | 1701 50th Street, Lubbock, TX 79412 | 2012-08-08 |
| 1508152901 | Lilian Francisca Hayes | Counselor | 2345 50th St., Lubbock, TX 79412 | 2011-06-23 |
| 1861787285 | Sarah Delacruz | Counselor | 2345 50th Street, Lubbock, TX 79412 | 2011-06-14 |
| 1407189558 | David G Smith | Counselor | 2345 50th Managed Care Center, Lubbock, TX 79412 | 2009-09-08 |
| 1427261205 | Barbara J Trotter | Dietitian, Registered | 5022 Ave Q, Covenant Ctr for Outpatient Diabetes Education Lubbock, Lubbock, TX 79412 | 2007-05-08 |
| 1447471057 | Elmer Artemus Addington IIi | Chiropractor | 3410 Avenue Q, Lubbock, TX 79412 | 2007-05-01 |
| 1083779805 | Shaun Hamlett Keel PC | Psychologist | 2402 52nd St., Suite 6, Lubbock, TX 79412 | 2006-12-22 |
| Find all providers in zip 79412 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316294408 | Ronald Caporale | Physician Assistant | 1701 50th Street, Lubbock, TX 79412 | 2012-08-08 |
| 1699002675 | Jamie Fletcher | Physician Assistant | 5415 114th St, Lubbock, TX 79424 | 2009-11-11 |
| 1710160700 | Jessica Ferguson | Physician Assistant | 3606 21st St Ste 200, Lubbock, TX 79410-1225 | 2007-12-12 |
| 1104958560 | Janice Hallford Lampe | Physician Assistant | 6048 Marsha Sharp Fwy, Lubbock, TX 79407-3726 | 2007-03-12 |
| 1699819953 | Holly Jen Tyson | Physician Assistant | 3811 24th St, Lubbock, TX 79410-1813 | 2007-02-19 |
| 1154496974 | Kathleen Jo Marcum | Physician Assistant | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | 2006-11-21 |
| 1336252220 | Gustavo Alonso Bendeck | Physician Assistant | 4010 22nd St, Lubbock, TX 79410-1116 | 2006-08-16 |
| 1316903875 | Kristina Lee | Physician Assistant | 3904 101st St, Lubbock, TX 79423-5725 | 2006-04-25 |
| 1467416636 | David Anthony King | Physician Assistant | 3514 21st Street, Lubbock, TX 79410 | 2006-04-14 |
| 1346246634 | Phyllis Rose Peterson | Physician Assistant | Ttuhsc Dept of Psychiatry, 3601 4th St., Ms 8103, Lubbock, TX 79430-8103 | 2005-06-22 |
| 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.