GERARDO TAPIA HERNANDEZ (NPI# 1760021976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760021976 |
| Entity Type | Individual |
| Full Name | GERARDO TAPIA HERNANDEZ |
| Credential | NP |
| Practice Address |
1000 S Beckham Ave Tyler TX 75701-1908 |
| Mailing Address |
Po Box 130549 Tyler TX 75713-0549 |
| Practice Telephone | 9035905611 |
| Practice Fax Number | 9035356884 |
| Mailing Telephone | 9035793931 |
| Mailing Fax Number | 9035095835 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP142338 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417356916 | Gerardo Daniel Hernandez | Family Medicine | 8627 Atlantic Ave, South Gate, CA 90280-3501 | 2014-08-20 |
| 1033486428 | Gerardo Hernandez | Specialist/Technologist, Other | 1822 W Braker Ln # 81603, Austin, TX 78758-3606 | 2011-11-29 |
| 1245466010 | Gerardo Venegas Hernandez | Community Health Worker | 1540 E Colorado St, Glendale, CA 91205-1514 | 2009-06-06 |
| 1760467559 | Gerardo Hernandez | Obstetrics & Gynecology | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2005-12-14 |
| Street Address |
1000 S BECKHAM AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75701-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280510 | Aleksandra Olsson-detwiler | Internal Medicine | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2005-07-22 |
| 1831706431 | Kalana Sanders | Registered Nurse | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2020-09-28 |
| 1992333975 | Graceanne M. Dimon | Physical Therapist | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2020-03-27 |
| 1861950057 | Brittany Mason Ferguson | Nurse Practitioner | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2019-03-06 |
| 1255801189 | Shane Ashley Correa | Nurse Practitioner | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2018-12-04 |
| 1174000962 | David Matthew Burkland | Nurse Practitioner | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2018-07-24 |
| 1598251209 | Kelsey Rene Morton | Nurse Practitioner | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2018-07-05 |
| 1063915916 | Tyler Regional Hospital LLC | Surgery | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2018-03-16 |
| 1437650264 | Tyler Regional Hospital LLC | Nurse Anesthetist, Certified Registered | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2018-02-27 |
| 1407364847 | Tyler Regional Hospital LLC | General Acute Care Hospital | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2018-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982934766 | Sandra A Mosby | Nurse Practitioner | 13851 County Road 194, Tyler, TX 75703-6621 | 2009-12-30 |
| 1174738678 | Karen Brazell Pearson | Nurse Practitioner | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262570 | Holly Joyce Carlstrand | Nurse Practitioner | 18 Carmel Chase Ct, Manvel, TX 77578-3452 | 2020-10-13 |
| 1700483690 | Amy Calder | Nurse Practitioner | 14441 Memorial Dr Ste 5, Houston, TX 77079-6708 | 2020-10-05 |
| 1104423300 | Donna Ann Ford | Nurse Practitioner | 1605 Turtle Dr, San Angelo, TX 76904-7708 | 2020-10-01 |
| 1497361653 | Alexis Jolivet | Nurse Practitioner | 8706 Shiloh St, Texas City, TX 77591-2327 | 2020-09-22 |
| 1851906960 | Ann Nnenna Ugbeme | Nurse Practitioner | 1601 Lisburn Dr, Mckinney, TX 75071-3357 | 2020-09-15 |
| 1528673233 | Lashika R Meanus | Nurse Practitioner | 10501 Matador Dr, Mckinney, TX 75072-2952 | 2020-09-10 |
| 1700498391 | Raphael Udalor | Nurse Practitioner | 3631 Campfield Ct, Katy, TX 77449-8621 | 2020-08-17 |
| 1326664020 | Tasha Samantha Leonard | Nurse Practitioner | 622 Orlandis Ln, Rosenberg, TX 77469-5084 | 2020-06-19 |
| 1962025171 | Shewana Spencer | Nurse Practitioner | 613 W Bluff St, Woodville, TX 75979-5125 | 2020-05-21 |
| 1992325906 | Emily Natosha Bennett | Nurse Practitioner | 4323 Dragonwick Dr, Houston, TX 77045-3311 | 2020-04-20 |
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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.