KELLI LONGORIA


Address: 2700 Citizens Plz Ste 400, Victoria, TX 77901-5757
Phone: 3612373945

KELLI LONGORIA (NPI# 1780169946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780169946
Entity Type Individual
Full Name KELLI LONGORIA
Practice Address 2700 Citizens Plz Ste 400
Victoria
TX 77901-5757
Practice Telephone 3612373945
Mailing Telephone 3612373945
Enumeration Date 2018-10-03
Last Update Date 2018-10-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP139043 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2700 CITIZENS PLZ STE 400
City VICTORIA
State TX
Zip Code 77901-5757

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1558823336 Uzoma Melissa Obi-nwankwo Family Medicine Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 2019-04-02
1871058099 Still Water Springs Counselor 103 East Airline Road, Suite 3, Victoria, TX 77901 2019-02-01
1811488349 Victoria Np Clinic Pllc Nurse Practitioner 606 E. Nueces St, Victoria, TX 77901 2018-05-21
1003324823 Raul Hernandez Physical Therapy Assistant 101 W Goodwin Ave Ste 600, Victoria, TX 77901 2018-01-15
1568916153 Bdcv / Vpsc Associates, LLC Dietitian, Registered 4206 N Ben Jordan Street, Victoria, TX 77901 2016-08-11
1801349535 James H Jarrett Jr. Dietitian, Registered 4206 N. Ben Jordan Street, Victoria, TX 77901 2016-07-29
1508218736 Philip Henneke Case Manager/Care Coordinator 1802 N. Laurent, Victoria, TX 77901 2016-07-12
1194084145 Kelly E. Rogers Speech-Language Pathologist 2903 B. Azalea St., Victoria, TX 77901 2012-05-11
1023393790 Frederick B Niegos Mdpa Internal Medicine 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 2011-10-13
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366098915 Zachary Barber Nurse Practitioner 605 E San Antonio St # 509, Victoria, TX 77901-6050 2019-08-09
1396304390 Olanrewaju Omobola Olurode Nurse Practitioner 104 Buckskin Trl, Victoria, TX 77904-2962 2019-06-12
1497238869 Crystal Joan Douglas Nurse Practitioner 9006 N Navarro St, Victoria, TX 77904-1565 2018-09-12
1790270106 Jeremiah E Bast Nurse Practitioner 605 E San Antonio St Ste 509e, Victoria, TX 77901-6079 2018-06-27
1811488349 Victoria Np Clinic Pllc Nurse Practitioner 606 E. Nueces St, Victoria, TX 77901 2018-05-21
1578913323 Acadia Matilda Joines Nurse Practitioner 104 Watermark, Victoria, TX 77904-1168 2016-06-13
1518337690 Nikki Reger Nurse Practitioner 102 Andrew Dr, Victoria, TX 77904-2938 2015-10-01
1336524974 Adan Hinojosa Adame Nurse Practitioner 102 Contento St, Victoria, TX 77905-0688 2015-07-24
1235522509 Kristi Williams Nurse Practitioner 728 Menke Rd, Victoria, TX 77905-5757 2015-03-11
1346524303 Pamela Ross Breazeale Nurse Practitioner 117 Cumberland Gap, Victoria, TX 77904-2416 2011-10-07
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Competitor

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City VICTORIA
Zip Code 77901

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Dataset Information

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.

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