BECKY RENEE O'NEAL (NPI# 1790930303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790930303 |
| Entity Type | Individual |
| Full Name | BECKY RENEE O'NEAL |
| Credential | NNP |
| Practice Address |
1400 S Coulter St Amarillo TX 79106-1786 |
| Practice Telephone | 8063545630 |
| Practice Fax Number | 8063545689 |
| Mailing Telephone | 8063545630 |
| Mailing Fax Number | 8063545689 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2013-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
508122 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SN0000X |
Clinical Nurse Specialist Specialization: Neonatal |
508122 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 113194804 | 05 | |
| OK | 200486870 A | 05 | |
| TX | 113194805 | 05 | |
| NM | 95976566 | 05 |
| Street Address |
1400 S COULTER ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980057 | Jack D Waller | Specialist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2005-05-31 |
| 1992311385 | Karlyn Hood | Pharmacist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-09-21 |
| 1083225866 | Roa Ali Eliyan Bashtawi | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-08-13 |
| 1063040020 | Mohammed Adib Tanbir | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-03-27 |
| 1558998898 | Joshua Anthony Sorenson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-03-26 |
| 1740815943 | Udhaya Aelety | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-03-08 |
| 1831720341 | Nicole Moreno | Pharmacist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-02-03 |
| 1891347399 | Baptist Saint Anthony Health System | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2019-07-15 |
| 1134771645 | Daniyah Ali Elagi | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2019-07-15 |
| 1861055782 | Jankikeerthika Muthukaruppan Dharmarpandi | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2019-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508206269 | Melinda Ruth Shannon | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2013-06-26 |
| 1306123385 | Amanda Ann Young | Nurse Practitioner | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2011-11-04 |
| 1316239452 | Dena M Williams | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106 | 2011-05-09 |
| 1851465777 | Brigitte Anne Grissom | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2006-11-20 |
| 1669499455 | Cynthia Pride | Nurse Practitioner | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528528817 | Kensey Duncan | Nurse Practitioner | 6431 Fannin St # 3.242, Houston, TX 77030-1501 | 2019-03-22 |
| 1750840286 | Jissel Odette Espinoza | Nurse Practitioner | 8710 N 29th Ln, Mcallen, TX 78504-5982 | 2019-03-14 |
| 1184183659 | Enedelia Reyna | Nurse Practitioner | 222 E Ridge Rd Ste 202, Mcallen, TX 78503-1251 | 2019-03-14 |
| 1134688757 | Nancy Elizabeth Lane | Nurse Practitioner | 6310 Eagle Creek Dr, Flower Mound, TX 75028-2464 | 2019-03-13 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1043746324 | Maria V Gutierrez | Nurse Practitioner | 1694 Zamora Dr, Brownsville, TX 78526-1997 | 2017-05-05 |
| 1578003786 | Briana Donise Blackstock | Nurse Practitioner | 210 Longhorn Blvd, Wolfforth, TX 79382-5322 | 2017-03-07 |
| 1619413911 | Richard Dunn | Nurse Practitioner | 1129 Birch St, Hurst, TX 76053-4301 | 2017-01-10 |
| 1245781830 | Lisa Marie Elizalde | Nurse Practitioner | 902 S Loop 499 Apt N4, Harlingen, TX 78550-2522 | 2016-10-18 |
| 1972050540 | Daniel Renteria I | Nurse Practitioner | 3280 Joe Battle Blvd., El Paso, TX 79936 | 2016-09-01 |
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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.