MARY BOB (NPI# 1902428170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902428170 |
| Entity Type | Individual |
| Full Name | MARY BOB |
| Practice Address |
3647 Rolling Terrace Dr Spring TX 77388-5067 |
| Mailing Address |
1155 Dairy Ashford Rd Ste 560 Houston TX 77079-3035 |
| Practice Telephone | 8324661312 |
| Mailing Telephone | 7137992200 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 204084 | TX | Nursing Service Providers |
| Street Address |
3647 ROLLING TERRACE DR |
| City | SPRING |
| State | TX |
| Zip Code | 77388-5067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391020 | Patricia Tate Gaston | Registered Nurse | 4923 Kasos Isle Dr, Spring, TX 77388 | 2018-09-25 |
| 1740762707 | Katie Hunsaker | Registered Nurse | 1822 Adobe Falls Dr, Spring, TX 77388 | 2018-09-05 |
| 1730661885 | Shantia Kazemi Esfeh | Dentist | 3100 Fm 2920 Rd # Tx77388, Spring, TX 77388 | 2018-09-05 |
| 1801372024 | Sebastian Trung Khanh Nguyen | Dentist | 19507 Interstate 45 Ste 522, Spring, TX 77388 | 2018-07-11 |
| 1952894461 | Ameen M Mukhi | Dentist | 3403 Louetta Rd Ste B, Spring, TX 77388 | 2018-06-08 |
| 1427563006 | H-e-b, Lp | Clinical Medical Laboratory | 5251 Fm 2920, Spring, TX 77388 | 2017-12-05 |
| 1487165536 | Rx Spring Pharmacy | Pharmacy | 3301 Louetta Rd, Suite 101, Spring, TX 77388 | 2017-10-17 |
| 1679091045 | Fresenius Medical Care Spring Klein Dialysis Center, LLC | Clinic/Center | 5230 Fm 2920 Road, Spring, TX 77388 | 2017-09-06 |
| 1801312194 | Ashley Neal | Behavioral Analyst | 21426 Hannover Pines Dr., Spring, TX 77388 | 2017-08-17 |
| 1023472602 | Cvs Pharmacy | Pharmacist | 19511 I H 45, Spring, TX 77388 | 2016-04-08 |
| Find all providers in zip 77388 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796889 | Christopher Kelley | Licensed Vocational Nurse | 6635 Fairbrook Park Ln, Spring, TX 77379-8259 | 2020-09-23 |
| 1871106898 | Hilda Ledford | Licensed Vocational Nurse | 31123 Baker Lake Dr, Spring, TX 77386-2276 | 2020-08-28 |
| 1174140669 | Antoinette Martinez | Licensed Vocational Nurse | 23106 Naples Dr, Spring, TX 77373-6870 | 2020-06-30 |
| 1619598711 | Lashawnda Latiki Gray | Licensed Vocational Nurse | 2834 Fox Mountain Dr, Spring, TX 77386-2391 | 2020-04-29 |
| 1912526914 | Jessican Hebenstreit | Licensed Vocational Nurse | 29119 Stone Fox Dr, Spring, TX 77386-2366 | 2020-04-10 |
| 1245865229 | Lauren Smalley | Licensed Vocational Nurse | 3223 Spring Cypress Rd Apt 238, Spring, TX 77388-4883 | 2020-03-10 |
| 1568004695 | Ahmed Ali Assi | Licensed Vocational Nurse | 4103 Trench Lane, Spring, TX 77386-7738 | 2019-10-10 |
| 1518529031 | Felicia A Mitchell | Licensed Vocational Nurse | 19202 Dickson Park Dr, Spring, TX 77373-8385 | 2019-07-04 |
| 1447819222 | Latanya Dixon | Licensed Vocational Nurse | 7315 Spring Cypress Rd Apt 334, Spring, TX 77379-3540 | 2019-06-06 |
| 1790343531 | Amanda Lynn Moreno | Licensed Vocational Nurse | 460 Wildwood Forest Dr, Spring, TX 77380-3884 | 2019-06-05 |
| Find all providers in SPRING | ||||
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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.