DALAILAH REYNA DE LA ROSA (NPI# 1962947242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962947242 |
| Entity Type | Individual |
| Full Name | DALAILAH REYNA DE LA ROSA |
| Credential | AGNP |
| Practice Address |
4254 S Alameda St Corpus Christi TX 78412-2469 |
| Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
| Practice Telephone | 3618534191 |
| Practice Fax Number | 3618538768 |
| Mailing Telephone | 3055002027 |
| Mailing Fax Number | 3055002155 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP132792 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP132792 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP132792 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4254 S ALAMEDA ST |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78412-2469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700885225 | Stephen H. Barth | Family Medicine | 4254 S Alameda St, Corpus Christi, TX 78412-2469 | 2005-07-18 |
| 1891269098 | Mcci of Texas Primary Care Group, Pllc | Family Medicine | 4254 S Alameda St, Corpus Christi, TX 78412-2469 | 2019-01-22 |
| 1619314879 | Margo L. Gonzalez-hussey | Nurse Practitioner | 4254 S Alameda St, Corpus Christi, TX 78412-2469 | 2013-05-29 |
| 1336438878 | Eric Lee Madarang | Emergency Medicine | 4254 S Alameda St, Corpus Christi, TX 78412 | 2011-04-05 |
| 1174566590 | Veena Kommera Reddy | Internal Medicine | 4254 S Alameda St, Corpus Christi, TX 78412-2469 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029775 | Cuong Cao | Pharmacist | 1301 Airline Rd, Corpus Christi, Corpus Christi, TX 78412 | 2020-09-26 |
| 1427512995 | Joshni John | Specialist/Technologist | 6500 Ocean Drive, Corpus Christi, TX 78412 | 2019-01-29 |
| 1881193183 | Southside Specialty Surgical Center LLC | Clinic/Center | 6005 Holly Rd, Corpus Christi, TX 78412 | 2018-02-02 |
| 1689181919 | Avacorte Home Health | Home Health | 5206 Mill Wood Dr, Corpus Christi, TX 78412 | 2018-01-09 |
| 1215458245 | Ashley Kerr | Dentist | 6500 S.p.i.d., Ste 12, Corpus Christi, TX 78412 | 2017-06-29 |
| 1285155242 | Adan Lorenzo Narvaez | Physical Therapist | 2033 Airline Rd Ste E7, Corpus Christi, TX 78412 | 2017-06-29 |
| 1467992784 | Harrison Aj Hall | Prevention Professional | 2006 Airline Rd Apt 516, Corpus Christi, TX 78412 | 2017-03-06 |
| 1922468156 | Coastal Er Iv LLC | Clinic/Center | 7750 South Padre Island Drive, Corpus Christi, TX 78412 | 2016-03-01 |
| 1508282823 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7798 S. Padre Island Drive, Corpus Christi, TX 78412 | 2014-03-11 |
| 1215362553 | Michael Anthony Flores | Nurse Practitioner | 7101 S Pade Island, Corpus Christi, TX 78412 | 2013-09-05 |
| Find all providers in zip 78412 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881229276 | Albert Michael Castaneda | Nurse Practitioner | 14317 Northwest Blvd Ste D, Corpus Christi, TX 78410-5536 | 2020-03-06 |
| 1538792734 | Carely Zayde Soto | Nurse Practitioner | 7409 Lake Windemere Dr, Corpus Christi, TX 78413-5735 | 2020-02-16 |
| 1275185266 | Corpus Choice Pain Management | Nurse Practitioner | 3425 Twin River Blvd, Corpus Christi, TX 78410-2000 | 2019-07-10 |
| 1407416431 | Jesse Galvan Rossett | Nurse Practitioner | Morgan Pediatric Center, 2418 Morgan Ave, Corpus Christi, TX 78405-1806 | 2019-06-20 |
| 1508304668 | Johnny Don Roberts | Nurse Practitioner | 5805 Hinman Dr, Corpus Christi, TX 78412-2841 | 2017-02-08 |
| 1578810040 | Day Primary Care Pllc | Nurse Practitioner | 9901 Compton Rd, Corpus Christi, TX 78418-5113 | 2012-08-14 |
| 1942598495 | Cynthia Maiden | Nurse Practitioner | 14646 Compass St Ste 8, Corpus Christi, TX 78418-6232 | 2011-07-19 |
| 1164716072 | Johnny Malcolm Hasserodt | Nurse Practitioner | 13725 Northwest Blvd Ste 260, Corpus Christi, TX 78410-5123 | 2011-06-08 |
| 1881821692 | Rudolfo Castillo Deleon Jr. | Nurse Practitioner | 14254 S Padre Island Dr Ste 207, Corpus Christi, TX 78418-6278 | 2009-06-18 |
| 1568615318 | Heather Anne Kostoff | Nurse Practitioner | 2701 Morgan Ave Ste 400, Corpus Christi, TX 78405-1848 | 2008-10-24 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78412 |
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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.