LATRISALA BANKSTON (NPI# 1972097491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972097491 |
| Entity Type | Individual |
| Full Name | LATRISALA BANKSTON |
| Credential | NP |
| Practice Address |
15535 Downford Dr Tomball TX 77377 |
| Mailing Address |
15535 Downford Dr Tomball TX 77377-8687 |
| Practice Telephone | 3182300993 |
| Mailing Telephone | 3182300993 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
137803 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15535 DOWNFORD DR |
| City | TOMBALL |
| State | TX |
| Zip Code | 77377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801594 | Gavin John Le Nobel | Otolaryngology | 14211 Fm 2920 Road, Suite 110, Tomball, TX 77377 | 2020-08-14 |
| 1144855057 | P&l Transportation LLC | Private Vehicle | 21834 E Yaupon Circle, Tomball, TX 77377 | 2020-03-11 |
| 1033767520 | Daniel Max & Marcandrea, LLC | Optometrist | 14090 Farm To Market 2920, Suite B, Tomball, TX 77377 | 2019-08-28 |
| 1932682689 | Donna C. Brown | Licensed Vocational Nurse | 11743 Northpointe Blvd. Tomball, Texas, Apt. 1131, Tomball, TX 77377 | 2018-09-10 |
| 1700377249 | Yen Bui | Physician Assistant | 11931 Laurel Meadow Dr, Tomball, TX 77377 | 2018-05-21 |
| 1487165593 | Melanie Abella | Behavioral Analyst | 17418 Sunset Arbor Dr, Tomball, TX 77377 | 2017-10-16 |
| 1366991457 | Ida Echols | Specialist/Technologist, Other | 16131 N. Eldridge Pkwy Suite 200, Suite 5, Tomball, TX 77377 | 2016-09-29 |
| 1861861635 | Tayloe Douglas | Student in an Organized Health Care Education/Training Program | 15451 Kenny Drive, Tomball, TX 77377 | 2015-09-22 |
| 1578930343 | Han Bui | Optometrist | 14079 Fm 2920 Tomball Tx 77377, Tomball, TX 77377 | 2015-08-28 |
| 1154724862 | Aegis Emergency Physicians Group Pllc | Emergency Medicine | 1490 Fm 2920 Ste G 528, Tomball, TX 77377 | 2014-10-08 |
| Find all providers in zip 77377 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291912 | Alyse Mullon Tumelson | Nurse Practitioner | 26 Satinleaf Pl, Tomball, TX 77375-7206 | 2019-08-19 |
| 1598235046 | Nousheen Maredia Nayani | Nurse Practitioner | 25411 Hollowgate Park Ln, Tomball, TX 77375-1494 | 2018-11-27 |
| 1942796784 | Alyssa Lewis | Nurse Practitioner | 18611 Summercliff Ln, Tomball, TX 77377-7579 | 2018-07-05 |
| 1720599558 | Shirley Morris | Nurse Practitioner | 24507 Emerald Pool Falls Dr, Tomball, TX 77375-5367 | 2017-10-19 |
| 1245740893 | Rachel Jones | Nurse Practitioner | 455 School St Ste 44, Tomball, TX 77375-4688 | 2017-10-10 |
| 1447614334 | Lori Walkoviak | Nurse Practitioner | 22611 Torrisdale Ln, Tomball, TX 77375-2071 | 2016-04-07 |
| 1780817163 | Maria Elena Alvarez | Nurse Practitioner | 26288 Kuykendahl Rd, Tomball, TX 77375-2657 | 2009-09-01 |
| 1104028554 | Holly Thibodeaux | Nurse Practitioner | 506 Graham Dr Ste 200, Tomball, TX 77375-3346 | 2007-06-05 |
| 1043339336 | Dollie Ann Husfeld | Nurse Practitioner | 425 Holderrieth Blvd Ste 112, Tomball, TX 77375-4551 | 2007-03-28 |
| 1336264894 | Patricia Joanne Matlock | Nurse Practitioner | 425 Holderrieth, Blvd, Tomball, TX 77375 | 2007-03-20 |
| Find all providers in TOMBALL | ||||
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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.