Vida Riston Sprott, APRN, CNM, FNP | |
2965 Harrison St Ste 313, Beaumont, TX 77702-1113 | |
(409) 838-4472 | |
(877) 769-2234 |
Full Name | Vida Riston Sprott |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2965 Harrison St Ste 313, Beaumont, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023008265 | NPI | - | NPPES |
135029004 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 540793 (Texas) | Primary |
Entity Name | Ivyy Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487739439 PECOS PAC ID: 2466467337 Enrollment ID: O20060214000246 |
Entity Name | Maxie C Sprott Ii Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326134594 PECOS PAC ID: 6800980525 Enrollment ID: O20090202000108 |
Mailing Address | Practice Location Address |
---|---|
Vida Riston Sprott, APRN, CNM, FNP 2627 Calder St, Beaumont, TX 77702-1916 Ph: (409) 838-4472 | Vida Riston Sprott, APRN, CNM, FNP 2965 Harrison St Ste 313, Beaumont, TX 77702-1113 Ph: (409) 838-4472 |
Ruth Ngindu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2950 Dowlen Rd, Beaumont, TX 77706 Phone: 866-389-2727 | |
Mrs. Monique Nichole Vannoy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 Hospital Dr Ste 200, Beaumont, TX 77701 Phone: 409-212-5825 | |
Charlotte Stevens Lejune, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-236-7171 | |
Dawn Roque, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4347 Phelan Blvd, Beaumont, TX 77707 Phone: 409-767-9285 | |
Mrs. Carley Ann Jaynes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 755 N 11th St Ste P3950, Beaumont, TX 77702 Phone: 409-892-0099 | |
Ms. Lynda Marie Few, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3560 Delaware St # 601, Beaumont, TX 77706 Phone: 409-924-9666 | |
Jacqueline Nacole Dugas, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 740 Hospital Dr, Suite 300, Beaumont, TX 77701 Phone: 409-212-8111 |