| The Lady With The Lamp Pllc | |
|
5519 Lone Cedar Dr Kingwood TX 77345-1431 | |
| (281) 630-6871 | |
| Not Available |
| Full Name | The Lady With The Lamp Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5519 Lone Cedar Dr, Kingwood, Texas |
| Authorized Official Name and Position | Tiffany Ruth Cutbirth (NURSE PRACTITIONER) |
| Authorized Official Contact | 2816306871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lady With The Lamp Pllc Po Box 5912 Kingwood TX 77325-5912 Ph: (281) 630-6871 | The Lady With The Lamp Pllc 5519 Lone Cedar Dr Kingwood TX 77345-1431 Ph: (281) 630-6871 |
| NPI Number | 1346636271 |
|---|---|
| Provider Enumeration Date | 04/07/2015 |
| Last Update Date | 04/07/2015 |
| Medicare PECOS PAC ID | 6002128626 |
|---|---|
| Medicare Enrollment ID | O20150709002316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346636271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Amy Cherlene Hardy-covey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801041728 PECOS PAC ID: 4082770169 Enrollment ID: I20090226000259 |
| Provider Name | Sandra Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154507242 PECOS PAC ID: 0345307658 Enrollment ID: I20090331000280 |
| Provider Name | Srikanth Raayasa |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235374224 PECOS PAC ID: 0446303655 Enrollment ID: I20120711000055 |
| Provider Name | Tiffany R Cutbirth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609115708 PECOS PAC ID: 3375780398 Enrollment ID: I20130513000066 |
| Provider Name | Saori Schmal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912342114 PECOS PAC ID: 9931341898 Enrollment ID: I20130806000734 |
| Provider Name | Jasmine Patrice Dark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053866160 PECOS PAC ID: 2961783469 Enrollment ID: I20161221000291 |
| Provider Name | Corina G Serna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699206052 PECOS PAC ID: 7012286669 Enrollment ID: I20170713000607 |
| Provider Name | Anastasia Gallagher Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982180402 PECOS PAC ID: 6103176920 Enrollment ID: I20180829000218 |
| Provider Name | Donna Spoerle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417433087 PECOS PAC ID: 3375893324 Enrollment ID: I20180912001986 |
| Provider Name | Kendal Shay Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356814883 PECOS PAC ID: 8921346834 Enrollment ID: I20190218002828 |
| Provider Name | Sonia Bassett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285275412 PECOS PAC ID: 0244660801 Enrollment ID: I20200422000945 |
| Provider Name | Kami Wasilewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669842613 PECOS PAC ID: 0446553440 Enrollment ID: I20200922000461 |
| Provider Name | Jeny K John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073019493 PECOS PAC ID: 5395154843 Enrollment ID: I20210513000111 |
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