Misty Yvette Endres

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2064620 Issued in TX

Practice address

3030 Fig St
Corpus Christi, TX 78404-3834

Phone

(361) 888-5619

NPI assigned

Aug 15, 2018

Last updated

Aug 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Misty Yvette Stillman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1023598471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 FIG ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 FIG ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043834",
            "telephone_number": "361-888-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRES",
        "first_name": "MISTY",
        "middle_name": "YVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2064620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "STILLMAN",
            "middle_name": "YVETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Empire Health LLC
• Empower Behavioral Health
• Empowering Wellness Hub
• Mohammad A Emran, M.D.
• Jennifer Ranee Encinia, APRN, FNP-BC
• Kenechukwu Enekebe, M.D
• Eziamaka Jennifer Enemuo
• Valentine Enemuo, M.D
• Vanessa Eng
• Ashley Brooke Engbrock, DO

• Physical Therapy Assistant in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.