Individual provider Active NPI

Stella Ann Nava, LICENSEDNURSE

  • Licensed Vocational Nurse
  • Corpus Christi, TX
National Provider Identifier
1154536894
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
134845 Issued in TX
Practice address
800 N Shoreline Blvd Ste 700S
Corpus Christi, TX 78401-3718
Phone
(361) 937-7887
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 134845 TX
Licensed Vocational Nurse 164X00000X 134845 TX Primary

Addresses

Primary practice location

800 N Shoreline Blvd Ste 700S
Corpus Christi, TX 78401-3718

Mailing address

Restorative Healthcare 800 N. Shoreline Suite 700 S
Corpus Christi, TX 78401-1282
Phone (361) 937-7887

Other identifiers 1

IdentifierTypeStateIssuer
001002785OtherTXPROVIDER NO.

Other names 1

  • Stella Rucker Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
134845TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1154536894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RESTORATIVE HEALTHCARE 800 N. SHORELINE SUITE 700 S",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784011282",
            "telephone_number": "361-937-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N SHORELINE BLVD STE 700S",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784013718",
            "telephone_number": "361-937-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVA",
        "first_name": "STELLA",
        "middle_name": "ANN",
        "credential": "LICENSEDNURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "TX",
            "license": "134845",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "134845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NO.",
            "identifier": "001002785",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STELLA",
            "last_name": "RUCKER",
            "credential": "LICENSEDNURSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.