Mariaelena Eleanora Tice, RN, CPNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

449918 Issued in TX

Practice address

C Thomas Moore Health Clinic
56TH and 761St Battalion Ave Building 2245
Fort Hood, TX 76544-4752

Phone

(254) 553-2750

Fax

(254) 285-6193

NPI assigned

Jun 13, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265475081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 GUB CLUB ROAD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76501",
            "telephone_number": "254-553-2750",
            "fax_number": "254-285-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C THOMAS MOORE HEALTH CLINIC",
            "address_2": "56TH AND 761ST BATTALION AVE BUILDING 2245",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765444752",
            "telephone_number": "254-553-2750",
            "fax_number": "254-285-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICE",
        "first_name": "MARIAELENA",
        "middle_name": "ELEANORA",
        "name_prefix": "Mrs.",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "449918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Thompson
• Romona Thompson
• Sondra S Thompson, APRN
• Jordan Lester Thomson, D.O.
• Tanya Yvonne Tice-Eskola, PHARMD
• Douglas M. Tilton, M.D.
• Tiffany Tolbert
• Axel Manuel Torres-Roche, LVN
• Jessica Torrez, RN
• Daniel Duy Tran, M.D.

• Nurse Practitioner in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.