Mayzabaan Umar, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

217409 Issued in TX

Practice address

1090 County Road 5714
Natalia, TX 78059-2729

Phone

(210) 643-2381

NPI assigned

Mar 26, 2019

Last updated

Mar 26, 2019By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1396206207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 COUNTY ROAD 5714",
            "city": "NATALIA",
            "state": "TX",
            "postal_code": "780592729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 COUNTY ROAD 5714",
            "city": "NATALIA",
            "state": "TX",
            "postal_code": "780592729",
            "telephone_number": "210-643-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMAR",
        "first_name": "MAYZABAAN",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "217409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Emery Ortiz, L. P. C.
• Elsa Quinones
• Reagan Manor
• John Clay Self, L.P.C., L.C.D.C
• Samantha Shaffer
• Wenona Nephta-Li Wray, LPC, NCC

• Licensed Practical Nurse in Natalia, TX
• Providers in Natalia, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.