Kelly Dean Hranicky, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

088474 Issued in TX

Practice address

341 S Reidel
Yorktown, TX 78164-2024

Phone

(361) 564-4106

Fax

(361) 564-4163

NPI assigned

Apr 1, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1669644597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 SOUTH RIEDEL",
            "city": "YORKTOWN",
            "state": "TX",
            "postal_code": "781642024",
            "telephone_number": "361-564-4106",
            "fax_number": "361-564-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 S REIDEL",
            "city": "YORKTOWN",
            "state": "TX",
            "postal_code": "781642024",
            "telephone_number": "361-564-4106",
            "fax_number": "361-564-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRANICKY",
        "first_name": "KELLY",
        "middle_name": "DEAN",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "088474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016363",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005750701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Licensed Vocational Nurse in Yorktown, TX
• Providers in Yorktown, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.