Ella Donaldo Cordovez, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

750859 Issued in TX

Practice address

3061 Saba LN
Port Neches, TX 77651-5419

Phone

(409) 540-5928

NPI assigned

Apr 15, 2013

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KR Wellness Solutions PA

  • Internal Medicine Physician
  • Nederland, TX
  • NPI 1992509665
  NPD (past)

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1689017188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 SABA LN",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776515419",
            "telephone_number": "409-540-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 SABA LN",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776515419",
            "telephone_number": "409-540-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVEZ",
        "first_name": "ELLA",
        "middle_name": "DONALDO",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "750859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE NO",
            "identifier": "750859",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Carter
• Charles M Franz, D. O.
• Amanda Chism, LPC
• Kaci Lee Cinnamon-Burton, FNP-C
• Robert Lee Copley, DDS
• Lakeia Douglas-Reese
• Dr. Sonali Vijesh Patel MD PLLC
• Lennie De Farmer
• Robert Yates Faseler, D.O.
• Brandy Fontenot

• Adult Health Nurse Practitioner in Port Neches, TX
• Providers in Port Neches, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.