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Ivette Guadalupe Cordova

Physician β€’ San Benito, TX

Deactivated NPI 1588343032 Deactivated in NPPES Female Practitioner
Practice location in NPPES

441 Colorado Dr
San Benito, TX 785865900

Phone: 9563364183

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of January 18, 2024; the reason is not published. The records below are historical. They do not show whether Ivette Cordova currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date July 12, 2023
NPI Deactivation Date January 18, 2024
NPI Active Period 2023 – 2024

Practice Location & Contact Primary Location

Practice Address

441 Colorado Dr

San Benito, TX 785865900

Telephone 9563364183
Organization at the Same NPPES Address or Phone
Rooted In Love Health Care Llc Facility NPI 1710748785

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in San Benito and Texas

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

License # reported to NPPES TX 92-3705244

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
⚠️
NPI Profile Deactivated January 18, 2024

NPPES lists this NPI as deactivated as of January 18, 2024; the reason is not published.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2023

In Home Supportive Care (license number reported to NPPES: TX 1588343032)

βœ…
NPI Profile Active July 12, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 12, 2023

Registered at 441 COLORADO DR, SAN BENITO, TX 785865900 (Tel: 9563364183)

πŸ“
Business Mailing Address (Initial Record) July 12, 2023

Registered at 441 COLORADO DR, SAN BENITO, TX 785865900 (Tel: 9563364183)

πŸ‘€
Provider Name / Credentials (Initial Record) July 12, 2023

Recorded as IVETTE CORDOVA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2023

Home Health (license number reported to NPPES: TX 92-3705244)

🟒
Initial NPI Registration & Enumeration July 12, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1588343032
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2023
Last Update: July 12, 2023
Deactivation Date: January 18, 2024

Mailing Address

441 Colorado Dr

San Benito, TX 785865900

Phone: 9563364183

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.