DOMINIQUE KWAINE IDAHOR (NPI# 1053780254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053780254 |
| Entity Type | Individual |
| Full Name | DOMINIQUE KWAINE IDAHOR |
| Practice Address |
5813 Lincoln Meadows Ct 409 Fort Worth TX 76112-1451 |
| Practice Telephone | 8179866999 |
| Mailing Telephone | 8179866999 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 08933451 | TX | Nursing Service Providers |
| Street Address |
5813 LINCOLN MEADOWS CT 409 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76112-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396211397 | Shelia Minor | Home Health Aide | 5648 Victoria Place, Fort Worth, TX 76112 | 2018-10-17 |
| 1457833816 | Joanne Medford | Physical Therapy Assistant | 1704 Wilson Rd, Fort Worth, TX 76112 | 2018-09-02 |
| 1821525502 | Kids & Hugs Home Therapy | Home Health | 2317 Maryel Dr., Fort Worth, TX 76112 | 2017-05-12 |
| 1932516846 | Neuroassessment Services LLC | Clinical Neuropsychologist | 5601 Bridge Street, Suite 500, Ft. Worth, TX 76112 | 2014-07-14 |
| 1114346335 | Blessed Beginnings | Day Training, Developmentally Disabled Services | 2320 Blue Smoke Court North, Fort Worth, TX 76112 | 2014-04-15 |
| 1790035517 | Transitions for Success Inc | In Home Supportive Care | 6228 Warrington Pl Ace, Fort Worth, TX 76112 | 2012-09-19 |
| 1194048116 | Jerlene Bonner Tippett | Home Health Aide | 1701 Bunch Dr, Ft Worth, TX 76112 | 2010-03-04 |
| 1396076543 | Roy Kenji Yamada | Emergency Medicine | 5800 Forest Bend Pl., Ft. Worth, TX 76112 | 2010-01-27 |
| 1437488228 | Rose A Miller | Case Manager/Care Coordinator | 7312 Laurie Drive, Ft. Worth, TX 76112 | 2009-12-08 |
| 1174760508 | Advocate Angels | Case Management | 6829 Gary Lane, Fort Worth, TX 76112 | 2009-01-07 |
| Find all providers in zip 76112 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699497 | Erica Ferguson Hicks | Registered Nurse | 4500 Mercantile Plaza Dr Ste 204, Fort Worth, TX 76137-4225 | 2020-11-02 |
| 1659970374 | Amy Mueller | Registered Nurse | 8960 Riscky Trl, Fort Worth, TX 76244-6122 | 2020-10-23 |
| 1023617834 | Eluntra Casteel | Registered Nurse | 3204 Mclean St Apt A, Fort Worth, TX 76103-2959 | 2020-10-22 |
| 1700485992 | Alejandra Quezada | Registered Nurse | 5721 Minnow Dr, Fort Worth, TX 76179-7559 | 2020-10-20 |
| 1962009571 | Victoria Orta | Registered Nurse | 2357 Ranger Dr, Fort Worth, TX 76120-5631 | 2020-10-06 |
| 1861007221 | Jasmine Lax | Registered Nurse | 5141 Gadsden Ave, Fort Worth, TX 76244-9244 | 2020-09-12 |
| 1699388025 | Carrie Forero | Registered Nurse | 1021 Salt Creek Trl, Fort Worth, TX 76131-5382 | 2020-08-25 |
| 1477165223 | Kelly Zandbergen | Registered Nurse | Angels of Care, Fort Worth, TX 76006-5924 | 2020-08-21 |
| 1295347417 | Wendy Cardoza | Registered Nurse | 9908 Tule Lake Rd, Fort Worth, TX 76177-1414 | 2020-08-19 |
| 1346852977 | Rosicler De La Caridad Noble Cantallops | Registered Nurse | 10001 Bugle Dr, Fort Worth, TX 76108-3706 | 2020-08-17 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.