LEANN DAWN CALVIN


Address: 619 S Fleishel Ave Ste 100, Tyler, TX 75701-2004
Phone: 9036062830

LEANN DAWN CALVIN (NPI# 1114438892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114438892
Entity Type Individual
Full Name LEANN DAWN CALVIN
Credential AGACNP-BC
Practice Address 619 S Fleishel Ave Ste 100
Tyler
TX 75701-2004
Mailing Address Po Box 846098
Dallas
TX 75284-6098
Practice Telephone 9036062830
Mailing Telephone 9033246400
Enumeration Date 2017-10-20
Last Update Date 2019-05-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
AP135544 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICARE RAIL ROAD P02210699 01
TX 381756102 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3303 Rogers Rd Ste 250, San Antonio, TX 782513688 2104174142 2107023372

Office Location

Street Address 619 S FLEISHEL AVE STE 100
City TYLER
State TX
Zip Code 75701-2004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700171287 Leon L Tung Internal Medicine 619 S Fleishel Ave Ste 100, Tyler, TX 75701-2004 2011-06-13
1346718939 Amber Dionne Wood Nurse Practitioner 619 S Fleishel Ave Ste 100, Tyler, TX 75701-2004 2018-11-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962057059 Gonzalo Fernandez Physical Therapy Assistant 753 S Beckham Ave, Tyler, TX 75701 2019-08-06
1215422654 Adrianna Bussell Nurse Practitioner 1000 South Beckham, Tyler, TX 75701 2018-06-28
1285128017 Idowu Akintokunbo Akinyele Dentist Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 2018-06-15
1992208912 Heather Renee Vancleave Occupational Therapy Assistant 1228 Louann Lane, Tyler, TX 75701 2018-03-15
1497260533 Smile Workshop Mckinney, Pllc Dentist 301 N. Custer Rd, Mckinney, TX 75701 2017-12-12
1396266441 Eye Surgery Center of East Texas, Pllc Clinic/Center 2448 E 5th St, Tyler, TX 75701 2017-06-29
1962936369 Collins Complete Family Care Nurse Practitioner 1910 E Se Loop 323 # 176, Tyler, TX 75701 2017-04-12
1386187052 Fellowship Health Team LLC Home Health 1124 S Fleishel Ave, Tyler, TX 75701 2016-11-29
1205382454 Brenton Robinson Nurse Practitioner 1100 East Lake St, 160, Tyler, TX 75701 2016-08-28
1851846208 Care First Pharmacy, LLC Pharmacy 1910 Roseland Blvd A, Tyler, TX 75701 2016-08-15
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568071116 Carie Elise Bodnar Nurse Practitioner 910 E Houston St Ste 500, Tyler, TX 75702-8365 2020-07-29
1821461070 Matthew Applegate Nurse Practitioner 700 Olympic Plaza Cir Ste 407, Tyler, TX 75701-1952 2015-11-10
1053401588 Rebecca A Turner Nurse Practitioner 1133 Medical Drive, Tyler, TX 75701 2006-10-13
1225049083 Alice Meredithe Nix Nurse Practitioner 1530 Ssw Loop 323, Suite 123, Tyler, TX 75701-2562 2006-08-10
1174130462 Jessica Lemoine Phillips Nurse Practitioner 800 E Dawson St, Tyler, TX 75701-2036 2020-09-30
1366051526 Bessie Burchfield Nurse Practitioner 800 E Dawson St, Tyler, TX 75701-2036 2020-07-23
1033739388 Eric Bradley Vogt Nurse Practitioner 800 E Dawson St, Tyler, TX 75701-2036 2020-04-16
1922641299 Marcus Evans Nurse Practitioner 703 S Fleishel Ave, Tyler, TX 75701-2015 2019-10-19
1578105771 Haley Renee Dias Nurse Practitioner 4111 University Blvd, Tyler, TX 75701-6623 2019-10-09
1346718939 Amber Dionne Wood Nurse Practitioner 619 S Fleishel Ave Ste 100, Tyler, TX 75701-2004 2018-11-13
Find all providers in TYLER

Competitor

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City TYLER
Zip Code 75701

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Dataset Information

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.

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