MRS. KAMEKO HAZLEY MCGUIRE (NPI# 1134425986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134425986 |
Entity Type | Individual |
Full Name | MRS. KAMEKO HAZLEY MCGUIRE |
Other Name | MS. KAMEKO D HAZLEY |
Credential | NP-C, RN, PMHNP-BC |
Practice Address |
1712 N. Access Rd Clyde TX 79510 |
Mailing Address |
Po Box 2435 Albany TX 76430-8020 |
Practice Telephone | 3258934010 |
Practice Fax Number | 3258934042 |
Mailing Telephone | 3258934010 |
Mailing Fax Number | 3258934042 |
Enumeration Date | 2011-01-26 |
Last Update Date | 2015-10-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | ARNP9246434 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
827112 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP122701 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1712 N. ACCESS RD |
City | CLYDE |
State | TX |
Zip Code | 79510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093114688 | Rebecca A. Schowengerdt | Physician Assistant | 1712 N Access Road, Clyde, TX 79510 | 2014-08-19 |
1861680886 | Clyde Cons Isd | Local Education Agency (LEA) | 526 Shalimar, Clyde, TX 79510 | 2007-10-04 |
1003020058 | William Michael Walton | Dentist | 113 Hunt Street, Clyde, TX 79510 | 2007-05-09 |
1558411728 | Citizens Emergency Medical Service | Emergency Medical Technician, Paramedic | 815 South 2nd, Clyde, TX 79510 | 2007-01-11 |
1578552857 | Trudy Lennette Smith | Physician Assistant | 1712 North Access Road, Clyde, TX 79510 | 2005-10-19 |
1215205265 | Shackelford County Community Resource Center | Clinic/Center | 1712 North Access Road, Clyde, TX 79510 | 2011-12-06 |
1669775102 | Martin D Gonzalez | Nurse Practitioner | 1712 N Access Rd, Clyde, TX 79510 | 2010-12-06 |
1982642708 | Katherine Jean Robinson | Physician Assistant | 1712 N Access Rd, Clyde, TX 79510 | 2006-06-03 |
1023056272 | Billy W. Carpenter | Family Medicine | 1712 N Access Rd, Clyde, TX 79510 | 2006-06-02 |
1407960180 | Citizens Emergency Medical Service Inc. | Ambulance | 815 S. Second, Clyde, TX 79510-0000 | 2006-08-18 |
Find all providers in zip 79510 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073022158 | Robin Shanta Williams-bailey | Nurse Practitioner | 1712 N Access Rd, Clyde, TX 79510-3352 | 2017-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215537857 | Julius Abam | Nurse Practitioner | 634 Rustic Trl, Midlothian, TX 76065-2267 | 2020-10-30 |
1750981619 | Suvekchya Subedi | Nurse Practitioner | 4032 Vista Mar Drive, Euless, TX 76040 | 2020-10-29 |
1821698754 | Christienne Felice Solis Callasan | Nurse Practitioner | 1010 Palos Verdes Blvd, Arlington, TX 76017-1780 | 2020-10-29 |
1932709201 | Aftercare, Pllc | Nurse Practitioner | 2000 Crawford St Ste 1221, Houston, TX 77002-9000 | 2020-10-27 |
1497355929 | Hector Medellin IIi | Nurse Practitioner | 6014 County Road 4068, Kemp, TX 75143-2600 | 2020-10-26 |
1639778947 | Aj Psychiatry Pllc | Nurse Practitioner | 1920 N Coit Rd Ste 219, Richardson, TX 75080-2832 | 2020-10-19 |
1154929735 | Valerie Michelle Vaughn-smith | Nurse Practitioner | 3105 Rockbrook Dr, Kilgore, TX 75662-2251 | 2020-10-15 |
1700483468 | Knd Behavioural Health Clinic | Nurse Practitioner | 103 Herrington Dr, Mansfield, TX 76063-7615 | 2020-10-06 |
1184231805 | Tihana Sladic | Nurse Practitioner | 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 | 2020-09-27 |
1679189369 | Charity Chioma Durant | Nurse Practitioner | 2310 Echo Ct, Rowlett, TX 75088-1534 | 2020-09-18 |
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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.