ELEVANI HEALTH GROUP, PLLC (NPI# 1174987663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174987663 |
| Entity Type | Organization |
| Organization Name | ELEVANI HEALTH GROUP, PLLC |
| Practice Address |
520 E Northwest Hwy Ste. 102 Grapevine TX 76051-6297 |
| Practice Telephone | 8173281922 |
| Practice Fax Number | 8173328193 |
| Mailing Telephone | 8173281922 |
| Mailing Fax Number | 8173328193 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |
| Authorized Official Name | DAVID PAYESTEH (SOLE MBR) |
| Authorized Official Telephone | 8173281922 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104361682 | Elevani Health Group, Pllc | General Practice | 2606 Harwood Rd, Bedford, TX 76021-3700 | 2016-12-20 |
| Street Address |
520 E NORTHWEST HWY STE. 102 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-6297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215035753 | Justin Harold Jordan | Chiropractor | 520 E Northwest Hwy, #102, Grapevine, TX 76051-6297 | 2006-09-20 |
| 1972952166 | Kaitlyn Reeves | Nurse Practitioner | 520 E Northwest Hwy, Suite 102, Grapevine, TX 76051-6297 | 2016-06-08 |
| 1639492580 | Annette Jerome | Psychologist | 520 E Northwest Hwy, Suite 101, Grapevine, TX 76051-6297 | 2010-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609892769 | Carlton D Pittard | General Practice | 1280 S Main St Ste 106, Grapevine, TX 76051-7509 | 2006-07-14 |
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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.