MRS. JACKIE K WURTZ (NPI# 1215141387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215141387 |
| Entity Type | Individual |
| Full Name | MRS. JACKIE K WURTZ |
| Credential | FNP |
| Practice Address |
11515 Fm 1960 Rd Ste C Huffman TX 77336-4431 |
| Mailing Address |
Po Box 1365 Huffman TX 77336-1365 |
| Practice Telephone | 2813241550 |
| Practice Fax Number | 2813241555 |
| Mailing Telephone | 2813241550 |
| Mailing Fax Number | 2813241555 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 564809 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 171697903 | 05 |
| Street Address |
11515 FM 1960 RD STE C |
| City | HUFFMAN |
| State | TX |
| Zip Code | 77336-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891081154 | Dj Quality Care LLC | Nurse Practitioner | 11515 East Fm 1960, Ste C, Huffman, TX 77336 | 2011-06-24 |
| 1346427291 | Eastlake Radiology LLC | Clinic/Center | 11605 Fm 1960 E, Huffman, TX 77336 | 2008-01-23 |
| 1407310824 | Huffman Smiles Pllc | Dentist | 24110 Fm 2100 Rd, Huffman, TX 77336-2636 | 2019-01-30 |
| 1558718445 | Huffman Volunteer Fire Dpartment | Ambulance | 24141 Fm 2100 Rd, Huffman, TX 77336-2637 | 2016-05-20 |
| 1114069945 | Huffman Independent School District | Local Education Agency (LEA) | 24302 Fm 2100, Huffman, TX 77336-2657 | 2007-02-12 |
| 1417368119 | Richard Garner | Specialist/Technologist, Other | 23019 Fm 2100 Rd, Huffman, TX 77336-2678 | 2014-05-15 |
| 1881870384 | Huffman Chiropractic, P.a. | Clinic/Center | 319 Blue Tail Dr, Huffman, TX 77336-2801 | 2008-01-14 |
| 1215401021 | Tiffany Scott | Occupational Therapy Assistant | 331 Fall Creek Dr, Huffman, TX 77336-2887 | 2019-01-15 |
| 1962549741 | Laura Wells Von Kanel | Registered Nurse | 27518 Calvin Rd, Huffman, TX 77336-2901 | 2007-01-31 |
| 1306281811 | Kayleigh Newman | Technician, Other | 7 Thomas Ln, Huffman, TX 77336-3006 | 2013-05-10 |
| Find all providers in zip 77336 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306245 | Julie Gunnarson | Nurse Practitioner | 435 Tioga St, Burleson, TX 76028-8197 | 2020-11-03 |
| 1033710488 | Angela Renee Aston | Nurse Practitioner | 805 Kelly Creek, Bulverde, TX 78163 | 2020-11-03 |
| 1629678347 | Prime Telecare LLC | Nurse Practitioner | 2251 Bagdad Rd Unit 102, Cedar Park, TX 78613-6521 | 2020-10-30 |
| 1063012508 | Kelsey Jean Reisch | Nurse Practitioner | 5001 Orleans Cir, Rowlett, TX 75088-6175 | 2020-10-26 |
| 1124628557 | Jessica Buchanan | Nurse Practitioner | 212 Sheridan Loop, Belton, TX 76513-8024 | 2020-10-26 |
| 1811596323 | Rachel Christine Jarrell | Nurse Practitioner | 10080 Research Forest Dr, The Woodlands, TX 77354-6780 | 2020-10-26 |
| 1356940837 | Katherine Anna Nack | Nurse Practitioner | 6100 Harris Pkwy Ste 285, Fort Worth, TX 76132-4127 | 2020-10-26 |
| 1558960104 | Suzette Roberts | Nurse Practitioner | 2505 Pebble Lodge Ln, Friendswood, TX 77546-5587 | 2020-10-23 |
| 1982203675 | Ilse Deyanire Trevino | Nurse Practitioner | 6233 Tepepan Dr, Brownsville, TX 78521-7135 | 2020-10-22 |
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. JACKIE K WURTZ.
| 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.