KELLI ELAINE FATHEREE (NPI# 1225061435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225061435 |
| Entity Type | Individual |
| Full Name | KELLI ELAINE FATHEREE |
| Credential | PA-C |
| Practice Address |
7460 Warren Pkwy Suite 160 Frisco TX 75034-4169 |
| Mailing Address |
7460 Warren Pkwy Suite 160 Frisco TX 75034 |
| Practice Telephone | 9726685400 |
| Mailing Telephone | 9726685400 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2013-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA200105RX | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1040312 | 05 | |
| TX | RAILROAD PTAN | P01226202 | 01 |
| Street Address |
7460 WARREN PKWY SUITE 160 |
| City | FRISCO |
| State | TX |
| Zip Code | 75034-4169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790750545 | Trent Cooper | Nurse Practitioner | 7460 Warren Pkwy, 160, Frisco, TX 75034-4169 | 2006-02-22 |
| 1124361506 | Legacy Physicians Group | Nurse Practitioner | 7460 Warren Pkwy, 160, Frisco, TX 75034-4169 | 2013-04-03 |
| 1356687362 | Legacy Physicians Group, LLC | Clinical Nurse Specialist | 7460 Warren Pkwy, 160, Frisco, TX 75034 | 2012-12-19 |
| 1235473943 | Skilled Kidney Care, Pllc | Clinical Nurse Specialist | 7460 Warren Pkwy, 160, Frisco, TX 75034 | 2012-11-19 |
| 1811248891 | Eunice Orji | Nurse Practitioner | 7460 Warren Pkwy, Frisco, TX 75034-4169 | 2012-10-01 |
| 1558612325 | Peace N Uwaeme | Nurse Practitioner | 7460 Warren Pkwy, Suite 160, Frisco, TX 75034 | 2012-09-19 |
| 1528338670 | Bosamma Thomas | Nurse Practitioner | 7460 Warren Pkwy, Suite 160, Frisco, TX 75034-4169 | 2012-01-06 |
| 1467739672 | Christy Renee Roberts | Nurse Practitioner | 7460 Warren Pkwy, Suite 160, Frisco, TX 75034-4169 | 2011-11-16 |
| 1164701207 | Lalita Lashon Alexander | Nurse Practitioner | 7460 Warren Pkwy, 160, Frisco, TX 75034 | 2011-08-08 |
| 1164724621 | Legacy Physicians Group, LLC | Skilled Nursing Facility | 7460 Warren Pkwy, Suite 160, Frisco, TX 75034-4169 | 2010-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
| Find all providers in zip 75034 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568009827 | Madison Reid Ashley | Physician Assistant | 12950 Dallas Pkwy Ste 100, Frisco, TX 75033-3733 | 2019-12-05 |
| 1154983831 | Esmey Obeng | Physician Assistant | 3140 Legacy Dr Ste 130, Frisco, TX 75034-7919 | 2019-07-02 |
| 1750873667 | Summit Orthopedics Pllc | Physician Assistant | 68 School Road, Suite 100, Frisco, CO 80443 | 2018-06-06 |
| 1053824508 | Austin Spine Assists, Pllc | Physician Assistant | 8745 Gary Burns Dr, Suite 160 Pmb #326, Frisco, TX 75034 | 2017-11-07 |
| 1164933503 | Gina Rivas | Physician Assistant | 255 W Lebanon Ste 132, Frisco, TX 75036-3412 | 2017-10-12 |
| 1275080160 | Andrew K Lee | Physician Assistant | 5575 Warren Pkwy Ste 120, Frisco, TX 75034-4093 | 2016-09-08 |
| 1700262706 | Antonis Andreas Markou | Physician Assistant | 4685 Eldorado Pkwy, Suite 100, Frisco, TX 75033-0288 | 2015-08-03 |
| 1578967675 | Rachel D'ann Farmer | Physician Assistant | 4401 Coit Rd Ste 203, Frisco, TX 75035-0503 | 2014-10-17 |
| 1720487952 | Angela Ezell | Physician Assistant | 4461 Coit Rd Ste 405, Frisco, TX 75035-0531 | 2014-08-13 |
| 1831509793 | Kirsten Barrett Kuhn | Physician Assistant | 984 N. Ten Mile Dr #103, Frisco, CO 80443 | 2014-04-30 |
| Find all providers in FRISCO | ||||
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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.