SKILLED KIDNEY CARE, PLLC (NPI# 1235473943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235473943 |
| Entity Type | Organization |
| Organization Name | SKILLED KIDNEY CARE, PLLC |
| Practice Address |
7460 Warren Pkwy 160 Frisco TX 75034 |
| Practice Telephone | 9726685400 |
| Practice Fax Number | 9726685401 |
| Mailing Telephone | 9726685400 |
| Mailing Fax Number | 9726685401 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2013-02-11 |
| Authorized Official Name | VIVEK SASTRY (PRESIDENT) |
| Authorized Official Telephone | 9726685400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SH0200X |
Clinical Nurse Specialist Specialization: Home Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7460 WARREN PKWY 160 |
| City | FRISCO |
| State | TX |
| Zip Code | 75034 |
| 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 |
| 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 |
| 1679892483 | Gigi Tran | Registered Nurse | 7460 Warren Pkwy, 160, Frisco, TX 75034 | 2010-05-19 |
| 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 | 364SH0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623547 | Kataya Abriel Bazan | Clinical Nurse Specialist | 7710 W Interstate 10 # 415, San Antonio, TX 78230-4711 | 2020-03-04 |
| 1528608544 | No Limits Health Care Provider Services | Clinical Nurse Specialist | 826 Green Meadow Ln, Houston, TX 77091-2340 | 2020-01-07 |
| 1710541594 | Ijna Nursing Services | Clinical Nurse Specialist | 13130 Fairacres Way, San Antonio, TX 78233-5144 | 2019-04-26 |
| 1194294645 | Healing Bridges Infusion Specialists, Pllc | Clinical Nurse Specialist | 9950 Westpark Dr Ste 334, Houston, TX 77063-5281 | 2018-11-14 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1427530120 | Linda Jean Scott | Clinical Nurse Specialist | 18200 Blanco Spgs, San Antonio, TX 78258-4560 | 2018-08-30 |
| 1437637576 | Lindy Prisca Mfula | Clinical Nurse Specialist | 16219 Southampton Dr, Spring, TX 77379-7316 | 2018-07-31 |
| 1649756420 | Medical Envision,inc. | Clinical Nurse Specialist | 5001 Williford Rd, Sachse, TX 75048 | 2018-07-16 |
| 1841784386 | Azanette Alaniz | Clinical Nurse Specialist | 409 Marie St # 409, Houston, TX 77009-8029 | 2018-06-19 |
| 1164923611 | Nonye Gerding Guillory | Clinical Nurse Specialist | 631 Glenhill Ln, Lewisville, TX 75077-2828 | 2018-02-21 |
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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.