ALEXANDER M TANJUAKIO (NPI# 1245542976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245542976 |
| Entity Type | Individual |
| Full Name | ALEXANDER M TANJUAKIO |
| Credential | FNP-BC |
| Practice Address |
3100 Mckinnon St Suite 400 Dallas TX 75201-1044 |
| Mailing Address |
10605 Lansdowne Ln Rowlett TX 75089-8388 |
| Practice Telephone | 2147548700 |
| Practice Fax Number | 2142393769 |
| Mailing Telephone | 2145775016 |
| Mailing Fax Number | 9724636523 |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2012-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
701513 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3100 MCKINNON ST SUITE 400 |
| City | DALLAS |
| State | TX |
| Zip Code | 75201-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114006665 | Mary Patricia Headley | Nurse Practitioner | 3100 Mckinnon St, Dallas, TX 75201-1044 | 2006-11-03 |
| 1992081160 | Deborah Ruth Lanier | Nurse Practitioner | 3100 Mckinnon St, Ste400, Dallas, TX 75201-1044 | 2011-11-01 |
| 1396978243 | Jayma Lee Degroot | Nurse Practitioner | 3100 Mckinnon St, Suite 400, Dallas, TX 75201-1044 | 2009-08-26 |
| 1023251535 | Nicole E Shutts | Nurse Practitioner | 3100 Mckinnon St, Dallas, TX 75201-1044 | 2009-04-14 |
| 1649432501 | Kimberly Duffy | Family Medicine | 3100 Mckinnon St, Suite 400, Dallas, TX 75201-1044 | 2008-07-01 |
| 1922135003 | Margaret Clifton Scott | Physician Assistant | 3100 Mckinnon St, Suite 200, Dallas, TX 75201-1044 | 2007-02-27 |
| 1588714018 | Deborah Whitehead Gleaves | Psychologist | 3100 Mckinnon St, Suite 400, Dallas, TX 75201-1044 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945564 | Amanda Michelle Flores | Physician Assistant | 1801 Young St, Dallas, TX 75201 | 2020-09-03 |
| 1992366488 | Anmd Health Pllc | Family Medicine | 1910 Pacific Ave Suite 15700, Dallas, TX 75201 | 2019-06-25 |
| 1972083772 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 2380 N Field St, Dallas, TX 75201 | 2018-08-21 |
| 1861986986 | Stella O Adebusoye | Registered Nurse | 2121 Main St Ste 100, Dallas, TX 75201 | 2018-06-21 |
| 1215432026 | Shawana Harris | Counselor | 1910 Pacific Ave #7024, Dallas, TX 75201 | 2018-03-26 |
| 1285150821 | Lauren Elisabeth Kelling | Nurse Practitioner | 700 N. Pearl St. Suiten208, Dallas, TX 75201 | 2017-08-15 |
| 1962932319 | Jade On | Dentist | 2225 N Harwood St, Dallas, TX 75201 | 2017-06-19 |
| 1053857268 | Lj Dentistry, Pllc | Dentist | 2100 Ross Ave #960, Dallas, TX 75201 | 2017-01-11 |
| 1770946444 | Robin Margolin | Counselor | 1919 Mckinney Ave # 2063, Dallas, TX 75201 | 2016-03-31 |
| 1750767448 | Hcf Web Services | Respite Care | 2320 Taylor St, 2322, Dallas, TX 75201 | 2015-08-04 |
| Find all providers in zip 75201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1699376723 | David James Wainwright | Nurse Practitioner | 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 | 2020-11-04 |
| 1528668860 | Nicole Chadwick | Nurse Practitioner | 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 | 2020-10-27 |
| 1952901415 | Melissa Green | Nurse Practitioner | 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 | 2020-10-26 |
| 1194324640 | Busola Stella Amurawaiye | Nurse Practitioner | 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 | 2020-10-25 |
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1689288276 | Chinyere Ezeh | Nurse Practitioner | 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 | 2020-09-01 |
| 1992317341 | Modern Enhancement | Nurse Practitioner | 2777 N Stemmons Fwy Ste 1141, Dallas, TX 75207-2273 | 2020-08-18 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1528678083 | Esther Siriba | Nurse Practitioner | 9304 Forest Ln Ste N244, Dallas, TX 75243-6238 | 2020-08-08 |
| Find all providers in DALLAS | ||||
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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.