NICOLE ELIZABETH CRUZ (NPI# 1255650107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255650107 |
| Entity Type | Individual |
| Full Name | NICOLE ELIZABETH CRUZ |
| Credential | PA-C |
| Practice Address |
5228 W Plano Pkwy Plano TX 75093-5005 |
| Mailing Address |
2500 N Houston St Apt 603 Dallas TX 75219-7655 |
| Practice Telephone | 9722505700 |
| Practice Fax Number | 9722505748 |
| Mailing Telephone | 9722505700 |
| Mailing Fax Number | 9722505748 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2013-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS STATE LICENSE TEMPORARY | TEMPORARY LICENSE | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730535832 | Nicole Cruz | Social Worker | 1210 Serissa Ct, Orlando, FL 32818-5750 | 2016-05-06 |
| 1770905499 | Nicole Cruz | Behavioral Analyst | 3244 Prospect Park Dr, Rancho Cordova, CA 95670-6244 | 2014-01-15 |
| 1255643110 | Nicole N Cruz | Pediatrics | 2637 Sunset Maple Dr, Tipp City, OH 45371-8157 | 2010-07-08 |
| 1568940328 | Nicole Cruz | Nurse Practitioner | 807 N Cage Blvd, Pharr, TX 78577-3117 | 2018-08-03 |
| 1427535962 | Nicole Cruz | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-07-27 |
| 1598266132 | Nicole Marie Cruz | Physical Therapy Assistant | 2125 S 61st St, Temple, TX 76504-6823 | 2018-02-27 |
| 1013335439 | Nicole Cruz | Internal Medicine | 505 East 70th Street, Weill Cornell Internal Medicine Associates, New York, NY 10021 | 2014-04-02 |
| 1003154873 | Nicole Cruz | Counselor | 19 E Ormond Ave, Cherry Hill, NJ 08034-2053 | 2013-01-29 |
| 1295069177 | Nicole C. Cruz | Clinical Neuropsychologist | 1 Childrens Pl, Suite 3n14, Saint Louis, MO 63110-1002 | 2009-09-25 |
| 1013189323 | Nicole Cruz | Dietitian, Registered | 28230 Agoura Rd, Suite 150, Agoura Hills, CA 91301-2407 | 2008-03-26 |
| Street Address |
5228 W PLANO PKWY |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760613 | Allan N Sutker | Specialist | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2005-06-15 |
| 1114534484 | David Timothy Morris | Physician Assistant | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2020-09-30 |
| 1366079071 | Central Plano Sports Surgical Alliance Pllc | Surgery | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2020-03-24 |
| 1922656610 | Victoria Burns | Physician Assistant | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2019-08-27 |
| 1184285116 | Texas Star Orthopedic Institute, LLC | Orthopaedic Surgery | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2019-06-20 |
| 1578075487 | Allie Doyle Ryan | Physician Assistant | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2017-11-01 |
| 1649721424 | Megan Elise Williams | Physician Assistant | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2016-10-17 |
| 1932551413 | Plano Orthopedic and Sports Medicine Center, Pllc | Orthopaedic Surgery | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2016-07-07 |
| 1134509557 | Stephanie Steinmeier | Physician Assistant | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2015-06-01 |
| 1245638212 | Edna Kimanga | Nurse Practitioner | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2014-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083264766 | Sarah Chong Kim | Physician Assistant | 3212 Saint Ives Ct, Plano, TX 75075-3430 | 2019-09-16 |
| 1396260147 | Mark Ali Bahreini | Physician Assistant | 6928 Amethyst Ln, Plano, TX 75023-1938 | 2017-08-12 |
| 1174997704 | Sydney Marie Kromer | Physician Assistant | 1713 Endicott Dr, Plano, TX 75025-3057 | 2015-11-19 |
| 1275946295 | Naveeda Farooqi | Physician Assistant | 9600 Coit Rd Apt 922, Plano, TX 75025-8226 | 2014-06-06 |
| 1134468036 | Elizabeth Ann Munse | Physician Assistant | 3504 Lakebrook Dr, Plano, TX 75093-7520 | 2013-02-12 |
| 1679731350 | Brittany Dawn Epstein | Physician Assistant | 4001 W 15th St Ste 245, Plano, TX 75093-5839 | 2008-05-29 |
| 1902951296 | Barbara Lynn Jacinto | Physician Assistant | 3900 American Dr Ste 203, Plano, TX 75075-6190 | 2007-01-24 |
| 1164509881 | Scott Gregory Bearden | Physician Assistant | 901 W 15th St, Plano, TX 75075-5134 | 2006-11-01 |
| 1285641068 | Heidi Beth Cook | Physician Assistant | 5425 W Spring Creek Pkwy Ste 265, Plano, TX 75024-4344 | 2006-08-02 |
| 1598790917 | Kathy Johnson | Physician Assistant | 6124 W Parker Rd Ste 330, Plano, TX 75093-8125 | 2006-07-12 |
| Find all providers in PLANO | ||||
Please comment or provide details below to improve the information on NICOLE ELIZABETH CRUZ.
| 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.