KENZIE REICH (NPI# 1265949168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265949168 |
Entity Type | Individual |
Full Name | KENZIE REICH |
Credential | APRN, AGCNS-BC |
Practice Address |
4012 Boyd Ave Fort Worth TX 76109-4546 |
Practice Telephone | 9704207906 |
Mailing Telephone | 9704207906 |
Enumeration Date | 2018-01-02 |
Last Update Date | 2018-01-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
AP135620 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TEXAS BOARD OF NURSING APRN LICENSE | AP135620 | 01 |
Street Address |
4012 BOYD AVE |
City | FORT WORTH |
State | TX |
Zip Code | 76109-4546 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
Find all providers in zip 76109 |
Taxonomy Code | 364SA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831691260 | Melissa Mcintire Sherrod | Clinical Nurse Specialist | 4401 Vermont Ave, Fort Worth, TX 76115-2615 | 2018-03-01 |
1639337546 | Mary Elizabeth Zimmermann | Clinical Nurse Specialist | 1319 Summit Ave Ste 200, Fort Worth, TX 76102-4432 | 2008-05-28 |
1144720236 | Lori Jean Muhr IIi | Clinical Nurse Specialist | 1500 S Main St, Fort Worth, TX 76104-4917 | 2018-02-15 |
1811344054 | Lauri Speirs | Clinical Nurse Specialist | 1500 S Main St, Fort Worth, TX 76104-4917 | 2016-05-18 |
1952723637 | Elizabeth Lieudell Smith | Clinical Nurse Specialist | 1500 S Main St, Fort Worth, TX 76104-4917 | 2014-01-14 |
1134562820 | Allison Sweeney Snyder | Clinical Nurse Specialist | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2013-04-11 |
1972880946 | Jean L. Kernal | Clinical Nurse Specialist | 1250 8th Ave, Suite 515, Fort Worth, TX 76104-4124 | 2011-11-04 |
1598944050 | Jodi P English | Clinical Nurse Specialist | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2007-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831797018 | Elizabeth Lynn Stevie | Clinical Nurse Specialist | 4315 Red Cloud Dr, Austin, TX 78759-4240 | 2020-10-11 |
1720699580 | Hermina Maria Ramos | Clinical Nurse Specialist | 3939 Medical Dr Ste 110, San Antonio, TX 78229-2292 | 2020-08-13 |
1225667983 | Sonya Alexandra Flanders | Clinical Nurse Specialist | 2001 Bryan St Ste 600, Dallas, TX 75201-3062 | 2020-04-05 |
1417505595 | Kathryn Shepperd Martinez | Clinical Nurse Specialist | 8210 Country Side Dr, San Antonio, TX 78209-2234 | 2019-08-31 |
1700432473 | Felecia Lashone Washington | Clinical Nurse Specialist | 25903 Laurel Pass, San Antonio, TX 78260-2472 | 2019-08-17 |
1265093082 | Stephanie Koepke | Clinical Nurse Specialist | 706 Philmont Rd, Frisco, TX 75036-3672 | 2019-06-24 |
1164992152 | Catherine Elizabeth Ward | Clinical Nurse Specialist | 330 Gina Dr, Kyle, TX 78640-6348 | 2018-12-03 |
1588139364 | Sharon Nicole Hester | Clinical Nurse Specialist | 3410 Worth St Ste 545, Dallas, TX 75246-2003 | 2018-10-09 |
1467954347 | Brianna Jean Lillehei | Clinical Nurse Specialist | 4525 Guadalupe St Apt 208, Austin, TX 78751-3097 | 2018-03-06 |
1316451594 | Shanna Renee Fraser | Clinical Nurse Specialist | 3850 Cherokee Blvd, New Braunfels, TX 78132-5084 | 2017-11-27 |
Find all providers with the same taxonomy |
City | FORT WORTH |
Zip Code | 76109 |
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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.