KEVIN ALBERTO IRAHETA (NPI# 1275054207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275054207 |
| Entity Type | Individual |
| Full Name | KEVIN ALBERTO IRAHETA |
| Practice Address |
1000 Saint Louis Ave Fort Worth TX 76104-3366 |
| Mailing Address |
305 Ne Loop 280 Business Tower 1, Suite 200 Hurst TX 76053 |
| Practice Telephone | 8178215020 |
| Mailing Telephone | 8172928787 |
| Mailing Fax Number | 8177896849 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
40245 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
1000 SAINT LOUIS AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659608511 | Michele Ann Viere | Occupational Therapist | 1000 Saint Louis Ave, Fort Worth, TX 76104-3366 | 2009-11-12 |
| 1205308939 | Wesley Young | Occupational Therapist | 1000 Saint Louis Ave, Fort Worth, TX 76104-3366 | 2018-12-19 |
| 1972002863 | Onome Umeh | Physical Therapist | 1000 Saint Louis Ave, Fort Worth, TX 76104-3366 | 2018-02-06 |
| 1245758481 | Emily Waye Dalton | Physical Therapist | 1000 Saint Louis Ave, Fort Worth, TX 76104-3366 | 2017-09-08 |
| 1659899086 | Shelby Marlene Stanley | Occupational Therapy Assistant | 1000 Saint Louis Ave, Fort Worth, TX 76104-3366 | 2017-09-06 |
| 1417477563 | Kerrie Hackbart Beckman | Occupational Therapist | 1000 Saint Louis Ave, Fort Worth, TX 76104-3366 | 2017-06-20 |
| 1346789237 | Laura Ashley Holy | Physical Therapist | 1000 Saint Louis Ave, Fort Worth, TX 76104-3366 | 2017-02-13 |
| 1518400175 | Debbie Ann Knetzer | Occupational Therapist | 1000 Saint Louis Ave, Fort Worth, TX 76104-3366 | 2016-11-29 |
| 1487105821 | Sarah Resseguie | Speech-Language Pathologist | 1000 Saint Louis Ave, Suite 102, Fort Worth, TX 76104-3366 | 2016-10-20 |
| 1770031510 | Vianey Morales | Specialist/Technologist | 1000 Saint Louis Ave, Suite 102, Fort Worth, TX 76104-3366 | 2016-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726151 | Autumn Kelsey Lee | Specialist/Technologist | 250 Bens Trl Apt 522, Fort Worth, TX 76120-7000 | 2020-10-02 |
| 1134737448 | Jacqueline Marie Martinez | Specialist/Technologist | 1605 Grady Lee St, Fort Worth, TX 76134-1115 | 2020-07-22 |
| 1316571003 | Sharee Nicole Cupp | Specialist/Technologist | 6530 Hawks Creek Ct Ste 107, Fort Worth, TX 76114-1164 | 2020-03-03 |
| 1194370817 | Leslie Loredo | Specialist/Technologist | 5801 Winifred Dr, Fort Worth, TX 76133-2707 | 2019-08-08 |
| 1689156317 | Tiesha Jacquel Swanier | Specialist/Technologist | 3800 W Risinger Rd, Fort Worth, TX 76123-2346 | 2018-08-29 |
| 1316442916 | Keldra Warren | Specialist/Technologist | 6900 Bayberry Dr, Fort Worth, TX 76137-1740 | 2018-03-26 |
| 1245755438 | Felisa Lopez Martinez | Specialist/Technologist | 3103 Strong Ave, Fort Worth, TX 76105-3946 | 2017-08-08 |
| 1639547979 | Irene Belmontes | Specialist/Technologist | 1000 St. Louis, 102, Fort Worth, TX 76104 | 2015-09-03 |
| 1467713750 | Speech Divas | Specialist/Technologist | 4229 Periwinkle Dr, Fort Worth, TX 76137-3013 | 2012-06-03 |
| 1568665024 | Liliana Salgado | Specialist/Technologist | 3800 El Campo Ave, Fort Worth, TX 76107-4515 | 2007-06-11 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on KEVIN ALBERTO IRAHETA.
| 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.