MARY JOAN DECKER (NPI# 1295022770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295022770 |
| Entity Type | Individual |
| Full Name | MARY JOAN DECKER |
| Credential | APRN |
| Practice Address |
2401 Westport Pkwy Suite 140 Fort Worth TX 76177-5315 |
| Mailing Address |
7432 Sean Dr North Richland Hills TX 76182-4552 |
| Practice Telephone | 8176932500 |
| Practice Fax Number | 8176932510 |
| Mailing Telephone | 8177880442 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2015-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
512508 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518409259 | Mary Beth Decker | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4038 | 2016-11-11 |
| 1043517808 | Mary Christine Decker | Nurse Practitioner | 719 E Oak St, Kissimmee, FL 34744-4580 | 2011-02-14 |
| 1528202108 | Mary Decker | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2009-04-27 |
| 1366600728 | Mary Grace Decker | Speech-Language Pathologist | 2 Gracedale Ave, Nazareth, PA 18064-8895 | 2008-06-01 |
| 1679501118 | Mary K Decker | Physician Assistant | 8091 Rivers Ave, North Charleston, SC 29406-9236 | 2006-06-30 |
| Street Address |
2401 WESTPORT PKWY SUITE 140 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76177-5315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023286234 | Apex Alliance Medical Group Lp | Family Medicine | 2401 Westport Pkwy, Suite 150, Fort Worth, TX 76177-5315 | 2008-02-11 |
| 1568723997 | Candace St.julian | Specialist/Technologist | 2401 Westport Pkwy, Ste 140, Fort Worth, TX 76177-5315 | 2012-06-01 |
| 1336446574 | Ronda Lynn Bell | Nurse Practitioner | 2401 Westport Pkwy, Suite 140, Fort Worth, TX 76177-5315 | 2011-02-24 |
| 1104094325 | Westport Physical Therapy LLC | Clinic/Center | 2401 Westport Pkwy, Suite 150, Fort Worth, TX 76177-5315 | 2008-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225685449 | Cody Brown Dds Pllc | Dentist | 2701 W Heritage Trace Pkwy, Ste 130, Fort Worth, TX 76177 | 2019-08-22 |
| 1144782889 | Daniel Max & Marcandrea LLC | Optometrist | 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 | 2019-04-02 |
| 1194296202 | Fresenius Medical Care Keller, LLC | Clinic/Center | 3700 N Tarrant Pkwy, Fort Worth, TX 76177 | 2018-12-16 |
| 1861961310 | Daniel Max & Marcandrea, LLC | Optometrist | 3524 Highway 114, Suite 300, Forth Worth, TX 76177 | 2018-11-14 |
| 1447732896 | Alexis Etienne Ingleton | Assisted Living Facility | 15840 Badger Creek Lm, Fort Worth, TX 76177 | 2018-09-02 |
| 1023526365 | J&l Dental Group, Pllc | Clinic/Center | 2401 Heritage Trace Parkway, Suite 121, Fort Worth, TX 76177 | 2018-01-22 |
| 1689115438 | Hayley Blackwood | Psychologist | 15833 Bent Rose Way, Fort Worth, TX 76177 | 2017-03-13 |
| 1013463256 | Elianne Griselle Alarcon | Dentist | 8917 N. Freeway, Suite 117, Fort Worth, TX 76177 | 2016-08-28 |
| 1962877373 | Home Town Dental Alliance | Dentist | 8901 Tehama, Suite 119, Forth Worth, TX 76177 | 2015-12-10 |
| 1003280686 | Susan Akberzie | Nurse Practitioner | 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177 | 2015-11-19 |
| Find all providers in zip 76177 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556341 | Sarah R Tabor | Nurse Practitioner | 4819 El Campo Ave, Fort Worth, TX 76107-4917 | 2020-10-21 |
| 1336747963 | Thomas Liles | Nurse Practitioner | 4 Carlson Ct, Fort Worth, TX 76119-5901 | 2020-10-15 |
| 1518565597 | Khyatiben Harsh Parikh | Nurse Practitioner | 8121 Belgian Blue Ct, Fort Worth, TX 76131-1734 | 2020-10-13 |
| 1225645906 | Manju Karki K C | Nurse Practitioner | 4812 Meadow Falls Dr # A, Fort Worth, TX 76244-2308 | 2020-09-28 |
| 1497361778 | Mulikat Dossou | Nurse Practitioner | 8024 Valley Crest Dr, Fort Worth, TX 76120-5651 | 2020-09-22 |
| 1275148793 | Bianca Adrianna Agnello | Nurse Practitioner | 8465 Boat Club Rd Ste 115, Fort Worth, TX 76179-3676 | 2020-09-11 |
| 1356955363 | Alba C. Rivas | Nurse Practitioner | 6958 Legato Ln, Fort Worth, TX 76134-3727 | 2020-09-07 |
| 1043824139 | Traci D Huff | Nurse Practitioner | 7121 Sundance Ln, Fort Worth, TX 76179-2533 | 2020-09-04 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1619589108 | Megan King | Nurse Practitioner | 9734 N Beach St Ste 100, Fort Worth, TX 76244-6185 | 2020-08-18 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76177 |
Please comment or provide details below to improve the information on MARY JOAN DECKER.
| 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.