MS. LAURIE JENNIFER MOTTL (NPI# 1336267012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336267012 |
| Entity Type | Individual |
| Full Name | MS. LAURIE JENNIFER MOTTL |
| Other Name | LAURIE J BAKER |
| Credential | PA-C |
| Practice Address |
4308 Mesa Dr Denton TX 76207 |
| Mailing Address |
4401 N Interstate 35 Unit 312 Denton TX 76207-3318 |
| Practice Telephone | 9403811501 |
| Practice Fax Number | 9405917830 |
| Mailing Telephone | 9403811501 |
| Mailing Fax Number | 9405917830 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 4351 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA07844 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
085-002366 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 429843 | 05 |
| Street Address |
4308 MESA DR |
| City | DENTON |
| State | TX |
| Zip Code | 76207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780633255 | Jonathan Constantino Delos Reyes | Internal Medicine | 4308 Mesa Dr, Suite A, Denton, TX 76207-3459 | 2006-05-10 |
| 1093176174 | Jennifer Nuspel | Nurse Practitioner | 4308 Mesa Dr, Denton, TX 76207-3459 | 2016-03-16 |
| 1639425937 | Health Services of North Texas, Inc. | Clinic/Center | 4308 Mesa Dr, Denton, TX 76207 | 2012-07-24 |
| 1952478034 | Sonja Kay Estep | Nurse Practitioner | 4308 Mesa Dr, Denton, TX 76207-3459 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477843 | Callis Investments LLC | Clinical Medical Laboratory | 4234 I-35 Frontage Rd, Denton, TX 76207 | 2020-11-04 |
| 1639704042 | Tahnee Rae Beal | Family Medicine | 1301 S Bonnie Brae St., Athc Building # 0320., Denton, TX 76207 | 2020-03-05 |
| 1942776216 | Tonia Nicole Smith | Counselor | 4222 N I-35 Frontage Road, Denton, TX 76207 | 2018-10-15 |
| 1124529490 | Maria Tranquilina Jimenez | Nurse Practitioner | 4206 S Interstate 35 E, Denton, TX 76207 | 2018-02-22 |
| 1124538442 | Health Services of North Texas, Inc | Clinic/Center | 4304 Mesa Drive, Denton, TX 76207 | 2017-10-02 |
| 1356866594 | Salvaging Teens At Risk Inc Dba North Texas Collegiate Academy | Local Education Agency (LEA) | 4601 I-35, Denton, TX 76207 | 2017-08-09 |
| 1861841553 | Mp3 Labs Inc. | Clinical Medical Laboratory | 1500 I-35 W, Suite 120, Denton, TX 76207 | 2016-06-03 |
| 1821446550 | Tdm Laboratories of Katy, LLC | Clinical Medical Laboratory | 1500 Interstate 35 West, Suite 110, Denton, TX 76207 | 2016-06-03 |
| 1114391711 | Samuel Adams | Specialist/Technologist | 1301 S. Bonnie Brae St., Denton, TX 76207 | 2015-11-19 |
| 1144511353 | Mass Effect Medical Group Pllc | Internal Medicine | 401 Ame Dr, Apt 1103, Denton, TX 76207 | 2011-04-21 |
| Find all providers in zip 76207 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1447769203 | Allen Health Systems Pllc | Physician Assistant | 2900 N I 35 Ste 110, Denton, TX 76201-5142 | 2017-09-25 |
| 1780054429 | Jessica Van Noy | Physician Assistant | 3105 Colorado Blvd, Denton, TX 76210-6893 | 2015-10-06 |
| 1407263072 | John Matthews Eglseder II | Physician Assistant | 808 S 5th Ave, Denton, MD 21629-1398 | 2014-07-16 |
| 1083037758 | Kellye Michelle Grimes | Physician Assistant | 2665 Scripture St, Denton, TX 76201-2302 | 2014-01-30 |
| 1477806594 | Integrated Care P.a | Physician Assistant | 400 N Loop 288, Suite 120, Denton, TX 76209-4809 | 2012-10-26 |
| 1639471931 | Nhan Gia-chau Wong | Physician Assistant | 2223 Colorado Blvd, Denton, TX 76205-7523 | 2010-11-19 |
| 1407081920 | Karishma Pravin Patel | Physician Assistant | 4310 Mesa Dr, Denton, TX 76207-3460 | 2009-05-28 |
| 1528257755 | Chris William Witt | Physician Assistant | 3319 Colorado Blvd, Denton, TX 76210-6817 | 2007-10-24 |
| 1588761837 | Leah Migala | Physician Assistant | 2900 N Interstate 35, Suite 110, Denton, TX 76201-5141 | 2006-09-20 |
| Find all providers in DENTON | ||||
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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.