JENNIFER KNICKERBOCKER LOPEZ (NPI# 1356901623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356901623 |
| Entity Type | Individual |
| Full Name | JENNIFER KNICKERBOCKER LOPEZ |
| Other Name | JENNIFER ANNE KNICKERBOCKER |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
5702 Saintsbury Dr Apt 123 The Colony TX 75056-5488 |
| Practice Telephone | 3165582341 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801422852 | Jennifer Anne Lopez | Counselor | 10010 Reseda Blvd Unit D, Northridge, CA 91324-1495 | 2020-03-20 |
| 1578193348 | Jennifer Lopez | Dietitian, Registered | 8640 Sudley Rd Ste 108, Manassas, VA 20110-4404 | 2020-01-21 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1841757085 | Jennifer Te Lopez | Nurse Practitioner | 2201 E 23rd St, Mission, TX 78572-3277 | 2019-02-25 |
| 1568940799 | Jennifer Lopez | Specialist/Technologist | 10114 Winsford Oak Blvd Apt 511, Tampa, FL 33624-5164 | 2018-07-31 |
| 1508356627 | Jennifer Lopez | Nurse Practitioner | 3563 Altis Cir S Unit 15201, Hialeah, FL 33018-6087 | 2018-05-14 |
| 1366950453 | Jennifer Jean Lopez | Specialist/Technologist | 8770 W Lane Ave, Glendale, AZ 85305-3972 | 2018-01-11 |
| 1346794286 | Jennifer Elise Lopez | Dietitian, Registered | 6448 Carousel Dr, Watauga, TX 76148-2815 | 2016-08-09 |
| 1447622519 | Jennifer Lopez | Behavioral Analyst | 448 W 153rd St Apt 21, New York, NY 10031-1135 | 2015-10-28 |
| 1811386691 | Jennifer Lopez | Case Manager/Care Coordinator | 735 W End Ave, New York, NY 10025-6258 | 2015-01-15 |
| Street Address |
5702 SAINTSBURY DR APT 123 |
| City | THE COLONY |
| State | TX |
| Zip Code | 75056-5488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253650 | Geneiq LLC | Clinical Medical Laboratory | 2716 Standridge Drive, Floor 2 Ste 204, The Colony, TX 75056 | 2020-04-06 |
| 1952947863 | Luisa Collins | Registered Nurse | 6805 Main St., Ste 430 #660, The Colony, TX 75056 | 2019-11-26 |
| 1013473248 | Nongnuch Kuligowski | Family Medicine | 5040 Tx-121 Suite 200, Lewisville, TX 75056 | 2019-02-12 |
| 1639655806 | The Regenerative Institute of Texas | Pain Medicine | 3716 Standridge Dr Ste 200, The Colony, TX 75056 | 2018-07-11 |
| 1619484656 | Cornelius Hathorn | Non-emergency Medical Transport (VAN) | 16208 Windhaven Pkwy, Apt 1307, Lewisville, TX 75056 | 2017-12-29 |
| 1194236646 | 5 Star Dental | Dentist | 3751 Main Street, Suite 1000, The Colony, TX 75056 | 2017-10-23 |
| 1396254405 | Rosemore Eye Care Pa | Optometrist | 4901 Windhaven Pkwy, Suite 100, The Colony, TX 75056 | 2017-09-21 |
| 1356877724 | Jamie Mutschler | Speech-Language Pathologist | 220 Eastland Drive, Lewisville, TX 75056 | 2017-05-04 |
| 1831639160 | Jacqueline Nguyen Bang | Counselor | 2287 Sir Amant Drive, Lewisville, TX 75056 | 2017-03-06 |
| 1417495052 | Mary Alice Neville | Physician Assistant | 3600 Main Street, Suite 100, The Colony, TX 75056 | 2017-02-02 |
| Find all providers in zip 75056 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951434 | Susana Quezada Awad | Physician Assistant | 5205 Strickland Ave, The Colony, TX 75056-2162 | 2020-01-13 |
| 1417495052 | Mary Alice Neville | Physician Assistant | 3600 Main Street, Suite 100, The Colony, TX 75056 | 2017-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1366042335 | Mary Elizabeth Arnold | Physician Assistant | 12455 Longmire Lakeview, Conroe, TX 77304-1087 | 2020-10-29 |
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1720686116 | Richard Magana | Physician Assistant | 1651 Ridgemar Dr, Grand Prairie, TX 75051-3340 | 2020-10-16 |
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1134726763 | Barbara Elizabeth Montoya | Physician Assistant | 3309 Nottingham Dr, Laredo, TX 78043-1202 | 2020-10-06 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | THE COLONY |
| Zip Code | 75056 |
Please comment or provide details below to improve the information on JENNIFER KNICKERBOCKER LOPEZ.
| 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.