PROHEALTH HOUSE CALLS SERVICES INC. (NPI# 1396074332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396074332 |
| Entity Type | Organization |
| Organization Name | PROHEALTH HOUSE CALLS SERVICES INC. |
| Practice Address |
2300 Rockbrook Dr Suite 222 Lewisville TX 75067-8181 |
| Practice Telephone | 4692933676 |
| Practice Fax Number | 4692933704 |
| Mailing Telephone | 4692933676 |
| Mailing Fax Number | 4692933704 |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2010-07-16 |
| Authorized Official Name | REBECCA ETTA (CHIEF EXECUTIVE OFFICER/OWNER) |
| Authorized Official Telephone | 9729007222 |
| Authorized Official Credential | ACNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
662521 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 211014001 | 05 |
| Street Address |
2300 ROCKBROOK DR SUITE 222 |
| City | LEWISVILLE |
| State | TX |
| Zip Code | 75067-8181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952560054 | Rebecca Etta | Nurse Practitioner | 2300 Rockbrook Dr, Suite 100 C, Lewisville, TX 75067-8181 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767290 | Dental Depot of Lewisville, Pllc | Dentist | 1260 W Fm 3040, Lewisville, TX 75067 | 2020-07-17 |
| 1548885692 | Guiding Grace LLC | Case Management | 405 State Highway 121, Ste A250, Lewisville, TX 75067 | 2020-06-15 |
| 1548800733 | Dfw Lewisville Emergency Center LLC | Emergency Medicine | 1596 W. Main St., Lewisville, TX 75067 | 2020-01-15 |
| 1386286854 | Rachel Lee Herd | Registered Nurse | 940 W Round Grove Rd Apt 2237, Lewisville, TX 75067 | 2019-10-16 |
| 1437631108 | Rosa Lydia Rodriguez | Massage Therapist | 330 Brook Cove Ln, Lewisville, TX 75067 | 2018-08-29 |
| 1023508819 | W. Main Street Dental Lewisville, Tx, P.C. | Dentist | 724 W Main St Ste 316, Lewisville, TX 75067 | 2018-05-16 |
| 1255821286 | Alicia D Wallace | Counselor | 105 Kathryn Dr. Bldg. 3, Ste. D, Lewisville, TX 75067 | 2018-05-15 |
| 1861921116 | Megan Blair Morrison | Dentist | 420 E Round Grove Rd #640, Lewisville, TX 75067 | 2017-06-09 |
| 1508305905 | Schofield Orthodontics Pllc | Dentist | 755 Hwy 121 Byp, A200, Lewisville, TX 75067 | 2017-02-17 |
| 1275080897 | Trinity Counseling | Counselor | 2001 Woven Trail, Lewisville, TX 75067 | 2016-09-01 |
| Find all providers in zip 75067 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467932343 | Sindhu Salu Basil | Nurse Practitioner | 2356 Lady Cornwall Dr, Lewisville, TX 75056-5616 | 2018-08-20 |
| 1538668413 | Sunitha Abraham | Nurse Practitioner | 3024 Hereford Dr, Lewisville, TX 75056-5897 | 2018-02-06 |
| 1952560054 | Rebecca Etta | Nurse Practitioner | 2300 Rockbrook Dr, Suite 100 C, Lewisville, TX 75067-8181 | 2008-06-03 |
| 1003312042 | Destinee Renee Bartow | Nurse Practitioner | 860 Hebron Pkwy Ste 1201, Lewisville, TX 75057-5146 | 2018-03-30 |
| 1639596158 | Rajani Yonzon | Nurse Practitioner | 2790 Lake Vista Dr, Lewisville, TX 75067-3884 | 2014-03-21 |
| 1679842561 | Betty Vandervoort | Nurse Practitioner | 1165 S Stemmons Fwy, Suite 108, Lewisville, TX 75067-5390 | 2011-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215800 | Kellie Lynn Myers | Nurse Practitioner | 26015 Penguin St, Magnolia, TX 77355-6249 | 2020-11-06 |
| 1356942148 | Nina Nicole Totanes | Nurse Practitioner | 12709 Toepperwein Rd Ste 203, Live Oak, TX 78233-3259 | 2020-11-06 |
| 1841890415 | Glenda Kelley | Nurse Practitioner | 8902 W State Highway 56, Savoy, TX 75479-3460 | 2020-10-31 |
| 1184223786 | Vincy Saji Mathew | Nurse Practitioner | 8804 Viridian Ln, Fort Worth, TX 76123-4030 | 2020-10-23 |
| 1265030787 | Lissa Flory | Nurse Practitioner | 4679 Dreibrodt Rd, San Marcos, TX 78666-3388 | 2020-10-16 |
| 1235737941 | Barton Skinner | Nurse Practitioner | 17806 W I-10, Suite 300, San Antonio, TX 78257 | 2020-10-14 |
| 1972101897 | Biny Sam George | Nurse Practitioner | 7207 Baitland Dr, Missouri City, TX 77459-2035 | 2020-10-13 |
| 1285231282 | Nkechi I Carter | Nurse Practitioner | 1550 Katy Gap Rd Apt 1406, Katy, TX 77494-5878 | 2020-10-03 |
| 1770190753 | Julius Osabor Obianke | Nurse Practitioner | 1000 Fallon Dr, Mckinney, TX 75071-1210 | 2020-09-24 |
| 1740896315 | Mackenzie Brooks Jackson | Nurse Practitioner | 46 N Creekside Ct, Houston, TX 77055-7540 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
| City | LEWISVILLE |
| Zip Code | 75067 |
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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.