BETH WANGOMBE


Address: 1353 N Westmoreland Rd, Dallas, TX 75211-1655
Phone: 2143310107

BETH WANGOMBE (NPI# 1457724502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457724502
Entity Type Individual
Full Name BETH WANGOMBE
Practice Address 1353 N Westmoreland Rd
Dallas
TX 75211-1655
Mailing Address 1380 River Bend Dr
Dallas
TX 75247-4914
Practice Telephone 2143310107
Mailing Telephone 2147436146
Enumeration Date 2015-11-10
Last Update Date 2015-11-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP129603 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1353 N WESTMORELAND RD
City DALLAS
State TX
Zip Code 75211-1655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841278686 Frankie Sims Speech-Language Pathologist 1353 N Westmoreland Rd, Bldg. F, Dallas, TX 75211-1655 2006-01-03
1629624606 Samuel Antonio Ortiz-rodriguez Counselor 1353 N Westmoreland Rd, Dallas, TX 75211-1655 2019-08-14
1245700640 Sheilah J Liech Nurse Practitioner 1353 N Westmoreland Rd, Dallas, TX 75211-1655 2018-11-28
1174003073 Ashley Baer Occupational Therapist 1353 N Westmoreland Rd, Dallas, TX 75211-1655 2018-08-20
1790239614 Caitlin Snyder Occupational Therapy Assistant 1353 N Westmoreland Rd, Dallas, TX 75211-1655 2016-08-09
1780035345 Selena Milles Psychologist 1353 N Westmoreland Rd, Bldg F, Dallas, TX 75211-1655 2016-06-24
1437538071 Julie Harrison Dietitian, Registered 1353 N Westmoreland Rd, Dallas, TX 75211-1655 2015-05-28
1346630001 Latoya Dunn Counselor 1353 N Westmoreland Rd, Dallas, TX 75211-1655 2015-02-02
1851781512 Gregory Smith II Counselor 1353 N Westmoreland Rd, Dallas, TX 75211-1655 2015-02-02
1720478415 Sparkel Griffin Counselor 1353 N Westmoreland Rd, Building C, Dallas, TX 75211-1655 2015-02-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447883863 Cre8tive Pediatric Dental Group Dentist 2201 Fort Worth Avenue, Dallas, TX 75211 2020-02-13
1104317601 May Amria Dentist 3434 W Illinois Ave Ste 307, Dallas, TX 75211 2018-05-21
1235547787 Los Barrios Unidos Community Clinic, Inc Clinic/Center 4732 W. Illinois, Dallas, TX 75211 2014-07-29
1568733616 Amit Sethi Dentist 4475 Adler Dr Ste 103, Dallas, TX 75211 2012-01-21
1265764914 Thomas Lee Schiller Dentist 1441 N. Cockrell Hill Rd.., Dallas, TX 75211 2010-02-05
1407030570 Sylvia Dupuy Speech-Language Pathologist 1353 N. Westmoreland Rd., Bldg F, Dallas, TX 75211 2007-12-24
1801088802 Smile Care Orthodontics Dentist 4390 I-30, Ste 200, Dallas, TX 75211 2007-08-14
1104047364 Ronald Leon Thomas Pharmacist 1350 N. Westmoreland, Pharmacy Service, Dallas, TX 75211 2007-05-02
1578785515 Rabiu E Omolaja Case Manager/Care Coordinator 1353 N. Westmoreland Road #2, Dallas, TX 75211 2007-05-02
1982828687 Yokitha Kenyetta Hamp Counselor 1253 Westmoreland, Dallas, TX 75211 2007-04-12
Find all providers in zip 75211

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366052805 Deadra Jordan Nurse Practitioner 5995 Summerside Dr Unit 795142, Dallas, TX 75379-0095 2020-08-07
1083235691 Annemarie Osondu Odo Nurse Practitioner 9450 Skillman St Ste 120, Dallas, TX 75243-8235 2020-05-05
1740811934 Kellie Lynn Westmoreland Nurse Practitioner 7777 Forest Ln Ste 833, Dallas, TX 75230-2571 2020-01-28
1346871696 Ebote Ngite Nnoko Nurse Practitioner 108 Crescent Woode Dr, Dallas, GA 30157-5725 2020-01-27
1689238461 Ican Medics and Psych Services Pllc Nurse Practitioner 9535 Forest Ln Ste 109, Dallas, TX 75243-5934 2019-04-26
1942773643 Jo Kutty Kurian Nurse Practitioner 6363, Forest Park Road, 7th Floor, Suite 749, Dallas, TX 75390-9121 2019-01-04
1528538170 Angel Laamber Adams Nurse Practitioner 7777 Forest Lane Suite C 833, Dallas, TX 75230 2018-11-27
1114495983 Nwamaka Ngumezi Nurse Practitioner 3417 Gaston Ave Ste 815, Dallas, TX 75246-2034 2018-11-08
1811406150 Justin Neal Mehan Nurse Practitioner 712 N Washington Ave Ste 411, Dallas, TX 75246-1626 2017-09-28
1114321775 Shane Tipton Nurse Practitioner 6363 Forest Park Road 7th Floor Ste 749, Dallas, TX 75390-4426 2014-10-10
Find all providers in DALLAS

Competitor

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City DALLAS
Zip Code 75211

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Dataset Information

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.

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