BETH WANGOMBE (NPI# 1457724502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
1353 N WESTMORELAND RD |
City | DALLAS |
State | TX |
Zip Code | 75211-1655 |
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 |
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 Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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 |
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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.