LILLIE HEIDARI BIGVAND (NPI# 1457911414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457911414 |
| Entity Type | Individual |
| Full Name | LILLIE HEIDARI BIGVAND |
| Credential | NP-C |
| Practice Address |
1201 E 9th St Bonham TX 75418-4059 |
| Mailing Address |
5608 Leven Ln Mckinney TX 75070-8866 |
| Practice Telephone | 9035832111 |
| Mailing Telephone | 9729511609 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP140655 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4500 S Lancaster Rd, Dallas, TX 752167167 | 2148511628 |
| Street Address |
1201 E 9TH ST |
| City | BONHAM |
| State | TX |
| Zip Code | 75418-4059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275504417 | Jeffrey Robert Dufault | Podiatrist | 1201 E 9th St, Bonham, TX 75418-4059 | 2006-01-27 |
| 1205453198 | Thomas Garabrant | Dietitian, Registered | 1201 E 9th St, Bonham, TX 75418-4059 | 2020-06-26 |
| 1316561426 | Johnny Blake Williams | Audiologist | 1201 E 9th St, Bonham, TX 75418-4059 | 2020-06-04 |
| 1326602103 | Johnny Trinh | Social Worker | 1201 E 9th St, Bonham, TX 75418-4059 | 2019-04-26 |
| 1750859138 | Valerie Dunham | Social Worker | 1201 E 9th St, Bonham, TX 75418-4059 | 2018-11-05 |
| 1902381437 | Karaline Marjorie Gormley | Nurse Practitioner | 1201 E 9th St, Bonham, TX 75418-4059 | 2018-10-01 |
| 1912407156 | Latasha Pearl Burkard | Social Worker | 1201 E 9th St, Bonham, TX 75418-4059 | 2018-02-14 |
| 1255865143 | Lesly Johnson | Social Worker | 1201 E 9th St, Bonham, TX 75418-4059 | 2017-04-18 |
| 1740720705 | Sam Rayburn Va | Military Hospital | 1201 E 9th St, Bonham, TX 75418-4059 | 2017-02-24 |
| 1699212035 | Jessica Spofford | Psychologist | 1201 E 9th St, Bldg 24, Bonham Domiciliary, Bonham, TX 75418-4059 | 2017-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795093 | Custom Dental of Bonham Pllc | Clinic/Center | 2016 State Highway 121 N, Bonham, TX 75418 | 2019-11-19 |
| 1205489283 | Sharon Maria Mathew | Pharmacist | 1201 E 93rd Street, Bonham, TX 75418 | 2019-07-19 |
| 1619474293 | Fannin County Hospital Authority | Surgery | 1211 E 6th St Ste 120, Bonham, TX 75418 | 2018-04-10 |
| 1629514203 | Tmc Bonham Hospital | General Acute Care Hospital | 504 Lispcomb Blvd, Bonham, TX 75418 | 2017-01-06 |
| 1992166227 | Strengthen Your Family Chiropractic, Pllc | Chiropractor | 2110 N Center St., Suite A, Bonham, TX 75418 | 2016-03-15 |
| 1841618626 | Faye Wright | Health Maintenance Organization | 3801 Silo Rd, Bonham, TX 75418 | 2014-03-31 |
| 1861658973 | Ppacta | Nursing Facility/Intermediate Care Facility | 712 County Road 4205, Bonham, TX 75418 | 2008-07-29 |
| 1033381322 | Shanida Roxana Blades | Social Worker | 1201 E 9th Street, Bonham, TX 75418 | 2008-03-27 |
| 1821275470 | Antonio Rafael Lopez-canino | Psychiatry & Neurology | 1201 East Ninth Street, North Texas Veterans Healthcare, Bonham, TX 75418 | 2008-01-25 |
| 1275745465 | Jagdish A. Shah,md | Internal Medicine | 1220 East 6th Street, Bonham, TX 75418 | 2007-05-03 |
| Find all providers in zip 75418 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154880789 | Benjamin Hanssen | Nurse Practitioner | 920 N Center St, Bonham, TX 75418-3751 | 2019-03-13 |
| 1710345038 | Dustin Ray Elk | Nurse Practitioner | 920 N Center St, Bonham, TX 75418-3751 | 2016-02-01 |
| 1568619229 | Lisa Brittmon | Nurse Practitioner | 920 N Center St, Bonham, TX 75418-3751 | 2008-08-25 |
| 1396708624 | Nancy Gray Cook | Nurse Practitioner | 1201 E 9th St, Bonham, TX 75418-4059 | 2006-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
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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.