MRS. CARRIE LYN KOSTYAK (NPI# 1497092522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497092522 |
| Entity Type | Individual |
| Full Name | MRS. CARRIE LYN KOSTYAK |
| Credential | ACNP-BC |
| Practice Address |
16980 Dallas Pkwy Suite 200 Dallas TX 75248-1908 |
| Practice Telephone | 9723911915 |
| Practice Fax Number | 9723912061 |
| Mailing Telephone | 9723911915 |
| Mailing Fax Number | 9723912061 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2016-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP122867 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
16980 DALLAS PKWY SUITE 200 |
| City | DALLAS |
| State | TX |
| Zip Code | 75248-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437160215 | Heartplace, Pa | Internal Medicine | 16980 Dallas Pkwy, Suite 200, Dallas, TX 75248-1908 | 2006-08-10 |
| 1154738847 | Bridgette Turbiville | Counselor | 16980 Dallas Pkwy, Suite 204, Dallas, TX 75248-1908 | 2014-07-15 |
| 1548419146 | Heartplace, Pa | Internal Medicine | 16980 Dallas Pkwy, Suite 200, Dallas, TX 75248-1908 | 2008-09-18 |
| 1245490747 | Heartplace, Pa | Internal Medicine | 16980 Dallas Pkwy, Suite 200, Dallas, TX 75248-1908 | 2008-06-10 |
| 1417117912 | Heartplace, Pa | Internal Medicine | 16980 Dallas Pkwy, Suite 200, Dallas, TX 75248-1908 | 2008-06-10 |
| 1982822011 | Cpr Diagnostics Lp | Internal Medicine | 16980 Dallas Pkwy, Suite 200, Dallas, TX 75248-1908 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093336398 | Rachel Carrithers | Registered Nurse | 7611 El Pendsador, Dallas, TX 75248 | 2020-04-28 |
| 1538621024 | Syreeta Williams | Specialist | 16690 Dallas Parkway, Suite 208, Dallas, TX 75248 | 2019-04-03 |
| 1225505928 | Bent Tree Counseling, Pllc | Marriage & Family Therapist | 16800 North Dallas Parkway, Suite 100, Dallas, TX 75248 | 2018-10-31 |
| 1649764598 | Annie Girson | Dentist | 16000 Preston Rd. Suite 310, Dallas, TX 75248 | 2018-06-14 |
| 1821503772 | Affordable Dentist Near Me Dallas Pllc. | Dentist | 14902 Preston Road. Suite 201, Dallas, TX 75248 | 2017-12-13 |
| 1477077717 | Children's Dental At Preston Trail, PC | Dentist | 17194 Preson Road, Dallas, TX 75248 | 2017-07-28 |
| 1871023481 | Caroline Ford | Psychologist | 16150 Preston Road, Dallas, TX 75248 | 2017-06-15 |
| 1679940902 | North Texas Cin, Inc. | Clinic/Center | 15770 North Dallas Parkway, Suite 900, Dallas, TX 75248 | 2015-08-21 |
| 1508246240 | Arzu Shams | Counselor | 17103 Preston Rd Ste 230, Dallas, TX 75248 | 2015-06-08 |
| 1992182174 | Texas Dentistry for Kids Richardson, Pllc | Dentist | 7989 Beltline Rd Ste# 107, Dallas, TX 75248 | 2015-04-27 |
| Find all providers in zip 75248 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083077 | Renee Mieselle Lies | Nurse Practitioner | 2602 Mckinney Ave Ste 115, Dallas, TX 75204-0727 | 2020-08-11 |
| 1518592534 | Raven Aravind | Nurse Practitioner | 1900 Caddo Street, Number 4, Dallas, TX 75204-4223 | 2020-03-10 |
| 1366090417 | Maria Whitney Nance | Nurse Practitioner | 7777 Forest Ln Ste D308, Dallas, TX 75230-2571 | 2019-09-02 |
| 1336708361 | Sunny Dedmon | Nurse Practitioner | 3225 Turtle Creek Blvd Apt 520, Dallas, TX 75219-5461 | 2019-06-12 |
| 1306401419 | Quatina Lasha Rivers-fleming | Nurse Practitioner | 522 Ivy Chase Loop, Dallas, GA 30157-0946 | 2019-05-03 |
| 1679136220 | Marvise Ijeoma Oduagu | Nurse Practitioner | 305 W Commerce St Apt 336, Dallas, TX 75208-1985 | 2019-04-19 |
| 1851860365 | Yoon Jung Ra | Nurse Practitioner | 2610 Allen St Apt 5410, Dallas, TX 75204-2447 | 2018-11-14 |
| 1134696453 | Mitchell Grayson Kelly | Nurse Practitioner | 5323 Harry Hines Blvd Mailcode 8590, Dallas, TX 75390-0001 | 2018-10-24 |
| 1710411822 | Latosca Brunner | Nurse Practitioner | 221 W Beckley Blvd, Pavilion 2 Suite 929, Dallas, TX 75202 | 2017-04-14 |
| 1376900746 | Lashandra Gray | Nurse Practitioner | 9111 Prairie Bluff Dr, Dallas, TX 75227-5245 | 2016-01-15 |
| 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.