BRENDA RENEE MATZKE (NPI# 1497290910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497290910 |
| Entity Type | Individual |
| Full Name | BRENDA RENEE MATZKE |
| Practice Address |
7625 Wellcrest Dr Dallas TX 75230-4856 |
| Mailing Address |
7625 Welcrest Drive Dallas TX 75230 |
| Practice Telephone | 9855027133 |
| Mailing Telephone | 9855027133 |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP132673 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7625 WELLCREST DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-4856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093206674 | Lucille Travis | Nurse Practitioner | 215 Palisades Dr, Dallas, GA 30157-0928 | 2018-05-19 |
| 1609282391 | Mildred Onime | Nurse Practitioner | 4400 W University Blvd, Apt: 10306, Dallas, TX 75209-3876 | 2014-07-02 |
| 1598941403 | Jorjanna E Toon | Nurse Practitioner | 5523 Laysan Ct, Dallas, TX 75249-2211 | 2008-01-10 |
| 1801991518 | Kay Karen Redwine | Nurse Practitioner | 703 Mckinney Avenue, Suite 433, Dallas, TX 75202 | 2006-09-14 |
| 1205855830 | Mary J Beine | Nurse Practitioner | 7474 Skillman St Apt 402, Dallas, TX 75231-8328 | 2006-07-18 |
| 1992737480 | Joyce H. Danter | Nurse Practitioner | 4144 N Central Expy Ste 450, Dallas, TX 75204-3132 | 2006-07-07 |
| 1073541439 | Karen Florence Sacks | Nurse Practitioner | Presbyterian Hospital of Dallas 8198 Walnut Hill Ln, Jackson Bld. - Neuroinformation Center 1st Floor, Dallas, TX 75231 | 2006-06-28 |
| 1740810746 | Christen Jill Wolf | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-01-19 |
| 1679110241 | Asha Alexander | Nurse Practitioner | 9229 Lyndon B Johnson Fwy, Dallas, TX 75243-3405 | 2019-12-03 |
| 1053969766 | Sheila N Behimehr | Nurse Practitioner | 8144 Walnut Hill Ln Ste 800, Dallas, TX 75231-4345 | 2019-08-27 |
| 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.