MS. DEITRA FALGOUT LEBOUEF (NPI# 1508153438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508153438 |
| Entity Type | Individual |
| Full Name | MS. DEITRA FALGOUT LEBOUEF |
| Credential | FNP-C |
| Practice Address |
3105 W 15th St Ste B Plano TX 75075 |
| Mailing Address |
3501 W 15th St. Ste B Plano TX 75075-7700 |
| Practice Telephone | 2148790642 |
| Practice Fax Number | 2147852938 |
| Mailing Telephone | 2147906428 |
| Mailing Fax Number | 2147852938 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F0811168 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
664217 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 037727701 | 05 |
| Street Address |
3105 W 15TH ST STE B |
| City | PLANO |
| State | TX |
| Zip Code | 75075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081244 | Congling Wang | Nurse Practitioner | 400 Maplelawn Dr Ste 100, Plano, TX 75075-5743 | 2020-10-26 |
| 1457958712 | Evelyn C.k. Maangi | Nurse Practitioner | 9428 Patagonia Ln, Plano, TX 75025-4594 | 2020-10-08 |
| 1609487222 | Melissa Garcia | Nurse Practitioner | 1550 W Plano Pkwy Apt 1118, Plano, TX 75075-8671 | 2020-08-17 |
| 1538779533 | Karissa Janda | Nurse Practitioner | 3908 Legner St, Plano, IL 60545-1397 | 2020-08-04 |
| 1689290660 | Kelsey Perry | Nurse Practitioner | 5717 Legacy Dr Ste 170, Plano, TX 75024-3813 | 2020-06-24 |
| 1821622259 | Dinah M. Ogeto | Nurse Practitioner | 7117 Sugarplum Dr, Plano, TX 75074-2058 | 2020-02-25 |
| 1285264937 | Graciella Martinez | Nurse Practitioner | 5425 W Spring Creek Pkwy Ste 210, Plano, TX 75024-4241 | 2020-01-22 |
| 1083253587 | Rachel Aldis-krengel | Nurse Practitioner | 807 Cole Ct, Plano, IL 60545-9815 | 2019-12-31 |
| 1932740982 | Nitas Duru Oha | Nurse Practitioner | 555 Republic Dr Fl 2, Plano, TX 75074-5481 | 2019-10-01 |
| 1306499157 | Kristin Joo Eun Kim | Nurse Practitioner | 3108 Midway Rd Ste 105, Plano, TX 75093-8470 | 2019-07-22 |
| Find all providers in PLANO | ||||
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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.