TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS (NPI# 1528245636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528245636 |
| Entity Type | Organization |
| Organization Name | TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS |
| Practice Address |
900 E Park Blvd #100 Plano TX 75074-5465 |
| Mailing Address |
500 E Border St Arlington TX 76010-7445 |
| Practice Telephone | 9725094554 |
| Mailing Telephone | 2143457260 |
| Mailing Fax Number | 6822364620 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2016-09-26 |
| Authorized Official Name | MR. JAMES BERG (CEO/PRESIDENT) |
| Authorized Official Telephone | 2143452815 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 184804601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366939738 | Texas Health Presbyterian Hospital Dallas | Non-Pharmacy Dispensing Site | 8160 Walnut Hill Ln Ste 1, Dallas, TX 75231-4385 | 2018-04-20 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| 1124028683 | Texas Health Presbyterian Hospital Dallas | Home Health | 9301 N. Central Expy, Suite 675, Dallas, TX 75231-0823 | 2005-07-27 |
| 1952588063 | Texas Health Presbyterian Hospital Dallas | Pediatrics | 900 E Park Blvd, #100, Plano, TX 75074-5465 | 2008-01-31 |
| 1952453987 | Texas Health Presbyterian Hospital Dallas | Psychiatric Unit | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 | 2007-01-18 |
| 1114079142 | Texas Health Presbyterian Hospital Dallas | Psychiatric Unit | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 | 2007-01-18 |
| 1295887727 | Texas Health Presbyterian Hospital Dallas | Clinic/Center | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 | 2007-01-17 |
| 1740337054 | Texas Health Presbyterian Hospital Dallas | Internal Medicine | 8210 Walnut Hill Ln, Suite 705, Dallas, TX 75231-4405 | 2007-01-05 |
| 1124175039 | Texas Health Presbyterian Hospital Dallas | Nurse Practitioner | 8210 Walnut Hill Ln, Suite 705, Dallas, TX 75231-4405 | 2007-01-04 |
| 1598812729 | Texas Health Presbyterian Hospital Dallas | Nurse Practitioner | 8440 Walnut Hill Ln, Suite 540, Dallas, TX 75231-3833 | 2007-01-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 |
| Street Address |
900 E PARK BLVD #100 |
| City | PLANO |
| State | TX |
| Zip Code | 75074-5465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134165780 | Odelia Salazar | Nurse Practitioner | 900 E Park Blvd, Suite 100, Plano, TX 75074-5465 | 2006-06-21 |
| 1427331677 | Grace Women's Healthcare | Nurse Practitioner | 900 E Park Blvd, Suite 280, Plano, TX 75074-5465 | 2011-09-23 |
| 1902039258 | Renee Nicole Steele | Nurse Practitioner | 900 E Park Blvd, Ste 100, Plano, TX 75074-5465 | 2009-09-02 |
| 1962679530 | Trinity Family Health Center, LLC | Nurse Practitioner | 900 E Park Blvd, Suite 280, Plano, TX 75074-5465 | 2008-05-13 |
| 1700050069 | Lena Benton | Counselor | 900 E Park Blvd, Suite 155, Plano, TX 75074-5465 | 2008-04-17 |
| 1952588063 | Texas Health Presbyterian Hospital Dallas | Pediatrics | 900 E Park Blvd, #100, Plano, TX 75074-5465 | 2008-01-31 |
| 1568668226 | Presbyterian Hospital of Dallas | Nurse Practitioner | 900 E Park Blvd, Suite 100, Plano, TX 75074-5465 | 2007-06-21 |
| 1225189764 | Tarsyia Melissa Waddell | Counselor | 900 E Park Blvd, Suite 155, Plano, TX 75074-5465 | 2007-01-12 |
| 1063577013 | Texas Health Presbyterian Hospital Dallas | Nurse Practitioner | 900 E Park Blvd, Suite 100, Plano, TX 75074-5465 | 2006-12-27 |
| 1558426585 | Brooklea Counseling & Health Services | Counselor | 900 E Park Blvd, Suite 155, Plano, TX 75074-5465 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003433764 | All Meds Rx | Pharmacy | 2520 Avenue K, Suite 600, Suite 600, Plano, TX 75074 | 2020-06-29 |
| 1457985582 | Neighborhood Portable X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K Suite 109, Plano, TX 75074 | 2020-02-27 |
| 1063044113 | Q Day Walk In Clinic and Spa, LLC | Clinic/Center | 3560 East Park Blvd., Plano, TX 75074 | 2020-02-06 |
| 1891326765 | Kelly Joe Stanley | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K, 109, Plano, TX 75074 | 2020-01-30 |
| 1568016137 | Virtex Assist, Pllc | Physician Assistant | 101 E Park Blvd Suite 600, Plano, TX 75074 | 2019-07-31 |
| 1154804128 | Norte Service Providers LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2917 Duchess Trail, Plano, TX 75074 | 2018-09-14 |
| 1386124428 | Jakayla Nekelle Price | Occupational Therapist | 3612 Kite Landing Ln., Plano, TX 75074 | 2018-08-17 |
| 1568948834 | Sarah Lindsey Binion | Counselor | 101 East Park Blvd., Suite 600, Plano, TX 75074 | 2018-07-19 |
| 1659865327 | Tim Ford | Technician, Other | 6829 Ave K, Suite 105, Plano, TX 75074 | 2018-06-18 |
| 1043708019 | Oak Point Surgical Suites LLC | Clinic/Center | 2201 K Ave Ste B-100, Plano, TX 75074 | 2018-04-25 |
| Find all providers in zip 75074 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275172900 | Fiona Ghosh Carruth | Nurse Practitioner | 6300 Stonewood Dr Ste 206, Plano, TX 75024-5281 | 2019-12-28 |
| 1558746610 | Renu Mathews | Nurse Practitioner | 2109 W Spring Creek Pkwy Ste 200, Plano, TX 75023-4518 | 2015-07-29 |
| 1326465766 | Kristina Annette Dickerson | Nurse Practitioner | 5425 W Spring Creek Pkwy Ste 175, Plano, TX 75024-4345 | 2014-03-24 |
| 1356778997 | Kristen Angela Langley | Nurse Practitioner | 4115 West 15th Street Suite 100, Plano, TX 75093 | 2013-09-27 |
| 1881955995 | Jessa Mckenzie Leslie | Nurse Practitioner | 3516 Thomas Ct, Plano, IL 60545-2239 | 2012-06-05 |
| 1821322140 | Susan R Carrington | Nurse Practitioner | 2109 W Spring Creek Pkwy Ste 101, Plano, TX 75023-4189 | 2009-09-21 |
| 1255402129 | Linda M Grande | Nurse Practitioner | 7211 Preston Rd Ste 1200, Plano, TX 75024 | 2006-11-13 |
| 1245791169 | Lauren Elise Alexander | Nurse Practitioner | 7211 Preston Rd Ste 1200, Plano, TX 75024-0238 | 2019-03-26 |
| 1174097018 | Patricia Ann Bush | Nurse Practitioner | 6105 Windcom Ct Ste 100, Plano, TX 75093-7890 | 2019-01-14 |
| 1528514916 | Emily Holmes | Nurse Practitioner | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-08-26 |
| Find all providers in PLANO | ||||
Please comment or provide details below to improve the information on TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS.
| 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.