CHRISTINE KELLAM (NPI# 1568774420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568774420 |
| Entity Type | Individual |
| Full Name | CHRISTINE KELLAM |
| Credential | R.N11 |
| Practice Address |
3330 S Lancaster Rd Dallas TX 75216-4531 |
| Mailing Address |
5731 Lazy River Dr Dallas TX 75241-2206 |
| Practice Telephone | 2143716639 |
| Practice Fax Number | 2143726199 |
| Mailing Telephone | 2143760714 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 517241 | TX | Nursing Service Providers |
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
517241 | TX | Nursing Service Providers |
| Street Address |
3330 S LANCASTER RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75216-4531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283076 | Carol L Starr | Nurse Practitioner | 3330 S Lancaster Rd, Dallas, TX 75216-4531 | 2005-05-31 |
| 1144791567 | Tariro Matsikire | Nurse Practitioner | 3330 S Lancaster Rd, Dallas, TX 75216-4531 | 2018-12-10 |
| 1255808101 | Maya Dhilip | Nurse Practitioner | 3330 S Lancaster Rd, Dallas, TX 75216-4531 | 2018-10-30 |
| 1124368378 | Stefanie Urban | Counselor | 3330 S Lancaster Rd, Annex Building, Dallas, TX 75216-4531 | 2013-02-26 |
| 1699021089 | Metrocare | Community/Behavioral Health | 3330 S Lancaster Rd, Dallas, TX 75216-4531 | 2012-08-03 |
| 1831454016 | Mary M Smith | Counselor | 3330 S Lancaster Rd, Dallas, TX 75216-4531 | 2012-07-12 |
| 1417225038 | Diana Feick-kistler | Counselor | 3330 S Lancaster Rd, Dallas, TX 75216-4531 | 2011-12-09 |
| 1457637233 | Metrocare Services | Community/Behavioral Health | 3330 S Lancaster Rd, Dallas, TX 75216-4531 | 2011-10-25 |
| 1326335878 | Chris E. Goetz | Counselor | 3330 S Lancaster Rd, Dallas, TX 75216-4531 | 2011-07-06 |
| 1801103098 | Patricia Ann Newton | Psychiatry & Neurology | 3330 S Lancaster Rd, Dallas, TX 75216-4531 | 2010-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| Find all providers in zip 75216 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124270939 | Nancy Marie Sampson | Registered Nurse | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2008-10-13 |
| 1811100589 | Rhonda Glanton | Registered Nurse | 1353 N Westmoreland Rd, Cottage 2, Dallas, TX 75211-1655 | 2007-05-08 |
| 1457577934 | Rebecca Jean Vickers | Registered Nurse | 3330 S Lancaster Rd, Dallas, TX 75216-4531 | 2007-04-17 |
| 1518080696 | Heidi Lane Young | Registered Nurse | 901 S Ervay St, Dallas, TX 75201-6419 | 2007-04-06 |
| 1881778447 | Paula Elaine Sais | Registered Nurse | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155754 | Jacquelyn H Holloway | Registered Nurse | 820 Uptown Blvd, Bedrord, TX 76022 | 2020-08-18 |
| 1861038234 | Theresia Zuh Tabe | Registered Nurse | 4301 Mapleshade Ln, Plano, TX 75093-0010 | 2019-11-20 |
| 1225498371 | Toyin Akinwale | Registered Nurse | 13226 Packard Dr, Frisco, TX 75033-1681 | 2016-03-02 |
| 1124492434 | Ashlea Freeman | Registered Nurse | 912 11th St, Wolfforth, TX 79382-2408 | 2015-11-24 |
| 1144690819 | Maggie Gorski | Registered Nurse | 7805 Cooper Ln Unit 205, Austin, TX 78745-6371 | 2015-10-06 |
| 1467700369 | Linda F Burrell | Registered Nurse | 4214 Kelling St, Houston, TX 77045-4329 | 2012-08-27 |
| 1508113440 | Melba E Simon-terry | Registered Nurse | 14806 Cedar Isle Dr, Houston, TX 77084-2140 | 2012-08-09 |
| 1093018178 | Gaitree Debiparshad | Registered Nurse | 605 S. West Street Box 19329, Uta Health Services, Arlington, TX 76019-0329 | 2010-12-13 |
| 1801093117 | Sondra S Thompson | Registered Nurse | 3603 R and R Center, Cr Darnall Army Medical Center, Fort Hood, TX 76544 | 2007-06-29 |
| 1386859676 | Janet Keeven | Registered Nurse | 218 Robin Loop, Waco, TX 76705-1534 | 2007-05-11 |
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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.