SHAWNA JAE RUBALCABA (NPI# 1609418045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609418045 |
Entity Type | Individual |
Full Name | SHAWNA JAE RUBALCABA |
Credential | FNP |
Practice Address |
630 W Wheatland Rd Duncanville TX 75116-4518 |
Mailing Address |
200 W Magnolia Ave Ste 200 Fort Worth TX 76104-7657 |
Practice Telephone | 9722962985 |
Mailing Telephone | 8177022977 |
Mailing Fax Number | 8177022140 |
Enumeration Date | 2019-10-16 |
Last Update Date | 2020-09-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | AP143593 | TX | Allopathic & Osteopathic Physicians |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP143593 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
600 Se Green Oaks Blvd, Arlington, TX 760181666 | 8177024844 | 8174668536 |
Street Address |
630 W WHEATLAND RD |
City | DUNCANVILLE |
State | TX |
Zip Code | 75116-4518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952318750 | Frederic Joe Simmons | Family Medicine | 630 W Wheatland Rd, Duncanville, TX 75116-4518 | 2006-08-02 |
1902415722 | April Dawn Wilson | Family Medicine | 630 W Wheatland Rd, Duncanville, TX 75116-4518 | 2020-07-28 |
1568001865 | Taylor Glover | Nurse Practitioner | 630 W Wheatland Rd, Duncanville, TX 75116-4518 | 2020-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225677008 | V Yvette Ward | Massage Therapist | 210b S Cedar Ridge Dr., Ste. 101-a, Duncanville, TX 75116 | 2019-12-27 |
1740704212 | Kimberley Session-hunt | Non-emergency Medical Transport (VAN) | 818 Flamingo Way, Duncanville, TX 75116 | 2017-07-27 |
1497277867 | Tammy Britton | Contractor | 806 E. Cherry St, Duncanville, TX 75116 | 2017-07-07 |
1437698537 | Tanya Nicole Mcclendon | Chiropractor | 1414 W Wheatland Rd Ste 103, Duncanville, TX 75116 | 2017-02-22 |
1063966075 | Kizzy Price | Nurse Practitioner | 407 N Cedar Ridge Dr Ste 210, Duncanville, TX 75116 | 2016-08-08 |
1750754552 | Francisca Aninye | Nurse Practitioner | 408 E Camp Wisdom Rd, Duncanville, TX 75116 | 2015-11-03 |
1952705378 | Intouch Health Care Services, LLC | Home Health | 606 Oriole Blvd Ste 102, Duncanville, TX 75116 | 2014-10-14 |
1659684108 | Debra Ranae Freimuth | Physical Therapist | 515 N. Cedar Ridge, Suite 7-h, Duncanville, TX 75116 | 2010-07-26 |
1902123730 | Smiley Dental Oriole Pllc | Dentist | 702 Oriole Blvd, Duncanville, TX 75116 | 2010-05-04 |
1902033160 | Danielle Franklin | Dentist | 407 West Wheatland Road Suite 101, Duncanville, TX 75116 | 2009-06-16 |
Find all providers in zip 75116 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952820227 | Yun Hee Baek | Nurse Practitioner | 777 E Wheatland Rd Ste 108, Duncanville, TX 75116-4918 | 2017-09-18 |
1245768852 | Travicia Lacole Garrett | Nurse Practitioner | 315 S Cockrell Hill Rd Ste 200, Duncanville, TX 75116-4099 | 2017-05-25 |
1750754552 | Francisca Aninye | Nurse Practitioner | 408 E Camp Wisdom Rd, Duncanville, TX 75116 | 2015-11-03 |
1386793701 | Lamantha Richardson | Nurse Practitioner | 407 W Danieldale Rd Ste 100, Duncanville, TX 75137 | 2007-01-09 |
1790719748 | Samuel Lamont Jerideau | Nurse Practitioner | 1459 Acton Ave, Duncanville, TX 75137-3338 | 2006-07-10 |
1568001865 | Taylor Glover | Nurse Practitioner | 630 W Wheatland Rd, Duncanville, TX 75116-4518 | 2020-01-03 |
1891334603 | Lacey Diane Coffey | Nurse Practitioner | 407 W Danieldale Rd Ste 100, Duncanville, TX 75137-3927 | 2019-12-26 |
1982259701 | Kimeka T Settle | Nurse Practitioner | 920 E Highway 67 Ste 100, Duncanville, TX 75137-2713 | 2019-08-08 |
1295221166 | Charles Mcwilliams Jr. | Nurse Practitioner | 545 W Wheatland Rd, Duncanville, TX 75116-4515 | 2018-07-03 |
1174024731 | T. Garrett Family Health and Wellness Clinic | Nurse Practitioner | 315 S Cockrell Hill Rd Ste 200, Duncanville, TX 75116 | 2018-02-27 |
Find all providers in DUNCANVILLE |
City | DUNCANVILLE |
Zip Code | 75116 |
Please comment or provide details below to improve the information on SHAWNA JAE RUBALCABA.
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.