IRETI ODUBELA (NPI# 1609847672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609847672 |
Entity Type | Individual |
Full Name | IRETI ODUBELA |
Credential | FNP |
Practice Address |
4732 E Lancaster Ave Ste B Fort Worth TX 76103-3836 |
Practice Telephone | 8174130943 |
Practice Fax Number | 8174136781 |
Mailing Telephone | 8174130943 |
Mailing Fax Number | 8174136481 |
Enumeration Date | 2006-01-30 |
Last Update Date | 2015-05-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
698068 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 168127202 | 05 | |
TX | MEDICARE RAILROAD | P00338997 | 01 |
TX | BLUE CROSS BLUE SHIELD | 8N8535 | 01 |
Street Address |
4732 E LANCASTER AVE STE B |
City | FORT WORTH |
State | TX |
Zip Code | 76103-3836 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558331066 | Meta Medical Services Pa | Family Medicine | 4732 E Lancaster Ave Ste B, Fort Worth, TX 76103-3836 | 2006-01-25 |
1972524833 | Josephine M Juleau | Physician Assistant | 4732 E Lancaster Ave Ste B, Fort Worth, TX 76103-3836 | 2006-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487170353 | Wafaa Sabrina Chatila | Specialist/Technologist | 1307 W Mitchell St, Arlington, TX 76103 | 2017-08-22 |
1598281107 | Daisy Marie Coleman | Licensed Vocational Nurse | 3500 Canyon Ridge Ave, Fort Worth, TX 76103 | 2017-08-15 |
1972054724 | Endurance Home Health Care | Home Health | 3605 West Pioneer Parkway, Suite A5-a6, Pantego, TX 76103 | 2016-10-17 |
1295011369 | Marvin Eugene Williams | Dentist | 3913 E. Lancaster, Ft. Worth, TX 76103 | 2011-11-02 |
1790095347 | Stephanie Ann Adams | Counselor | 2401 Oakland Blvd., Suite 100, Fort Worth, TX 76103 | 2010-10-18 |
1376797407 | South Texas Dental Associates, L.p. | Dentist | 4229 East Lancaster Ave., Fort Worth, TX 76103 | 2008-11-17 |
1093998429 | Dallas/fort Worth Urology Consultants | Urology | 4809 Brentwood Stair Road, Fort Worth, TX 76103 | 2007-12-07 |
1700073434 | Brentwood Stair Chiropractic | Chiropractor | 4809 Brentwood Stair Rd, Fort Worth, TX 76103 | 2007-09-26 |
1750430583 | Henry J Bedford | Nurse Anesthetist, Certified Registered | 1807 A W Park Row, Arlington, TX 76103 | 2007-01-10 |
1356705131 | Vgr Vision, Inc | Technician/Technologist | 309 S Oakland Blvd, Fort Worth, TX 76103 | 2016-04-07 |
Find all providers in zip 76103 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184223786 | Vincy Saji Mathew | Nurse Practitioner | 8804 Viridian Ln, Fort Worth, TX 76123-4030 | 2020-10-23 |
1821635814 | Sarah Elizabeth Martin | Nurse Practitioner | 4212 Selkirk Dr W, Fort Worth, TX 76109-5328 | 2019-12-09 |
1568930360 | Chelsea Lynne Outhier | Nurse Practitioner | 4628 Belladonna Dr, Fort Worth, TX 76123-1841 | 2018-11-09 |
1265900567 | Sarah Jane Armendarez | Nurse Practitioner | 6715 Bluffview Dr, Fort Worth, TX 76132-3062 | 2018-11-05 |
1548736366 | Nina Quijano | Nurse Practitioner | 8209 Whistling Duck Dr, Fort Worth, TX 76118-7623 | 2018-10-18 |
1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
1487159612 | Jose Sanchez | Nurse Practitioner | 3540 Wharton Dr, Fort Worth, TX 76133-2121 | 2018-03-29 |
1376057752 | Shabnum Shakeel Zaman | Nurse Practitioner | 816 Stone Water Dr Apt 1015, Fort Worth, TX 76120-2798 | 2017-11-21 |
1376081752 | Cheryl D. Mitchell | Nurse Practitioner | 11803 S. Freeway, Ste. 311, Fort Worth, TX 76115 | 2017-02-06 |
1184167561 | Reynaldo Daba II | Nurse Practitioner | 1412 May St, Fort Worth, TX 76104-7639 | 2016-12-02 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76103 |
Please comment or provide details below to improve the information on IRETI ODUBELA.
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.