MRS. KELLY ANNE DIFABBIO (NPI# 1629567391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629567391 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ANNE DIFABBIO |
| Credential | AGACNP-BC |
| Practice Address |
6200 W Parker Rd Plano TX 75093-8185 |
| Mailing Address |
2762 Waterfall Ln Little Elm TX 75068-7345 |
| Practice Telephone | 9729483173 |
| Mailing Telephone | 9729483173 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP137019 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6200 W PARKER RD |
| City | PLANO |
| State | TX |
| Zip Code | 75093-8185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962402396 | Eric Richard Kaplan | Colon & Rectal Surgery | 6200 W Parker Rd, Ste 112, Plano, TX 75093-7939 | 2005-07-28 |
| 1376165290 | Unyime Inyang | Nurse Practitioner | 6200 W Parker Rd, Plano, TX 75093-8185 | 2020-05-13 |
| 1407403918 | Heather Gay Boyd | Registered Nurse | 6200 W Parker Rd, Plano, TX 75093-8185 | 2019-08-20 |
| 1134692478 | Pilot Anesthesia Pllc | Anesthesiology | 6200 W Parker Rd, Plano, TX 75093-8185 | 2019-01-09 |
| 1639641871 | Noelle Venett | Student in an Organized Health Care Education/Training Program | 6200 W Parker Rd, Plano, TX 75093-8185 | 2018-12-28 |
| 1992270144 | Mary Drury | Social Worker | 6200 W Parker Rd, Plano, TX 75093-8185 | 2018-10-03 |
| 1861975518 | Orchid Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 6200 W Parker Rd, Plano, TX 75093-8185 | 2018-09-10 |
| 1356863468 | Satbirsingh Risam Md Pa | Internal Medicine | 6200 W Parker Rd, Plano, TX 75093-8185 | 2017-07-10 |
| 1497275853 | Alexander Tran Md Pa | General Acute Care Hospital | 6200 W Parker Rd, Plano, TX 75093-8185 | 2017-06-26 |
| 1740716604 | Deborah Anne Kalish | Registered Nurse | 6200 W Parker Rd, Plano, TX 75093-8185 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1104291483 | Lindsey Baxter | Nurse Practitioner | 2401 Trailwest Lane, Plano, TX 75025 | 2015-12-11 |
| 1194345850 | Adrienne Camille Greeney | Nurse Practitioner | 1100 Allied Dr, Plano, TX 75093-5348 | 2020-04-23 |
| 1679110332 | Charles James Mckenna | Nurse Practitioner | 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 | 2019-12-02 |
| 1376187682 | Tabtiha Jean Inge | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-10-30 |
| 1447715503 | Shabnam Gettu Gill | Nurse Practitioner | 6130 W Parker Rd Ste 516, Plano, TX 75093-8033 | 2019-02-04 |
| 1538636444 | Jessica Lee Whitis | Nurse Practitioner | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2018-10-29 |
| 1790251585 | Laura Hayes | Nurse Practitioner | 1100 Allied Dr, Plano, TX 75093-5348 | 2018-10-18 |
| 1760957088 | Baneen Fatima Manekia | Nurse Practitioner | 6300 W Parker Rd Ste 322, Plano, TX 75093-8103 | 2018-10-13 |
| 1831672088 | Preethy Sara Oommen | Nurse Practitioner | 6124 W Parker Rd Ste 536, Plano, TX 75093-8137 | 2018-09-13 |
| Find all providers in PLANO | ||||
Please comment or provide details below to improve the information on MRS. KELLY ANNE DIFABBIO.
| 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.