MS. BETTY JEAN BROWN-TRASK (NPI# 1649221169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649221169 |
| Entity Type | Individual |
| Full Name | MS. BETTY JEAN BROWN-TRASK |
| Credential | PNP-BC, FNP-C |
| Practice Address |
3310 Live Oak St Dallas TX 75204-6153 |
| Mailing Address |
Po Box 660599 Dallas TX 75266-0599 |
| Practice Telephone | 2142661257 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
524863 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 108059003 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 8Y0761 | 01 |
| TX | 108059008 | 05 | |
| TX | 108059007 | 05 |
| Street Address |
3310 LIVE OAK ST |
| City | DALLAS |
| State | TX |
| Zip Code | 75204-6153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842216 | Khalida Yasmin | Family Medicine | 3310 Live Oak St, Dallas, TX 75204-6153 | 2005-06-24 |
| 1295151884 | Laura Fortner | Doula | 3310 Live Oak St, Suite 201, Dallas, TX 75204-6153 | 2014-03-07 |
| 1396049698 | Amerismiles Inc | Dentist | 3310 Live Oak St, Suite 200, Dallas, TX 75204-6153 | 2010-12-29 |
| 1346413317 | April Nicole Campbell | Physician Assistant | 3310 Live Oak St, Youth & Family Centers, Dallas, TX 75204-6153 | 2008-04-10 |
| 1518155258 | Audrey L. Graham, Md, Pa | Specialist | 3310 Live Oak St, 400, Dallas, TX 75204-6147 | 2007-10-09 |
| 1013102839 | Druthil Belur | Dentist | 3310 Live Oak St, #200, Dallas, TX 75204-6153 | 2007-09-14 |
| 1841485638 | Deepa Narayanan | Family Medicine | 3310 Live Oak St, Dallas, TX 75204-6153 | 2007-09-13 |
| 1053511915 | Jenaya Judonne Ward | Obstetrics & Gynecology | 3310 Live Oak St, Suite 210, Dallas, TX 75204-6153 | 2007-07-19 |
| 1447301379 | Pgvpediatrics, Pa | Pediatrics | 3310 Live Oak St, Suite 201, Dallas, TX 75204-6153 | 2007-01-16 |
| 1972688224 | Aaron Van Wright | Psychiatry & Neurology | 3310 Live Oak St, Dallas, TX 75204-6153 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1710441803 | Axownal Monitoring, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 | 2019-01-23 |
| 1275026221 | Taylor Houser | Advanced Practice Midwife | 3611 Swiss Ave Ste 200, Dallas, TX 75204 | 2018-06-13 |
| 1407372147 | Regan Paulsen | Counselor | 4144 N. Central Expressway 955, 955, Dallas, TX 75204 | 2017-08-15 |
| 1639621311 | Pat Thi Nguyen | Nurse Practitioner | 3133 Lemmon Ave East, Dallas, TX 75204 | 2016-10-28 |
| 1770957896 | Dendrite Monitoring Services, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 | 2015-12-01 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1437527223 | Christy Walker | Nurse Practitioner | 2420 Clark St #703, Dallas, TX 75204 | 2015-09-10 |
| 1740678077 | Margaret Dutton | Physical Therapist | 4200 Live Oak, Dallas, TX 75204 | 2015-01-09 |
| 1639579659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3133 Lemmon Ave E, Dallas, TX 75204 | 2014-08-27 |
| Find all providers in zip 75204 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598229510 | Sara Klueber | Nurse Practitioner | 1935 Medical District Dr # C8.01, Dallas, TX 75235-7701 | 2019-01-23 |
| 1932671443 | Allison Blazek | Nurse Practitioner | 1935 Medical District Dr # F3.214, Dallas, TX 75235-7701 | 2018-12-21 |
| 1124520291 | Dalia K George | Nurse Practitioner | 7777 Forest Ln Ste C840, Dallas, TX 75230-2594 | 2018-03-06 |
| 1740790849 | Madeline Claire Crank | Nurse Practitioner | 7777 Forest Ln Ste C742, Dallas, TX 75230-6862 | 2017-10-03 |
| 1215480355 | Ashley Smith | Nurse Practitioner | 8325 Walnut Hill Ln# 225, Dallas, TX 75231 | 2016-07-25 |
| 1316349962 | Jennifer Tracy | Nurse Practitioner | 2350 N Stemmons Fwy Ste 4300mcf4, Dallas, TX 75207-2700 | 2014-09-25 |
| 1013334879 | Sneha Patel | Nurse Practitioner | 4830 Cedar Springs Rd, Unit 3, Dallas, TX 75219-1366 | 2014-03-18 |
| 1720415748 | Heidi Nicole Pettit | Nurse Practitioner | 1935 Medical District Dr # E2300, Dallas, TX 75235-7701 | 2013-10-04 |
| 1821357088 | Robyn Joy Haynes | Nurse Practitioner | 1935 Medical District Dr # D2.04, Dallas, TX 75235-7701 | 2012-05-09 |
| 1205102589 | Ashley Caroline Eckstein | Nurse Practitioner | 8440 Walnut Hill Ln Ste 540, Dallas, TX 75231-3824 | 2012-03-30 |
| Find all providers in DALLAS | ||||
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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.