MRS. MARITA JOAN PRINCE (NPI# 1649252438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649252438 |
| Entity Type | Individual |
| Full Name | MRS. MARITA JOAN PRINCE |
| Credential | DNP |
| Practice Address |
36065 Santa Fe Ave Fort Hood TX 76544-5060 |
| Mailing Address |
4313 Fairway Path Round Rock TX 78665-1455 |
| Practice Telephone | 3012959004 |
| Mailing Telephone | 5738552576 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN132098 | AZ | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
241332 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | RN132098 | AZ | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18th Medcom, Apo, AP 96205-0054, KR | 011-822-7916-6027 | 011-822-7917-811 |
| Street Address |
36065 SANTA FE AVE |
| City | FORT HOOD |
| State | TX |
| Zip Code | 76544-5060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629993 | Jeffery Mehaffey | Physician Assistant | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-11-06 |
| 1235744855 | Lorrie Marie Santoy | Physical Therapist | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-09-10 |
| 1871108613 | Jules Quentin Kennedy | Nurse Practitioner | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-09-09 |
| 1700490257 | Monica M Chan | Physical Therapist | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-09-02 |
| 1104437714 | Min Cui | Student in an Organized Health Care Education/Training Program | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-08-17 |
| 1982215695 | Andrew Krogsgaard Mason | Military Health Care Provider | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-08-14 |
| 1861003527 | Kyle James Hardwick | Military Health Care Provider | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-08-14 |
| 1831716026 | James Clifford Revis | Nurse Anesthetist, Certified Registered | 36065 Santa Fe Ave, Fort Hood, TX 76544 | 2020-07-03 |
| 1538785944 | Angela Prior | Social Worker | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-06-22 |
| 1841813128 | Jessica Eker | Student in an Organized Health Care Education/Training Program | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626429 | Gilberto Rolando Nunez | Dental Hygienist | Dentac Fort Hood, 68th Street Bldg. 4431, Fort Hood, TX 76544 | 2020-10-09 |
| 1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1598377095 | Stephen Doh | Dentist | 23rd St &, Old Battalion Ave, Fort Hood, TX 76544 | 2020-08-18 |
| 1265041602 | Jamie Gregory | Registered Nurse | Building 33003 Battalion Ave, Fort Hood, TX 76544 | 2020-07-30 |
| 1013525559 | Danielle Robbins | Social Worker | 2255 761st Tank Battalion, Fort Hood, TX 76544 | 2020-07-21 |
| 1811530397 | Keven Faust | Physician Assistant | Carl R Darnell Army Medical Center, 36065 Sante Fe Ave, Fort Hood, TX 76544 | 2019-10-28 |
| 1760024483 | Whitney C Weatherall | Licensed Vocational Nurse | 5458 Hughes St Unit 2, Fort Hood, TX 76544 | 2019-10-14 |
| 1982255436 | Rojalina Nayak | Dentist | Building 4250 Clear Creek Road, Ste #213, Fort Hood, TX 76544 | 2019-09-26 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1881247864 | Melissa Ann Marcelli-flint | Social Worker | 21011 Old Ironsides Avenue, Fort Hood, TX 76544 | 2019-07-19 |
| Find all providers in zip 76544 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750352001 | Georgia Dawn Day | Nurse Practitioner | Warriors In Transition Clinic, Build 2245 58 Street 761st Tank Battalion, Fort Hood, TX 76544 | 2006-01-26 |
| 1386637825 | Melanie J Truesdell | Nurse Practitioner | Ides/meb Clinic, Bldg 36036 Wratten, Fort Hood, TX 76544 | 2005-08-30 |
| 1194337154 | Chisa C Martin | Nurse Practitioner | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-08-20 |
| 1083277982 | Callie Rebecca Lucas | Nurse Practitioner | Carl R. Darnall Army Medical Center, 36065 Santa Fe Ave., Fort Hood, TX 78628 | 2019-04-16 |
| 1528504081 | Veronica Gorrell | Nurse Practitioner | 36065 Santa Fe Avenue, Carl R Darnall Medical Center, Fort Hood, TX 76544-5060 | 2017-01-09 |
| 1427592278 | Idamae Denise Salomon | Nurse Practitioner | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2016-12-13 |
| 1184171852 | Joseph Andrew Michna | Nurse Practitioner | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2016-09-09 |
| 1083062186 | Teresa Timms | Nurse Practitioner | 94043 Loop Road, Fort Hood, TX 76544 | 2016-05-31 |
| 1134558174 | Shara Fisher | Nurse Practitioner | 36065 Santa Fe Ave, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544 | 2013-11-08 |
| 1437409794 | Silvana Rae Boyd | Nurse Practitioner | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2012-09-13 |
| Find all providers in FORT HOOD | ||||
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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.