CASIE SKAGGS (NPI# 1649836602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649836602 |
| Entity Type | Individual |
| Full Name | CASIE SKAGGS |
| Credential | AGACNP |
| Practice Address |
1305 Airport Fwy Ste 103 Bedford TX 76021-6603 |
| Mailing Address |
Po Box 29650 Phoenix AZ 85038-9650 |
| Practice Telephone | 4693201267 |
| Mailing Telephone | 4806160016 |
| Mailing Fax Number | 4806261746 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP141477 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP141477 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP141477 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3901 W 15th St, Plano, TX 750757738 | 9725966800 | |
| 3740 N Josey Ln Ste 212, Carrollton, TX 750072472 | 4693201267 | 4693201268 |
| 7515 Main St Ste 100, Houston, TX 770304549 | 4693201267 | 4693201268 |
| 1919 S Shiloh Rd # 335, Garland, TX 750428234 | 4693201267 | 4693201268 |
| Street Address |
1305 AIRPORT FWY STE 103 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021-6603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124061015 | Julie Lomonaco Olivo | Internal Medicine | 1305 Airport Fwy Ste 103, Bedford, TX 76021-6603 | 2006-06-14 |
| 1194340539 | Artery and Vein Specialists of America, Pllc | Radiology | 1305 Airport Fwy Ste 103, Bedford, TX 76021-6603 | 2020-06-11 |
| 1437794195 | Anh Ngo | Nurse Practitioner | 1305 Airport Fwy Ste 103, Bedford, TX 76021-6603 | 2019-11-16 |
| 1265085229 | Vascular Institute of North Texas, Pllc | Clinic/Center | 1305 Airport Fwy Ste 103, Bedford, TX 76021-6603 | 2019-07-18 |
| 1285132225 | Raune Oliveira | Nurse Practitioner | 1305 Airport Fwy Ste 103, Bedford, TX 76021-6603 | 2018-01-24 |
| 1578979753 | Alliance Interventional Pain Center | Clinic/Center | 1305 Airport Fwy Ste 103, Bedford, TX 76021-6603 | 2014-07-08 |
| 1376854752 | Murthy R Chamarthy | Radiology | 1305 Airport Fwy Ste 103, Bedford, TX 76021-6603 | 2010-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| Find all providers in zip 76021 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069231 | Pious Subedi | Nurse Practitioner | 1615 Hospital Pkwy Ste 200, Bedford, TX 76022-5935 | 2020-03-26 |
| 1003301953 | Oluwafemi Oyewole | Nurse Practitioner | 2717 Tibbets Dr, Bedford, TX 76022 | 2018-06-23 |
| 1285132225 | Raune Oliveira | Nurse Practitioner | 1305 Airport Fwy Ste 103, Bedford, TX 76021-6603 | 2018-01-24 |
| 1144693532 | Peter Byrne | Nurse Practitioner | 9 Washington Pl, Suite 204, Bedford, NH 03110-6750 | 2015-11-06 |
| 1144612508 | Rebecca Waggoner | Nurse Practitioner | 1924 Forest Ridge Dr, Bedford, TX 76021-8228 | 2015-02-23 |
| 1801126933 | Cristine Marie Nizam | Nurse Practitioner | 1600 Hospital Pkwy, Hospitalcare Associates, Bedford, TX 76022-6913 | 2010-01-12 |
| 1225191638 | Tamra Carter Farrier | Nurse Practitioner | 1600 Central Dr, Ste 130, Bedford, TX 76022-6000 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215800 | Kellie Lynn Myers | Nurse Practitioner | 26015 Penguin St, Magnolia, TX 77355-6249 | 2020-11-06 |
| 1356942148 | Nina Nicole Totanes | Nurse Practitioner | 12709 Toepperwein Rd Ste 203, Live Oak, TX 78233-3259 | 2020-11-06 |
| 1841890415 | Glenda Kelley | Nurse Practitioner | 8902 W State Highway 56, Savoy, TX 75479-3460 | 2020-10-31 |
| 1184223786 | Vincy Saji Mathew | Nurse Practitioner | 8804 Viridian Ln, Fort Worth, TX 76123-4030 | 2020-10-23 |
| 1265030787 | Lissa Flory | Nurse Practitioner | 4679 Dreibrodt Rd, San Marcos, TX 78666-3388 | 2020-10-16 |
| 1235737941 | Barton Skinner | Nurse Practitioner | 17806 W I-10, Suite 300, San Antonio, TX 78257 | 2020-10-14 |
| 1972101897 | Biny Sam George | Nurse Practitioner | 7207 Baitland Dr, Missouri City, TX 77459-2035 | 2020-10-13 |
| 1285231282 | Nkechi I Carter | Nurse Practitioner | 1550 Katy Gap Rd Apt 1406, Katy, TX 77494-5878 | 2020-10-03 |
| 1770190753 | Julius Osabor Obianke | Nurse Practitioner | 1000 Fallon Dr, Mckinney, TX 75071-1210 | 2020-09-24 |
| 1740896315 | Mackenzie Brooks Jackson | Nurse Practitioner | 46 N Creekside Ct, Houston, TX 77055-7540 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
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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.