MRS. PORTIA MBAH (NPI# 1659517506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659517506 |
| Entity Type | Individual |
| Full Name | MRS. PORTIA MBAH |
| Practice Address |
4108 Mulberry Dr Carrollton TX 75010-1058 |
| Practice Telephone | 4697671870 |
| Mailing Telephone | 4697671870 |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 1005797 | TX | Nursing Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4108 MULBERRY DR |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-1058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188686 | Stephanie Webb | Licensed Practical Nurse | 4253 Hunt Dr Apt 1207, Carrollton, TX 75010-3215 | 2020-06-15 |
| 1801410006 | Anastasia Moore | Licensed Practical Nurse | 1701 E Hebron Pkwy Apt 6301, Carrollton, TX 75010-2126 | 2020-06-03 |
| 1144878653 | Crystal Kelley Harden | Licensed Practical Nurse | 102 Quail Run, Carrollton, GA 30116-1894 | 2019-08-28 |
| 1811471063 | Alycia Brown | Licensed Practical Nurse | 204a Austin Ave, Carrollton, GA 30117-3906 | 2018-09-23 |
| 1831555978 | Deborah F Yates | Licensed Practical Nurse | 118 Pleasant Ridge Rd, Carrollton, GA 30117-9329 | 2016-01-05 |
| 1881941383 | Joyce Omyia Loedum | Licensed Practical Nurse | 1330 Mac Arthur Dr, #2719, Carrollton, TX 75007-4464 | 2012-08-14 |
| 1174845853 | Crystal M Pickens | Licensed Practical Nurse | 1088 Andora Rd Ne, Carrollton, OH 44615-9787 | 2010-02-22 |
| 1942449871 | Brenda Lee Sutton | Licensed Practical Nurse | 4156 Jade Rd Nw, Carrollton, OH 44615-8200 | 2009-02-17 |
| 1386894111 | Judy Arlene Mitzel | Licensed Practical Nurse | 1051 Montero Rd Ne, Carrollton, OH 44615-9165 | 2008-09-29 |
| 1649453622 | Samantha Mindy Heard | Licensed Practical Nurse | 11 Oakridge Drive, Carrollton, GA 30116 | 2007-12-12 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
Please comment or provide details below to improve the information on MRS. PORTIA MBAH.
| 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.