RENEE MIESELLE LIES (NPI# 1669083077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669083077 |
| Entity Type | Individual |
| Full Name | RENEE MIESELLE LIES |
| Credential | APRN |
| Practice Address |
2602 Mckinney Ave Ste 115 Dallas TX 75204-0727 |
| Mailing Address |
4310 Deere St Dallas TX 75204-3608 |
| Practice Telephone | 4697297928 |
| Mailing Telephone | 2149014112 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP145584 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP145584 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2602 MCKINNEY AVE STE 115 |
| City | DALLAS |
| State | TX |
| Zip Code | 75204-0727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866322 | Ashlee Rezvan Zeighami | Nurse Practitioner | 2602 Mckinney Ave Ste 115, Dallas, TX 75204-0727 | 2020-09-16 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1407469125 | Ashley Johnson Nakwaasah | Nurse Practitioner | 14650 Landmark Blvd Apt 1508, Dallas, TX 75254-6932 | 2020-08-24 |
| 1881229359 | Laura Karmann | Nurse Practitioner | 1515 S Buckner Blvd Ste 141, Dallas, TX 75217-1794 | 2020-03-05 |
| 1659902120 | Alegntaye Yirdaw | Nurse Practitioner | 2709 S Buckner Blvd, Dallas, TX 75227-6904 | 2020-02-03 |
| 1154964047 | Jessica Maria Scarf | Nurse Practitioner | 13907 Montfort Dr Apt 2031, Dallas, TX 75240-7374 | 2019-10-23 |
| 1447893565 | Mallory Lynn Mcgroarty | Nurse Practitioner | 3500 Oak Lawn Ave Ste 760, Dallas, TX 75219-4308 | 2019-10-21 |
| 1720563539 | Heather Inkman Kinder | Nurse Practitioner | 16619 Vicarage Ct, Dallas, TX 75248-2227 | 2018-09-27 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1922594902 | Susan Markose | Nurse Practitioner | 3310 Anchor Ct, Dallas, TX 75219-2752 | 2018-07-02 |
| 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.