JLYLE MEDICAL CLINIC PLLC (NPI# 1669934774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669934774 |
| Entity Type | Organization |
| Organization Name | JLYLE MEDICAL CLINIC PLLC |
| Practice Address |
501 N Stone St Caldwell TX 77836-1134 |
| Practice Telephone | 9795678500 |
| Practice Fax Number | 9795678500 |
| Mailing Telephone | 9795678500 |
| Mailing Fax Number | 9795678500 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | SHIRLEY LEVENSON (OWNER) |
| Authorized Official Telephone | 5127740288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 159748601 | 05 |
| Other Name | Type Code |
|---|---|
| JLyle Medical Clinic | Doing Business As Name - Organization |
| Street Address |
501 N STONE ST |
| City | CALDWELL |
| State | TX |
| Zip Code | 77836-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578680815 | Shirley Ann Levenson | Nurse Practitioner | 501 N Stone St, Caldwell, TX 77836-1134 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750529913 | Caldwell I Enterprises, LLC | Assisted Living Facility | 343 Country Club Dr, Caldwell, TX 77836 | 2009-01-27 |
| 1285784397 | Elza Leroy Kutch | Optometrist | 3431 County Rd 330, Caldwell, TX 77836 | 2007-01-11 |
| 1609947654 | Johanna A Elliott | Chiropractor | 101 Hwy 21 E, Caldwell, TX 77836 | 2006-11-13 |
| 1194825547 | Brookshire Brothers Inc | Pharmacy | 455 Hwy 36 N, Caldwell, TX 77836 | 2006-09-25 |
| 1225066541 | Joseph Bennett Jones | Emergency Medicine | 11410 County Road 311, Caldwell, TX 77836 | 2006-06-28 |
| 1093175184 | Waqas Tufail Od Pa | Optometrist | 2901 Riley Fuzzell Road, Spring, TX 77836 | 2016-03-02 |
| 1548687171 | Burleson County Hospital District | Skilled Nursing Facility | 1022 Presidential Corridor East, Caldwell, TX 77836 | 2014-03-20 |
| 1437443751 | Kyle Winkler | Family Medicine | 1103 Woodson Dr, Caldwell, TX 77836 | 2011-06-03 |
| 1467631598 | Del B. Stigler M.d. | Family Medicine | 302 Highway 21 West, Caldwell, TX 77836-0000 | 2007-10-25 |
| 1548891336 | Courtney Jane Chmelar | Student in an Organized Health Care Education/Training Program | 1004 Woodson Dr, Caldwell, TX 77836-1000 | 2020-01-30 |
| Find all providers in zip 77836 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240194 | Jarrod Vaughn Crump | Nurse Practitioner | 2609 S 10th Ave, Caldwell, ID 83605-6816 | 2020-06-25 |
| 1396379475 | Blake Mcdonald | Nurse Practitioner | 1906 Fairview Ave Ste 220, Caldwell, ID 83605-5432 | 2020-02-27 |
| 1316311954 | Ashley Croft | Nurse Practitioner | 2609 S 10th Ave, Caldwell, ID 83605-6816 | 2015-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537857 | Julius Abam | Nurse Practitioner | 634 Rustic Trl, Midlothian, TX 76065-2267 | 2020-10-30 |
| 1750981619 | Suvekchya Subedi | Nurse Practitioner | 4032 Vista Mar Drive, Euless, TX 76040 | 2020-10-29 |
| 1821698754 | Christienne Felice Solis Callasan | Nurse Practitioner | 1010 Palos Verdes Blvd, Arlington, TX 76017-1780 | 2020-10-29 |
| 1932709201 | Aftercare, Pllc | Nurse Practitioner | 2000 Crawford St Ste 1221, Houston, TX 77002-9000 | 2020-10-27 |
| 1497355929 | Hector Medellin IIi | Nurse Practitioner | 6014 County Road 4068, Kemp, TX 75143-2600 | 2020-10-26 |
| 1639778947 | Aj Psychiatry Pllc | Nurse Practitioner | 1920 N Coit Rd Ste 219, Richardson, TX 75080-2832 | 2020-10-19 |
| 1154929735 | Valerie Michelle Vaughn-smith | Nurse Practitioner | 3105 Rockbrook Dr, Kilgore, TX 75662-2251 | 2020-10-15 |
| 1700483468 | Knd Behavioural Health Clinic | Nurse Practitioner | 103 Herrington Dr, Mansfield, TX 76063-7615 | 2020-10-06 |
| 1184231805 | Tihana Sladic | Nurse Practitioner | 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 | 2020-09-27 |
| 1679189369 | Charity Chioma Durant | Nurse Practitioner | 2310 Echo Ct, Rowlett, TX 75088-1534 | 2020-09-18 |
| 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.