KETURAH HEALTH, LLC (NPI# 1679021042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679021042 |
| Entity Type | Organization |
| Organization Name | KETURAH HEALTH, LLC |
| Other Organization Name | KETURAH HEALTH & MEDSPA |
| Practice Address |
1420 Valwood Parkway 170a Carrollton TX 75006 |
| Mailing Address |
990 287 Hwy N 106-264 Mansfield TX 76063 |
| Practice Telephone | 2145611884 |
| Practice Fax Number | 8777057282 |
| Mailing Telephone | 4696268195 |
| Mailing Fax Number | 8777057282 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | DR. KET DAVIS (NURSE PRACITIONER) |
| Authorized Official Telephone | 3184701899 |
| Authorized Official Credential | DNP, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | AP121985 | TX | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP121985 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Keturah Health & Medspa | Former Legal Business Name - Organization |
| Street Address |
1420 VALWOOD PARKWAY 170A |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1215422712 | Jennifer Rebecca Joseph | Nurse Anesthetist, Certified Registered | 1446 E Trinity Mills Rd, Carrollton, TX 75006 | 2018-06-27 |
| 1619479185 | Dedrie Marie Beck | Physical Therapy Assistant | 1000 W. Crosby Road, Carrollton, TX 75006 | 2018-03-01 |
| 1851892475 | Springcare Enterprises | Clinic/Center | 2840 Keller Springs Road, Suite 601, Carrollton, TX 75006 | 2018-02-28 |
| 1659892685 | Brandon Maughan | Social Worker | 1100 West Jackson Road, Carrollton, TX 75006 | 2017-06-29 |
| 1568997500 | Ad Precision Health Clinic, Pllc | Specialist | 2810 E. Trinity Mills Road, Suite 130, Carrollton, TX 75006 | 2017-04-27 |
| 1366992976 | Total Body Chiropractic | Chiropractor | 2201 Midway Rd Ste 107, Carrollton, TX 75006 | 2016-10-06 |
| 1104202019 | Dazzling Smiles Dental | Dentist | 2145 North Josey Lane., Carrollton, TX 75006 | 2015-08-03 |
| 1336533595 | First Texas Hospital Carrollton LLC | General Acute Care Hospital | 1401 E. Trinity Mills Rd, Carrollton, TX 75006 | 2015-03-26 |
| 1295125862 | Harmony Physical Therapy, Pllc | Clinic/Center | 2324 Old Denton Rd, 120, Carrollton, TX 75006 | 2015-02-03 |
| Find all providers in zip 75006 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583531 | Tessy M. John | Nurse Practitioner | 1656 Audubon Ct, Carrollton, TX 75010-2145 | 2020-09-16 |
| 1619589769 | Hyo Sook Choi | Nurse Practitioner | 2324 Old Denton Rd Ste 100, Carrollton, TX 75006-1440 | 2020-08-20 |
| 1861001000 | Allwell Health Care | Nurse Practitioner | 1001 E Hebron Pkwy Ste 118-297, Carrollton, TX 75010-1002 | 2020-07-23 |
| 1114536364 | Gloria Oluchi Ikonne | Nurse Practitioner | 1001 East Hebron Pkwy Suite 118-297, Carrollton, TX 75010-1015 | 2020-07-23 |
| 1851909717 | Antoinae Hawkins | Nurse Practitioner | 1110 E Branch Hollow Dr Apt 356, Carrollton, TX 75007-1072 | 2020-07-16 |
| 1770106429 | Rhema Healthcare Services | Nurse Practitioner | 1420 Valwood Pkwy Ste No20170a, Carrollton, TX 75006-8312 | 2020-05-28 |
| 1255968004 | Eunjung Kim | Nurse Practitioner | 4444 Saukenuk Ln, Carrollton, TX 75010-1203 | 2020-03-23 |
| 1124660063 | Jenna Brooke Pugh | Nurse Practitioner | 2160 County Road 130, Carrollton, MS 38917-5731 | 2019-10-11 |
| 1760023972 | Amy Rowell | Nurse Practitioner | 150 Clinic Ave Ste 201, Carrollton, GA 30117-4402 | 2019-09-30 |
| 1083270557 | Ray Thomas | Nurse Practitioner | 1033 Dame Carol Way, Carrollton, TX 75010-2357 | 2019-05-10 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75006 |
Please comment or provide details below to improve the information on KETURAH HEALTH, LLC.
| 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.