KENNETH DEAN IRBY (NPI# 1679851059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679851059 |
| Entity Type | Individual |
| Full Name | KENNETH DEAN IRBY |
| Credential | FNP-C |
| Practice Address |
2962 Rustic Pier Ln League City TX 77573 |
| Mailing Address |
2962 Rustic Pier Ln League City TX 77573-6378 |
| Practice Telephone | 3185181017 |
| Practice Fax Number | 8667025595 |
| Mailing Telephone | 3185181017 |
| Mailing Fax Number | 8667025595 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2018-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP136104 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP06627 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Saint Mary Pl, Shreveport, LA 711014343 | 3186817185 | 3186816812 |
| Street Address |
2962 RUSTIC PIER LN |
| City | LEAGUE CITY |
| State | TX |
| Zip Code | 77573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527306 | Colin Joe Lee | Pharmacist | 1088 W Main St League City, Tx 77573 United States, League City, TX 77573 | 2020-10-28 |
| 1033764931 | Brittany Salinas | Physical Medicine & Rehabilitation | 2205 Colonial Court N, League City, TX 77573 | 2019-08-07 |
| 1366007833 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2220 E. League City Parkway, Suite 200, League City, TX 77573 | 2019-05-09 |
| 1851863724 | Gina Carter | Durable Medical Equipment & Medical Supplies | 210 S. Hwy 3, Unit B, League City, TX 77573 | 2018-12-17 |
| 1497226393 | Daniel Max & Marcandrea LLC | Optometrist | 3170 Gulf Freeway South, League City, TX 77573 | 2018-12-17 |
| 1972071983 | Chelsie N Chonoski | Nurse Practitioner | 2240 Gulf Freeway South, Suite 2.110, League City, TX 77573 | 2018-11-07 |
| 1730660564 | Rebecca Ann Peth | Physical Therapist | 350 N Wesley Dr., Apt 1123, League City, TX 77573 | 2018-08-29 |
| 1912485087 | Sarwat Hussain Zaffer | Dentist | 1620 W Fm 646, Ste D, League City, TX 77573 | 2018-08-01 |
| 1518468651 | Clear Creek Chiropractic Center | Clinic/Center | 624 West Main Ste 102, League City, TX 77573 | 2018-02-23 |
| 1255850848 | Travis William Prothro | Chiropractor | 1620 W. Fm 646, Suite C, League City, TX 77573 | 2017-09-14 |
| Find all providers in zip 77573 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386253714 | Nicole Bruey-pernell | Nurse Practitioner | 210 Cinnabar Bay Ct, League City, TX 77573-0724 | 2020-07-31 |
| 1346859444 | Melissa Ann Botard | Nurse Practitioner | 2118 Dublin Dr, League City, TX 77573-4963 | 2020-07-24 |
| 1316571755 | Amanda Renee Miller | Nurse Practitioner | 2516 Black Skimmer Ct, League City, TX 77573-7773 | 2020-02-25 |
| 1609409549 | Christina Wallace | Nurse Practitioner | 2302 Cambridge Ct N, League City, TX 77573-5004 | 2020-02-19 |
| 1134770159 | Courtney Nicole Simmons-matthews | Nurse Practitioner | 811 Harvard Pointe Dr, League City, TX 77573-4776 | 2019-09-20 |
| 1255899399 | Krislyn Boswell | Nurse Practitioner | 204 Grand Creek Dr, League City, TX 77573-2061 | 2019-03-07 |
| 1093271520 | Christina Rosser | Nurse Practitioner | 4848 Palomar Ln, League City, TX 77573-1586 | 2019-02-20 |
| 1417412792 | Jennifer Thiessen | Nurse Practitioner | 405 Laddingford Ln, League City, TX 77573-1846 | 2019-01-31 |
| 1992296255 | Hannah Elizabeth Stevenson | Nurse Practitioner | 2508 Gulf Fwy S # 110, League City, TX 77573-6743 | 2018-05-22 |
| 1609399922 | Jisha Shiji Thomas | Nurse Practitioner | 3918 Shadow Point Dr, League City, TX 77573-3793 | 2017-07-18 |
| Find all providers in LEAGUE CITY | ||||
| City | LEAGUE CITY |
| Zip Code | 77573 |
Please comment or provide details below to improve the information on KENNETH DEAN IRBY.
| 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.