MRS. VICTORIA DEANDA (NPI# 1710482427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710482427 |
Entity Type | Individual |
Full Name | MRS. VICTORIA DEANDA |
Credential | NP |
Practice Address |
1901 N Macarthur Blvd Irving TX 75061-2220 |
Mailing Address |
1316 Black Hawk Ln Carrollton TX 75010-3316 |
Practice Telephone | 9725798100 |
Enumeration Date | 2018-03-26 |
Last Update Date | 2018-03-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP136196 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1110 Cottonwood Ln Ste 105, Irving, TX 750386113 | 9726072525 |
Street Address |
1901 N MACARTHUR BLVD |
City | IRVING |
State | TX |
Zip Code | 75061-2220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992700983 | Baylor Medical Center At Irving | General Acute Care Hospital | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2005-06-16 |
1497367189 | Kristina Deniece Russell | Specialist/Technologist, Other | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2020-08-23 |
1538621248 | Aimee Nicole Samuels | Nurse Practitioner | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2019-04-02 |
1578039699 | Tan Tran | Nurse Practitioner | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2018-10-16 |
1336629393 | Sujatha Joseph | Nurse Practitioner | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2018-08-20 |
1962954172 | Margaret Eileen Reardon | Nurse Practitioner | 1901 N Macarthur Blvd, Irving, TX 75061 | 2016-11-04 |
1003209529 | Ben Ray Graham | Physician Assistant | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2015-03-09 |
1518361930 | Margaret Alexandra Kennedy | Physician Assistant | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2014-10-14 |
1104243682 | Natalia Bubien | Physical Therapist | 1901 N Macarthur Blvd, Irving, TX 75061 | 2014-03-24 |
1962823989 | Kim Nguyen | Physician Assistant | 1901 N Macarthur Blvd, Emergency Department, Irving, TX 75061-2220 | 2013-12-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
Find all providers in zip 75061 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346792694 | Marykutty Kuriakose | Nurse Practitioner | 8332 Charleston St, Irving, TX 75063-8000 | 2016-11-02 |
1538515960 | Christy Parke Tisdale | Nurse Practitioner | 3050 Regent Blvd Ste 20, Irving, TX 75063-3196 | 2016-05-04 |
1609263011 | Stephen Bojan | Nurse Practitioner | 1611 Brighton Downs, Irving, TX 75060-4885 | 2015-04-23 |
1912245044 | Doretta Spates | Nurse Practitioner | 655 Promenade Parkway, 1013, Irving, TX 75039 | 2013-01-24 |
1609800648 | Maurilia V. Foster | Nurse Practitioner | 1302 Lane St Ste 100, Irving, TX 75061-2201 | 2006-07-10 |
1770024218 | Bisharjana Kafle | Nurse Practitioner | 1202 W Pioneer Dr, Irving, TX 75061-7300 | 2017-03-16 |
1750836441 | Monica Gordon | Nurse Practitioner | 3501 N Macarthur Blvd Ste 330, Irving, TX 75062 | 2016-08-23 |
1518335090 | Hamzat Adefemi Oshun | Nurse Practitioner | 1901 W Irving Blvd, Irving, TX 75061-6823 | 2015-09-14 |
1558799817 | Colina Williams | Nurse Practitioner | 5001 Statesman Dr, Irving, TX 75063-2414 | 2013-10-24 |
1922350255 | Tara Marchido | Nurse Practitioner | 3050 Regent Blvd, Suite100, Irving, TX 75063-3196 | 2012-10-10 |
Find all providers in IRVING |
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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.