JAYME STILLER (NPI# 1720420722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720420722 |
Entity Type | Individual |
Full Name | JAYME STILLER |
Credential | CPNP |
Practice Address |
1300 W Lancaster Ave Fort Worth TX 76102-3410 |
Practice Telephone | 8173368611 |
Practice Fax Number | 8173902981 |
Mailing Telephone | 8173902900 |
Mailing Fax Number | 8173902981 |
Enumeration Date | 2013-07-19 |
Last Update Date | 2013-07-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
757727 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1300 W LANCASTER AVE |
City | FORT WORTH |
State | TX |
Zip Code | 76102-3410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841281318 | Lesley M Drummond-borg | Medical Genetics | 1300 W Lancaster Ave, Ste 204, Fort Worth, TX 76102-3410 | 2005-11-02 |
1619508330 | Melinda Robison | Behavioral Analyst | 1300 W Lancaster Ave, Fort Worth, TX 76102-3499 | 2020-01-31 |
1710421474 | Kathryn Fruit | Dietitian, Registered | 1300 W Lancaster Ave, Ste 204, Fort Worth, TX 76102-3410 | 2016-12-14 |
1205219961 | Joshua Jessel | Behavioral Analyst | 1300 W Lancaster Ave, Fort Worth, TX 76102-3410 | 2015-06-30 |
1053729525 | Katherine Schaars | Audiologist | 1300 W Lancaster Ave, Ste 106, Fort Worth, TX 76102-3410 | 2014-07-29 |
1922354166 | Candace Nicole Gamble | Medical Genetics | 1300 W Lancaster Ave, Ste 204, Fort Worth, TX 76102-3410 | 2012-07-25 |
1710246343 | Carla Michelle Smith | Behavioral Analyst | 1300 W Lancaster Ave, Fort Worth, TX 76102-3410 | 2012-05-16 |
1962709410 | Einar Ingvarsson | Behavioral Analyst | 1300 W Lancaster Ave, Fort Worth, TX 76102-3410 | 2011-02-18 |
1275838088 | Tina Grace Barbaro Dieber | Medical Genetics | 1300 W Lancaster Ave, Ste 204, Fort Worth, TX 76102-3410 | 2011-01-26 |
1740597095 | Rachel Kramer | Specialist | 1300 W Lancaster Ave, Fort Worth, TX 76102-3410 | 2010-09-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285113746 | Deirdre P Browne | Counselor | 1500 E El Paso, Fort Worth, TX 76102 | 2018-08-07 |
1740784206 | Cvs Pharmacy Inc | Pharmacy | 515 Houston St, Fort Worth, TX 76102 | 2018-03-20 |
1316448061 | Diondra Deshawn Narcisse | Licensed Vocational Nurse | 1314 Lake Street, Fort Worth, TX 76102 | 2018-02-27 |
1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
1104324516 | Vicki Webb-baker | Health Educator | 512 Lamar Street, Suite 400, Fort Worth, TX 76102 | 2018-01-31 |
1235647678 | Brianna Marie Keister | Occupational Therapist | 201 W. Lancaster Ave, 417, Fort Worth, TX 76102 | 2018-01-19 |
1437507910 | Medical Hearing Services, LLC | Hearing Aid Equipment | 1201 Summit Avenue, Fort Worth, TX 76102 | 2016-05-25 |
1891171476 | Karis Starke | Physical Therapy Assistant | 2500 West Freeway (i-30), 100, Fort Worth, TX 76102 | 2015-08-05 |
1265839344 | Fm Katy Dental and Orthodontics, Pllc | Dentist | 100 E 15th Ste 520, Fort Worth, TX 76102 | 2014-12-04 |
1093134512 | Superior Evaluation Services | General Practice | 420 Throckmorton Suite 200, Ft. Worth, TX 76102 | 2014-04-11 |
Find all providers in zip 76102 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
1023594009 | Erica M Lucas | Nurse Practitioner | 800 8th Ave Ste 200, Fort Worth, TX 76104-2619 | 2018-07-13 |
1003280686 | Susan Akberzie | Nurse Practitioner | 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177 | 2015-11-19 |
1427489400 | Brenda Bosch | Nurse Practitioner | 11807 Med Park Dr, Ste 365, Fort Worth, TX 76028-3509 | 2013-12-02 |
1447535463 | Anamarina Jarecke | Nurse Practitioner | 5300 Buchanan St, Fort Worth, TX 76114-1304 | 2011-10-21 |
1770873077 | Michelle Beatrice Oconnor | Nurse Practitioner | 6239 Granbury Rd, Fort Worth, TX 76133-3401 | 2011-04-08 |
1912208687 | Andrea Madeliene Newman | Nurse Practitioner | 901 7th Ave Ste 120, Fort Worth, TX 76104-2724 | 2010-11-10 |
1629306709 | Autumn Brianne Morris | Nurse Practitioner | 901 W Rosedale St, Fort Worth, TX 76104-4672 | 2009-11-30 |
1235466624 | Courtney Shea Stewart | Nurse Practitioner | 5917 Yosemite Dr, Fort Worth, TX 76112-3938 | 2009-11-06 |
1548412018 | Christie Ramirez | Nurse Practitioner | 8376 Mojave Trl, Fort Worth, TX 76116-3638 | 2008-10-16 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76102 |
Please comment or provide details below to improve the information on JAYME STILLER.
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.