ANGENETTE TAYLOR (NPI# 1760081871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760081871 |
| Entity Type | Individual |
| Full Name | ANGENETTE TAYLOR |
| Credential | AGACNP |
| Practice Address |
4055 Valley View Ln Ste 700 Dallas TX 75244-5045 |
| Mailing Address |
4055 Valley View Ln Ste 400 Dallas TX 75244-5071 |
| Practice Telephone | 9727153800 |
| Mailing Telephone | 9727153800 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704250947 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704250947 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4055 VALLEY VIEW LN STE 700 |
| City | DALLAS |
| State | TX |
| Zip Code | 75244-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962969576 | David Cavazos | Nurse Practitioner | 4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 | 2019-03-01 |
| 1720687064 | Nehalben Sachin Patel | Nurse Practitioner | 4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 | 2020-10-19 |
| 1407455744 | Joyce Muthoni Macharia | Nurse Practitioner | 4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 | 2020-10-19 |
| 1104433424 | Cassandra Smith | Nurse Practitioner | 4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 | 2020-09-30 |
| 1013522754 | Beth L Lax | Nurse Practitioner | 4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 | 2020-09-10 |
| 1912512583 | Felicia Boamah | Nurse Practitioner | 4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 | 2020-09-10 |
| 1831702810 | Amy M Lombardo | Nurse Practitioner | 4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 | 2020-08-28 |
| 1114538923 | Casey Chauffe Smith | Nurse Practitioner | 4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 | 2020-08-14 |
| 1942828751 | Rosetta H Goba | Nurse Practitioner | 4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 | 2020-07-08 |
| 1679107767 | Rachel Deborah Dupree | Nurse Practitioner | 4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 | 2020-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| 1972157436 | Samantha Lograsso | Nurse Practitioner | 4055 Valley View Ln Suite 400, Dallas, TX 75244 | 2019-08-01 |
| 1205313780 | Cherae Ashland Burton | Licensed Vocational Nurse | 4099 Mcewen Rd., Farmers Branch, TX 75244 | 2018-07-26 |
| 1700383197 | Melissa Fitts | Behavioral Analyst | 13604 Midway Rd. #180, Farmers Branch, TX 75244 | 2018-04-11 |
| 1932607983 | Vcphcs, Lp | Clinic/Center | 5001 Spring Valley Road, Suite 600 East, Dallas, TX 75244 | 2018-01-24 |
| 1518406636 | Gentech Laboratories LLC | Clinical Medical Laboratory | 4403 N. Beltwood Parkway, Suite 300, Dallas, TX 75244 | 2017-02-22 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1376992792 | Lynnlie Tuschoff | Registered Nurse | 4099 Mcewen, Suite 250, Farmers Brach, TX 75244 | 2016-06-07 |
| 1609223072 | Debra Jules | Licensed Vocational Nurse | 4099 Mcewen Road, Dallas, TX 75244 | 2016-05-16 |
| Find all providers in zip 75244 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093206674 | Lucille Travis | Nurse Practitioner | 215 Palisades Dr, Dallas, GA 30157-0928 | 2018-05-19 |
| 1497290910 | Brenda Renee Matzke | Nurse Practitioner | 7625 Wellcrest Dr, Dallas, TX 75230-4856 | 2016-12-20 |
| 1609282391 | Mildred Onime | Nurse Practitioner | 4400 W University Blvd, Apt: 10306, Dallas, TX 75209-3876 | 2014-07-02 |
| 1598941403 | Jorjanna E Toon | Nurse Practitioner | 5523 Laysan Ct, Dallas, TX 75249-2211 | 2008-01-10 |
| 1801991518 | Kay Karen Redwine | Nurse Practitioner | 703 Mckinney Avenue, Suite 433, Dallas, TX 75202 | 2006-09-14 |
| 1205855830 | Mary J Beine | Nurse Practitioner | 7474 Skillman St Apt 402, Dallas, TX 75231-8328 | 2006-07-18 |
| 1992737480 | Joyce H. Danter | Nurse Practitioner | 4144 N Central Expy Ste 450, Dallas, TX 75204-3132 | 2006-07-07 |
| 1073541439 | Karen Florence Sacks | Nurse Practitioner | Presbyterian Hospital of Dallas 8198 Walnut Hill Ln, Jackson Bld. - Neuroinformation Center 1st Floor, Dallas, TX 75231 | 2006-06-28 |
| 1740810746 | Christen Jill Wolf | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-01-19 |
| 1679110241 | Asha Alexander | Nurse Practitioner | 9229 Lyndon B Johnson Fwy, Dallas, TX 75243-3405 | 2019-12-03 |
| Find all providers in DALLAS | ||||
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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.