IDELLE TAYE (NPI# 1770991648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770991648 |
Entity Type | Individual |
Full Name | IDELLE TAYE |
Credential | NP |
Practice Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1374 |
Mailing Address |
871 Lake Carolyn Pkwy Apt 211 Irving TX 75039-4590 |
Practice Telephone | 8003622731 |
Enumeration Date | 2014-07-23 |
Last Update Date | 2018-09-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP126033 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP126033 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1200 Keller Pkwy, 100, Keller, TX 762483792 | 8179468664 |
Street Address |
13737 NOEL RD STE 1600 |
City | DALLAS |
State | TX |
Zip Code | 75240-1374 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831198209 | Leslie John Derdeyn | Radiology | 13737 Noel Rd Ste 1600, Attn Rays, Dallas, TX 75240-1374 | 2005-07-19 |
1457973547 | Daniel Kwame Apau | Nurse Practitioner | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2020-05-11 |
1164938635 | Ehra Medical Services of Texas Pa | Emergency Medicine | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2017-12-20 |
1700319183 | Eugieneo Kandoth | Internal Medicine | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2017-04-04 |
1033565890 | Ifat Sattar | Emergency Medicine | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2016-05-11 |
1639533433 | Davina Whitehurst | Nurse Practitioner | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2016-04-07 |
1417315367 | Questcare Em Oklahoma LLC | Physician Assistant | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2016-02-07 |
1962860817 | Questcare Hospitalists Oklahoma LLC | Internal Medicine | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2016-02-07 |
1306201264 | Northwest Tucson Emergency Physicians PC | Emergency Medicine | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2015-12-20 |
1346625779 | David Wright Mcmillan | Nurse Practitioner | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2015-07-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
1134610934 | Kristen Cairns | Counselor | 13140 Coit Rd # 328, Dallas, TX 75240 | 2018-05-29 |
1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
1689119307 | Ginger Lee Hagood | Counselor | 5580 Lbj Freeway, Suite 300, Dallas, TX 75240 | 2017-01-04 |
1831565712 | Stella I Clark | Nurse's Aide | 7373 Valley View Ln #2065, Dallas, TX 75240 | 2015-08-14 |
1790163608 | Shana Lynn Gangi | Social Worker | 13601 Preston Rd Ste W970, Dallas, TX 75240 | 2015-05-12 |
1134527096 | Jahvel Thompson | Physician Assistant | 8112 W. Spring Valley Rd., Dallas, TX 75240 | 2014-12-09 |
1295137396 | Rineil Francis Perez | Pharmacist | 13131 Monfort Dr, Dallas, TX 75240 | 2014-09-19 |
1255731311 | Arturo Ojeda | Counselor | 13140 Coit Rd Ste 326, Dallas, TX 75240 | 2014-08-26 |
Find all providers in zip 75240 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063969459 | Nrs, Inc | Nurse Practitioner | 1705 Martin Luther King Jr Blvd Ste C, Dallas, TX 75215-3223 | 2016-09-02 |
1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
1952728636 | Derrick Micah Love-jones | Nurse Practitioner | 1705 Martin Luther King Jr Blvd, Suite C, Dallas, TX 75215-3222 | 2014-03-19 |
1932719606 | Jenny Garner Tharp | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-08-06 |
1386272466 | Asha Y Dwumfour-poku | Nurse Practitioner | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-04-01 |
1689211963 | Callie Lauren Harris | Nurse Practitioner | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2019-12-05 |
1891332656 | Sharonda Ransom | Nurse Practitioner | 1411 N Beckley Ave Ste 352, Dallas, TX 75203-1270 | 2019-11-28 |
1740824473 | Sandra Carranza | Nurse Practitioner | 7777 Forest Ln Ste C650, Dallas, TX 75230-6867 | 2019-11-06 |
1700348836 | Kathryn Nicole Aubuchon | Nurse Practitioner | 3417 Gaston Ave Ste 1100, Dallas, TX 75246-2037 | 2019-04-06 |
1437610334 | Victorian Healthcare | Nurse Practitioner | 2602 Martin Luther King Jr Blvd, Dallas, TX 75215-2309 | 2019-03-25 |
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.