RAFAELLE W TKAC (NPI# 1801378310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801378310 |
| Entity Type | Individual |
| Full Name | RAFAELLE W TKAC |
| Practice Address |
322 W Fork Dr League City TX 77573-3486 |
| Practice Telephone | 8327997003 |
| Mailing Telephone | 8327997003 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
940461 | TX | Nursing Service Providers |
| Street Address |
322 W FORK DR |
| City | LEAGUE CITY |
| State | TX |
| Zip Code | 77573-3486 |
| 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 | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245700665 | Misti Nicole Utt | Registered Nurse | 4414 Running Pine Dr, League City, TX 77573-4749 | 2018-11-28 |
| 1861975443 | Maribel Kasper | Registered Nurse | 2808 Forest Point Dr, League City, TX 77573-5722 | 2018-09-10 |
| 1164740932 | Dorothy Ayobami Worika | Registered Nurse | 3215 Windy Cape Ln, League City, TX 77573-7768 | 2010-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022380 | Bethany Lynn Cole | Registered Nurse | 501 Rowdy Dr, Royse City, TX 75189-8561 | 2020-10-27 |
| 1992304000 | Tiffany Barefoot | Registered Nurse | 1476 E Mccarty Ln Apt 5101, San Marcos, TX 78666-3793 | 2020-10-20 |
| 1104425461 | Cammi Ann Kassie Walls | Registered Nurse | 105 Mossridge, Universal City, TX 78148-3516 | 2020-10-19 |
| 1366049728 | Stacie Renee Wheeler | Registered Nurse | 2385 Crescent Dr, Paris, TX 75460-3246 | 2020-10-07 |
| 1952908667 | Cassandra Nicole Snell | Registered Nurse | 5258 Farm Road 1506, Brookston, TX 75421-4318 | 2020-10-06 |
| 1386250744 | Tamra Nicole Evans | Registered Nurse | 6505 Hillock Ln, Pearland, TX 77584-9295 | 2020-09-21 |
| 1477168615 | Proactive Pediatric Nursing Services, Pllc | Registered Nurse | 17711 Sauki Ln, Richmond, TX 77407-2847 | 2020-09-14 |
| 1427662618 | Jocelyn Zabala Hollar | Registered Nurse | 13930 Ashdale Ln, Houston, TX 77083-5990 | 2020-09-04 |
| 1457963522 | Tracy Ellen Huffman | Registered Nurse | 28018 Wind Hawk Dr, Katy, TX 77494-4272 | 2020-08-20 |
| 1790396612 | Leslie Yerani Sanchez Alanis | Registered Nurse | 165 Rabbit Trl, Cedar Creek, TX 78612 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | LEAGUE CITY |
| Zip Code | 77573 |
Please comment or provide details below to improve the information on RAFAELLE W TKAC.
| 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.