MARY F. RED (NPI# 1801952676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801952676 |
| Entity Type | Individual |
| Full Name | MARY F. RED |
| Credential | WHCNP |
| Practice Address |
8224 Park Ln Ste 130 Vickery Health Center Dallas TX 75231-6021 |
| Mailing Address |
Po Box 660599 Dallas TX 75266-0599 |
| Practice Telephone | 2142660266 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2009-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
607808 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 139460320 | 05 | |
| TX | 139460323 | 05 | |
| TX | 139460324 | 05 | |
| TX | 139460315 | 05 | |
| TX | 139460316 | 05 | |
| TX | 139460325 | 05 | |
| TX | 139460318 | 05 | |
| TX | 139460317 | 05 | |
| TX | 139460321 | 05 | |
| TX | 139460319 | 05 | |
| TX | 139460322 | 05 |
| Street Address |
8224 PARK LN STE 130 VICKERY HEALTH CENTER |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174507313 | Sentayehu Kassa | Family Medicine | 8224 Park Ln Ste 130, Vickery Health Center, Dallas, TX 75231-6021 | 2005-12-01 |
| 1467811554 | Dallas County Hospital District | Social Worker | 8224 Park Ln Ste 130, Dallas, TX 75231-6021 | 2016-02-17 |
| 1336347954 | Yamamah Mohammad Isa | Nurse Practitioner | 8224 Park Ln Ste 130, Vickery Health Center, Dallas, TX 75231-6021 | 2007-07-05 |
| 1457417230 | Jennifer L. Blankenship | Nurse Practitioner | 8224 Park Ln Ste 130, Vickery Health Center, Dallas, TX 75231-6021 | 2006-12-28 |
| 1134285901 | Susan A. Smith | Advanced Practice Midwife | 8224 Park Ln Ste 130, Vickery Health Center, Dallas, TX 75231-6021 | 2006-12-28 |
| 1821026386 | Dallas County Hospital District | Family Medicine | 8224 Park Ln Ste 130, Vickery Health Center, Dallas, TX 75231-6021 | 2006-06-30 |
| 1396718045 | Sukanya Ravi | Family Medicine | 8224 Park Ln Ste 130, Dallas, TX 75231-6021 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457988461 | Sarah Elizabeth Higgins | Nurse Practitioner | 8060 Park Ln, Dallas, TX 75231-5912 | 2020-03-27 |
| 1285284323 | Barbara E Mauk | Nurse Practitioner | 13516 Waterfall Way, Dallas, TX 75240-5831 | 2019-09-19 |
| 1447720941 | Rlj Visiting Housecalls LLC | Nurse Practitioner | 3603 Creek View Dr, Dallas, TX 75233-1709 | 2018-11-28 |
| 1396295051 | Melody Lin | Nurse Practitioner | 7424 Greenville Ave Ste 206, Dallas, TX 75231-4534 | 2016-10-06 |
| 1467766055 | Courtney Puff Sherman | Nurse Practitioner | 2701 Reagan St, Dallas, TX 75219-3403 | 2010-08-06 |
| 1437486297 | Lydia Vincent Hathorn | Nurse Practitioner | 7012 Wakefield St, Dallas, TX 75231-7306 | 2009-11-14 |
| 1407912009 | Annika J. Evans | Nurse Practitioner | 3600 Gaston Ave Ste 558, Dallas, TX 75246-1905 | 2006-12-28 |
| 1295735637 | Paula V. Reid | Nurse Practitioner | 1936 Amelia Ct, Hiv-aids Clinic, Dallas, TX 75235-7711 | 2005-07-28 |
| 1255331534 | Hoa L. Truong | Nurse Practitioner | 3320 Live Oak St Fl 5, East Dallas Women's Health Center, Dallas, TX 75204-6109 | 2005-07-28 |
| 1598765794 | Joanne Lashmet | Nurse Practitioner | 6303 Harry Hines Blvd Ste 101, Maple Women's Health Center, Dallas, TX 75235-5228 | 2005-07-28 |
| 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.