BROOKE ALLAN WAGONER PAYTON (NPI# 1831611813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831611813 |
| Entity Type | Individual |
| Full Name | BROOKE ALLAN WAGONER PAYTON |
| Credential | APRN NNP |
| Practice Address |
5201 Harry Hines Blvd Dallas TX 75235-7708 |
| Mailing Address |
1803 Weanne Dr Richardson TX 75082-3105 |
| Practice Telephone | 2145908000 |
| Mailing Telephone | 2143432440 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
AP133692 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5201 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-7708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004449 | Polly Bennett Cordova | Advanced Practice Midwife | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2005-06-21 |
| 1316580368 | Natashea Lewis | Nurse Practitioner | 5201 Harry Hines Blvd, Dallas, TX 75235-7793 | 2019-10-22 |
| 1386285328 | Eva Kirara | Registered Nurse | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-10-01 |
| 1003467879 | Sunny Akwo Makolo | Nurse Practitioner | 5201 Harry Hines Blvd, Dallas, TX 75235-7793 | 2019-09-24 |
| 1396303236 | Alexandra D'oto | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-06-05 |
| 1154883072 | Patrick Ahern | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-04-01 |
| 1609337153 | Gianpaolo Carpinito | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-03-27 |
| 1104397827 | Danielle Theresa Brown | Physical Therapist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2018-12-06 |
| 1992274948 | Carol Chamberlain | Pharmacist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2018-11-20 |
| 1730657875 | Paul Tran | Pharmacist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2018-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447213293 | Donna R Enderle | Nurse Practitioner | Baylor Hospital - 3 Hob, 3500 Gaston Avenue, Dallas, TX 75248 | 2006-04-11 |
| 1922061266 | Mark Vollmer | Nurse Practitioner | 2511 Burlington Blvd, Dallas, TX 75211-5322 | 2006-04-08 |
| 1770063356 | Jessica A Cox | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235 | 2018-08-14 |
| 1942703970 | Scott Ehlers | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2018-03-15 |
| 1629589270 | Erin Nicole Trout | Nurse Practitioner | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2017-10-22 |
| 1952846263 | Nicole Stuart | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2016-12-21 |
| 1013379007 | Daniele Van Winkle | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2016-03-28 |
| 1598125809 | Crystal Harley Kornak | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2016-02-29 |
| 1073985024 | Melissa Jansen | Nurse Practitioner | 5200 Harry Hines Blvd, 4th Floor, Nnicu, Dallas, TX 75235-7709 | 2015-10-28 |
| 1508288457 | Tatiana Pozo Fiorilo | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2014-01-13 |
| 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.