IBBIE JETER (NPI# 1831636034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831636034 |
| Entity Type | Individual |
| Full Name | IBBIE JETER |
| Credential | FNP |
| Practice Address |
4207 S Monroe St Amarillo TX 79110-2136 |
| Practice Telephone | 8064339384 |
| Mailing Telephone | 8064339384 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP132836 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4207 S MONROE ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79110-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972060234 | Brenda Carole Hoot | Dietitian, Registered | 5111 Canyon Drive, Amarillo, TX 79110 | 2019-02-22 |
| 1861856288 | Andrea Walker | Contractor | 4004 Business Park Dr, Amarillo, TX 79110 | 2016-04-12 |
| 1801181508 | Kendra Mclaughlin | Counselor | 7601 S Western St, Amarillo, TX 79110 | 2011-06-10 |
| 1780620674 | Mobile Xray of Amarillo | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4303 South Fannin, Amarillo, TX 79110-0000 | 2006-06-21 |
| 1649373861 | Daniel M Novak | Internal Medicine | 3108 S. Fillmore St., Amarillo, TX 79110-1026 | 2006-09-06 |
| 1356397301 | Amarillo Multiservice Center for The Aging, Inc. | Clinic/Center | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2006-05-25 |
| 1992256887 | Angelica Sanchez Lopez | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2016-10-17 |
| 1891109773 | Breezi Leeann Wilson | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-18 |
| 1619380516 | Christel Holt | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-09 |
| 1417207408 | Petra Lashun Telford | Licensed Vocational Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-17 |
| Find all providers in zip 79110 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046932 | Eric Wayne Smith | Nurse Practitioner | 1200 Ross St Ste 100, Amarillo, TX 79102-4411 | 2020-09-01 |
| 1104485580 | Sojourner Lynn Bixler | Nurse Practitioner | 3300 I 40 E Ste 400, Amarillo, TX 79103-4801 | 2019-06-10 |
| 1194985648 | Fmc Clinics II Pa | Nurse Practitioner | 14 Medical Dr, Amarillo, TX 79106-4165 | 2008-06-09 |
| 1366983504 | Shelli D. Tracy | Nurse Practitioner | 1901 Medi Park Dr Ste 1048, Amarillo, TX 79106-2108 | 2017-03-20 |
| 1881147353 | Marlene Ford | Nurse Practitioner | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2016-08-01 |
| 1699228585 | Aubrey Vaughn Johnson | Nurse Practitioner | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2016-07-27 |
| 1942467790 | Haven Health Clinics | Nurse Practitioner | 1 Medical Dr, Amarillo, TX 79106-4137 | 2008-05-20 |
| 1922052752 | Haven Health Clinics | Nurse Practitioner | 1 Medical Dr, Amarillo, TX 79106-4137 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740588 | Jessica Claudia Cazaubon | Nurse Practitioner | 13327 Crim Rd, Houston, TX 77049-3448 | 2020-11-04 |
| 1629679147 | Magdoleen Awad | Nurse Practitioner | 1602 Morning Dove Ct, Carrollton, TX 75007-1462 | 2020-11-02 |
| 1215536131 | Linnet Litakuli Nandwa | Nurse Practitioner | 6509 Sheerwater Rd, Arlington, TX 76002-3680 | 2020-10-21 |
| 1902405301 | Texas Suburban Visiting Physician Services | Nurse Practitioner | 2200 Smith Barry Rd, Pantego, TX 76013-5800 | 2020-10-19 |
| 1437757432 | Katie Jo Dixon | Nurse Practitioner | 4300 Speedway Unit 4775, Austin, TX 78765-2032 | 2020-10-12 |
| 1376140954 | Melissa Kujawski | Nurse Practitioner | 332 Enid Dr, Lewisville, TX 75056-5874 | 2020-10-06 |
| 1952908188 | Sari Alhaik | Nurse Practitioner | 411 Park Grove Dr Ste 620, Katy, TX 77450-1576 | 2020-10-01 |
| 1669089421 | Heather Ann Votion | Nurse Practitioner | 4501 S General Bruce Dr Ste 75, Temple, TX 76502-1466 | 2020-09-25 |
| 1245847318 | Xin Peng | Nurse Practitioner | 707 Walsh Hill Trl, Cedar Park, TX 78613-4855 | 2020-09-23 |
| 1194331470 | Clara Dornisha Green | Nurse Practitioner | 5847 Acacia Cir Apt 1816, El Paso, TX 79912-4881 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
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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.