AGWESIP EMMACULATE (NPI# 1861975534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861975534 |
| Entity Type | Individual |
| Full Name | AGWESIP EMMACULATE |
| Practice Address |
6202 Balcony Ln Dallas TX 75241-5059 |
| Practice Telephone | 9724046542 |
| Mailing Telephone | 9724046542 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | P62434 | IA | Nursing Service Providers |
| Street Address |
6202 BALCONY LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75241-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083273569 | Carter Home Health LLC | In Home Supportive Care | 6202 Balcony Ln, Dallas, TX 75241-5059 | 2019-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649888777 | Sonya Williams | Licensed Practical Nurse | 3481 Pinebrock Dr, Dallas, TX 75241 | 2020-07-15 |
| 1346700259 | Angel Vales | Counselor | 5520 Langdon Rd, Dallas, TX 75241 | 2019-03-25 |
| 1144708611 | Brandie L Mccray | Counselor | 155 Idlewheat Ln, Dallas, TX 75241 | 2018-08-06 |
| 1649792144 | Jessica Franco Skinner | Social Worker | 5520 Langdon Rd., Suite B, C/o Wilmer Hutchins Youth and Family Center, Dallas, TX 75241 | 2017-07-17 |
| 1659790756 | Michele S Gomez | Technician | 3984 Texas College Drive, Dallas, TX 75241 | 2014-04-16 |
| 1013223494 | Jennifer Peterson | Assisted Living Facility | 4160 Clark College Dr., Dallas, TX 75241 | 2010-08-24 |
| 1447561394 | Tricia Davis | Social Worker | 1568 Sax Leigh Dr, Dallas, TX 75241 | 2010-06-25 |
| 1871804989 | Sonya Williams | Case Management | 3481pinebrook Dr, Dallas, TX 75241 | 2010-06-24 |
| 1144468414 | Edwin Ng | Dentist | 1500 E Langdon Rd, Dallas, TX 75241 | 2009-01-26 |
| 1578709135 | Lynita Teresa Fisher | Registered Nurse | 1244 Serenade Lane, Dallas, TX 75241 | 2008-12-31 |
| Find all providers in zip 75241 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136139 | Damecia L Jefferson | Licensed Practical Nurse | 706 Mannington Dr, Dallas, TX 75232-3150 | 2020-08-28 |
| 1083224026 | Tyler Rodriguez | Licensed Practical Nurse | 10814 Stone Canyon Rd Apt 1157, Dallas, TX 75230-4360 | 2020-08-05 |
| 1649888777 | Sonya Williams | Licensed Practical Nurse | 3481 Pinebrock Dr, Dallas, TX 75241 | 2020-07-15 |
| 1669099032 | Jacinta Irungu | Licensed Practical Nurse | 9959 Adleta Blvd Apt 1906, Dallas, TX 75243-8142 | 2020-07-01 |
| 1841814928 | Wounds On Wheels LLC | Licensed Practical Nurse | 210 Valley View Trl, Dallas, GA 30132-5561 | 2020-06-03 |
| 1558984088 | Shannon Seymore | Licensed Practical Nurse | 3637 Trinity Mills Rd Apt 1334, Dallas, TX 75287-6229 | 2020-05-19 |
| 1902439052 | Loria Flanagan | Licensed Practical Nurse | 210 Valley View Trail, Dallas, GA 30132-3013 | 2020-02-18 |
| 1144873118 | Catherine Lee | Licensed Practical Nurse | 225 Gordon Rd, Dallas, PA 18612-2406 | 2019-07-18 |
| 1861964546 | Brian Christopher Eunice | Licensed Practical Nurse | 4123 Cedar Springs Rd Apt 2428, Dallas, TX 75219-3551 | 2018-12-19 |
| 1730667437 | Evelena Gentry | Licensed Practical Nurse | Evelena Gentry, 830 Trinity Lane, Dallas, TX 75241-4530 | 2018-08-03 |
| 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.