MRS. RAEL OKOTH ECKENROED (NPI# 1891218814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891218814 |
| Entity Type | Individual |
| Full Name | MRS. RAEL OKOTH ECKENROED |
| Other Name | MS. RAEL ATIENO OKOTH |
| Credential | FNP-C |
| Practice Address |
808 S Ballard Ave Ste 140b Wylie TX 75098-4228 |
| Mailing Address |
206 Salem Dr Euless TX 76039-3822 |
| Practice Telephone | 9728789934 |
| Practice Fax Number | 9724760904 |
| Mailing Telephone | 18175002365 |
| Mailing Fax Number | 8173550396 |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
134903 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
808 S BALLARD AVE STE 140B |
| City | WYLIE |
| State | TX |
| Zip Code | 75098-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616974 | Dux2 LLC | Clinic/Center | 808 S Ballard Ave Ste 140b, Wylie, TX 75098-4228 | 2019-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851926182 | Ashley Michelle Akers | Counselor | 303 Tx-78, #100, Wylie, TX 75098 | 2020-03-06 |
| 1033742762 | Neuro Care LLC | Psychiatry & Neurology | 801 S Tx- 78, Wylie, TX 75098 | 2020-02-21 |
| 1720623515 | Dentalhub of Wylie | Clinic/Center | 3483 W.fm 544, Unit- 112, Wylie, TX 75098 | 2019-11-15 |
| 1780144147 | Rxcare Pharmacy, LLC | Pharmacy | 209 N Ballard Ave, Wylie, TX 75098 | 2019-03-21 |
| 1659830081 | Bv Dental, Pllc | Clinic/Center | 330 S. State Highway 78, Suite 200, Wylie, TX 75098 | 2019-03-15 |
| 1407329352 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 8516 Parker Rd E., Wylie, TX 75098 | 2019-01-03 |
| 1396215620 | Lilian Abagwe | Nurse Practitioner | 1108 Ann Dr, Wylie, Wylie, TX 75098 | 2018-11-29 |
| 1114408507 | Stephen Clayton Heath | Occupational Therapy Assistant | 721 Tx-78, Wylie, TX 75098 | 2018-08-24 |
| 1831677400 | Melody Lea Stoker | Physical Therapy Assistant | 3400 Mcmillen Rd Apt 1028, Wylie, TX 75098 | 2018-08-05 |
| 1619465234 | Olufemi Fadahunsi, Dds, PC | Dentist | 2810 W. Fm544, Suite 100, Wylie, TX 75098 | 2018-04-30 |
| Find all providers in zip 75098 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142851 | Shibi Ashish | Nurse Practitioner | 3400 W Fm 544 Ste 640, Wylie, TX 75098-9416 | 2020-10-26 |
| 1811509565 | Sherika Yvonne Taylor | Nurse Practitioner | 512 W Jefferson St, Wylie, TX 75098-4370 | 2020-08-22 |
| 1811507767 | Annette Nguyen | Nurse Practitioner | 3601 Hibiscus Dr, Wylie, TX 75098-8581 | 2020-08-05 |
| 1588281422 | Margaret Ginikanwa Nnandilobi | Nurse Practitioner | 1825 Virtue Port Ln, Wylie, TX 75098-0559 | 2020-06-26 |
| 1598304107 | Pauline Izuchukwu Oji | Nurse Practitioner | 1914 Fairway Glen Dr, Wylie, TX 75098-5559 | 2019-12-30 |
| 1548807654 | Teena Kunnappillil | Nurse Practitioner | 3505 Everglade Ln, Wylie, TX 75098-7401 | 2019-12-09 |
| 1386293504 | Ugonna C. Onwunali | Nurse Practitioner | 1318 Iron Dale Dr, Wylie, TX 75098-8611 | 2019-09-10 |
| 1437703527 | Ashley R. Davies | Nurse Practitioner | 209 Forestbrook Dr, Wylie, TX 75098-6131 | 2019-07-28 |
| 1003375247 | Nneoma Chinonso Oparah | Nurse Practitioner | 116 Turks Cap Trl, Wylie, TX 75098-4625 | 2019-03-18 |
| 1003370701 | Kathryn Rheanne Taylor | Nurse Practitioner | 3208 Blue Haven Way, Wylie, TX 75098-6420 | 2019-01-27 |
| Find all providers in WYLIE | ||||
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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.