MEREDYTH LYNN PRADERVAND (NPI# 1912048968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912048968 |
| Entity Type | Individual |
| Full Name | MEREDYTH LYNN PRADERVAND |
| Credential | LMT |
| Practice Address |
228 Ne Wilshire Blvd Suite C Burleson TX 76028-4126 |
| Practice Telephone | 8172954400 |
| Mailing Telephone | 8172954400 |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MT042023 | TX | Other Service Providers |
| Street Address |
228 NE WILSHIRE BLVD SUITE C |
| City | BURLESON |
| State | TX |
| Zip Code | 76028-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
| 1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
| 1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
| 1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| Find all providers in zip 76028 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548470891 | David Robert Hook | Specialist | 2625 Castle Rd, Burleson, TX 76028-1442 | 2007-05-23 |
| 1568515617 | Micheal A Eller | Specialist | 1386 Broad Valley Ct, Burleson, TX 76028-6502 | 2007-01-20 |
| 1356398762 | Mukhtar Anees M.d. P.a. | Specialist | 701 E. Rendon-crowley Rd, Burleson, TX 76028 | 2006-05-30 |
| 1497711840 | Frank Paul Jircik | Specialist | 12001 South Fwy Ste 304, Burleson, TX 76028-7215 | 2006-04-25 |
| 1942265798 | Barry J. Bass | Specialist | 312 E Renfro St, Suite 109, Burleson, TX 76028-3947 | 2006-04-17 |
| 1427012913 | Rajanarender Reddy Cholleti | Specialist | 121 Nw Ellison St Ste 105, Burleson, TX 76028-4739 | 2006-04-13 |
| 1497720726 | Adil M Choudhary | Specialist | 11803 South Fwy Ste 315, Burleson, TX 76028-7036 | 2006-02-21 |
| 1689677957 | Hanane Chichane | Specialist | 115 Nw Newton Dr Ste C, Burleson, TX 76028-4793 | 2005-05-31 |
| 1366445066 | Darrell Lynn Bowyer | Specialist | 11797 South Fwy, Ste 250, Burleson, TX 76028-7035 | 2005-05-27 |
| 1902202575 | Nelon Medical Group Pllc | Specialist | 434 Sw Wilshire Blvd, Burleson, TX 76028-5330 | 2014-11-10 |
| Find all providers in BURLESON | ||||
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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.