DORETTA SPATES (NPI# 1912245044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912245044 |
| Entity Type | Individual |
| Full Name | DORETTA SPATES |
| Credential | ANP-C |
| Practice Address |
655 Promenade Parkway 1013 Irving TX 75039 |
| Practice Telephone | 8173085442 |
| Practice Fax Number | 9727673424 |
| Mailing Telephone | 8173085442 |
| Mailing Fax Number | 9727673424 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
622642 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
655 PROMENADE PARKWAY 1013 |
| City | IRVING |
| State | TX |
| Zip Code | 75039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976714 | Blue Light Therapies LLC | Clinic/Center | 421 E Royal Ln Suite 100, Irving, TN 75039 | 2020-06-12 |
| 1912537127 | Family Pharmacy @ Las Colinas LLC | Pharmacy | 6555 North State Hwy 161, Suite B, Irving, TX 75039 | 2020-01-16 |
| 1669011581 | Thrive House Therapy Pllc | Counselor | 5000 Riverside Drive, Bldg 6, Ste 100, Irving, TX 75039 | 2019-12-23 |
| 1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
| 1932753894 | Jane Spagnoletti Niemtschk | Pharmacist | 750 West John Carpenter Freeway, Mc500, Irving, TX 75039 | 2019-07-30 |
| 1235796640 | Daniel Puig | Massage Therapist | 5000 Riverside Dr. Bldg 6 Ste. 100e, Irving, TX 75039 | 2019-05-21 |
| 1104301738 | Charity Maashe | Technician, Other | 400 E. Royal Lane, Bld 3, Ste 290, Irving, TX 75039 | 2018-09-28 |
| 1225545460 | Kuriachan Eye Institute, Pllc | Ophthalmology | 6750 N Macarthur Blvd Ste 331, Irving, TX 75039 | 2018-01-09 |
| 1619489978 | Eric Reaves | Assistant Behavior Analyst | 400 E. Royal Lane Bldg. 3, Suite 290, Irving, TX 75039 | 2017-10-26 |
| 1194247023 | Michael Do | Optometrist | 6445 Love Dr Apt 3035, Irving, TX 75039 | 2017-07-12 |
| Find all providers in zip 75039 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346792694 | Marykutty Kuriakose | Nurse Practitioner | 8332 Charleston St, Irving, TX 75063-8000 | 2016-11-02 |
| 1538515960 | Christy Parke Tisdale | Nurse Practitioner | 3050 Regent Blvd Ste 20, Irving, TX 75063-3196 | 2016-05-04 |
| 1609263011 | Stephen Bojan | Nurse Practitioner | 1611 Brighton Downs, Irving, TX 75060-4885 | 2015-04-23 |
| 1609800648 | Maurilia V. Foster | Nurse Practitioner | 1302 Lane St Ste 100, Irving, TX 75061-2201 | 2006-07-10 |
| 1710482427 | Victoria Deanda | Nurse Practitioner | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2018-03-26 |
| 1770024218 | Bisharjana Kafle | Nurse Practitioner | 1202 W Pioneer Dr, Irving, TX 75061-7300 | 2017-03-16 |
| 1750836441 | Monica Gordon | Nurse Practitioner | 3501 N Macarthur Blvd Ste 330, Irving, TX 75062 | 2016-08-23 |
| 1518335090 | Hamzat Adefemi Oshun | Nurse Practitioner | 1901 W Irving Blvd, Irving, TX 75061-6823 | 2015-09-14 |
| 1558799817 | Colina Williams | Nurse Practitioner | 5001 Statesman Dr, Irving, TX 75063-2414 | 2013-10-24 |
| 1922350255 | Tara Marchido | Nurse Practitioner | 3050 Regent Blvd, Suite100, Irving, TX 75063-3196 | 2012-10-10 |
| Find all providers in IRVING | ||||
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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.