KEVIN PANNELL (NPI# 1912516170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912516170 |
| Entity Type | Individual |
| Full Name | KEVIN PANNELL |
| Practice Address |
1400 8th Ave Fort Worth TX 76104-4110 |
| Mailing Address |
6225 N State Highway 161 Ste 200 Irving TX 75038-2241 |
| Practice Telephone | 2146870001 |
| Mailing Telephone | 2146870001 |
| Mailing Fax Number | 9725182100 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 891645 | TX | Nursing Service Providers |
| Street Address |
1400 8TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393674 | Todd Ryan Newton | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-10-13 |
| 1477163749 | Sarah Louise Kelley | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-08-03 |
| 1659980811 | Jessica Marie Custance | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-07-23 |
| 1093336570 | Lindsay Keller Chapman | Physical Therapist | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-05-06 |
| 1093336752 | Joab Odhiambo Acholla | Nurse Practitioner | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-05-04 |
| 1952937823 | Melissa Maxwell | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-03-22 |
| 1700419421 | Jaclyn Theresa Channell | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-02-20 |
| 1245861160 | Landon Collier | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-01-29 |
| 1245861178 | Brittney Long | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-01-29 |
| 1871123042 | Elizabeth Fry | Nurse Practitioner | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1821699497 | Erica Ferguson Hicks | Registered Nurse | 4500 Mercantile Plaza Dr Ste 204, Fort Worth, TX 76137-4225 | 2020-11-02 |
| 1659970374 | Amy Mueller | Registered Nurse | 8960 Riscky Trl, Fort Worth, TX 76244-6122 | 2020-10-23 |
| 1023617834 | Eluntra Casteel | Registered Nurse | 3204 Mclean St Apt A, Fort Worth, TX 76103-2959 | 2020-10-22 |
| 1700485992 | Alejandra Quezada | Registered Nurse | 5721 Minnow Dr, Fort Worth, TX 76179-7559 | 2020-10-20 |
| 1962009571 | Victoria Orta | Registered Nurse | 2357 Ranger Dr, Fort Worth, TX 76120-5631 | 2020-10-06 |
| 1861007221 | Jasmine Lax | Registered Nurse | 5141 Gadsden Ave, Fort Worth, TX 76244-9244 | 2020-09-12 |
| 1699388025 | Carrie Forero | Registered Nurse | 1021 Salt Creek Trl, Fort Worth, TX 76131-5382 | 2020-08-25 |
| 1477165223 | Kelly Zandbergen | Registered Nurse | Angels of Care, Fort Worth, TX 76006-5924 | 2020-08-21 |
| 1295347417 | Wendy Cardoza | Registered Nurse | 9908 Tule Lake Rd, Fort Worth, TX 76177-1414 | 2020-08-19 |
| 1346852977 | Rosicler De La Caridad Noble Cantallops | Registered Nurse | 10001 Bugle Dr, Fort Worth, TX 76108-3706 | 2020-08-17 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.