MRS. DONNA RAEF KIZZIAR (NPI# 1962044941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962044941 |
| Entity Type | Individual |
| Full Name | MRS. DONNA RAEF KIZZIAR |
| Credential | APRN, FNP-C |
| Practice Address |
Bsa Urgent Care Clinic 4510 Bell St. Amarillo TX 79109 |
| Mailing Address |
Po Box 840026 Dallas TX 75284-0026 |
| Practice Telephone | 8062124835 |
| Practice Fax Number | 8062120900 |
| Mailing Telephone | 8062126965 |
| Mailing Fax Number | 8062126278 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP143371 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
BSA URGENT CARE CLINIC 4510 BELL ST. |
| City | AMARILLO |
| State | TX |
| Zip Code | 79109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455098 | Pamela Dawn George | Counselor | 3807 S. Virginia, Amarillo, TX 79109 | 2019-12-23 |
| 1083251318 | Raeann Mask | Massage Therapist | 3501 W. 45th St, Suite T, Amarillo, TX 79109 | 2019-12-05 |
| 1730734971 | Suzanne Marie Needham | Speech-Language Pathologist | 49112 Matador, Amarillo, TX 79109 | 2019-08-05 |
| 1477108686 | Danielle Denee' Coleman | Pharmacy Technician | 5807 Sw 45th Ave, Ste 100, Amarillo, TX 79109 | 2019-08-05 |
| 1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
| 1598266439 | Catherine Cheyenne Wills | Behavior Technician | 6031 Bell Street, Amarillo, TX 79109 | 2018-02-26 |
| 1053828038 | Anisa Ann Rodriguez-espinoza | Behavior Technician | 6031 Bell, Amarillo, TX 79109 | 2017-12-29 |
| 1336656313 | Johnny Thomas Johansen | Behavior Technician | 6031 Bell St., Amarillo, TX 79109 | 2017-12-29 |
| 1821535683 | Daniel & Max, LLC | Optometrist | 3501 West I-40, Suite A, Amarillo, TX 79109 | 2017-01-31 |
| 1871939736 | Karla E Stovall | Counselor | 3226 Hobbs Rd Ste 101, Amarillo, TX 79109 | 2013-05-20 |
| Find all providers in zip 79109 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229629 | Donna Jeannette Mccauley | Nurse Practitioner | 7407 Imperial Dr, Amarillo, TX 79121-1429 | 2020-09-10 |
| 1902414998 | Sarah Jane Fisk | Nurse Practitioner | 1901 Medi Park Dr Ste 103, Amarillo, TX 79106-2106 | 2020-07-16 |
| 1801410063 | Jeannette Sandoval | Nurse Practitioner | 2329 Ross Osage, Amarillo, TX 79103-3000 | 2020-06-03 |
| 1225679400 | Wendy Dawn Guest | Nurse Practitioner | 7716 Pinnacle Dr, Amarillo, TX 79119-7494 | 2019-09-30 |
| 1326609835 | Chelsea Beth Stevens | Nurse Practitioner | 609 S Carolina St, Amarillo, TX 79106-8721 | 2019-06-25 |
| 1184187759 | Lauren Altendorf | Nurse Practitioner | 3501 S Soncy Rd Ste 110, Amarillo, TX 79119-6405 | 2019-04-10 |
| 1851853311 | Sandra Renee Morris Boyd | Nurse Practitioner | 20001 Wind River Dr, Amarillo, TX 79124-1682 | 2019-04-03 |
| 1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
| 1609349042 | Sarah Price | Nurse Practitioner | 5109 Navajo Trl, Amarillo, TX 79110-4635 | 2019-01-08 |
| 1477029445 | Pamela Lynn Snyder | Nurse Practitioner | 1215 S Coulter St Ste 301, Amarillo, TX 79106-1768 | 2018-10-17 |
| Find all providers in AMARILLO | ||||
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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.