JEANNETTE LARUE KILGARD (NPI# 1992013239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992013239 |
| Entity Type | Individual |
| Full Name | JEANNETTE LARUE KILGARD |
| Credential | PA-C |
| Practice Address |
17101 Preston Rd Suite 200 Dallas TX 75248-1331 |
| Practice Telephone | 4698284342 |
| Practice Fax Number | 9722391597 |
| Mailing Telephone | 4698284342 |
| Mailing Fax Number | 9722391597 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2014-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA02354 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17101 PRESTON RD SUITE 200 |
| City | DALLAS |
| State | TX |
| Zip Code | 75248-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174549406 | Aimee L Wright Do Pa | Family Medicine | 17101 Preston Rd, Suite 200, Dallas, TX 75248-1331 | 2006-07-13 |
| 1326415779 | Pediaq Texas LLC | Nurse Practitioner | 17101 Preston Rd, Ste 115, Dallas, TX 75248-1331 | 2015-09-01 |
| 1477938132 | Pediaq | Nurse Practitioner | 17101 Preston Rd, Ste 115, Dallas, TX 75248-1331 | 2015-07-23 |
| 1033383518 | Keli S. Jones M.d., Pa | Obstetrics & Gynecology | 17101 Preston Rd, Suite 200, Dallas, TX 75248-1331 | 2008-04-16 |
| 1093845349 | Keli Jones | Obstetrics & Gynecology | 17101 Preston Rd, Suite 200, Dallas, TX 75248-1331 | 2007-03-06 |
| 1881616860 | Brandon Marshall Bonds | Chiropractor | 17101 Preston Rd, #190, Dallas, TX 75248 | 2006-07-25 |
| 1053330803 | Kelly L Wimberly | Family Medicine | 17101 Preston Rd, Suite 200, Dallas, TX 75248-1331 | 2006-07-19 |
| 1578589842 | Kelly L Wimberly Md Pa | Family Medicine | 17101 Preston Rd, Suite 200, Dallas, TX 75248-1331 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093336398 | Rachel Carrithers | Registered Nurse | 7611 El Pendsador, Dallas, TX 75248 | 2020-04-28 |
| 1538621024 | Syreeta Williams | Specialist | 16690 Dallas Parkway, Suite 208, Dallas, TX 75248 | 2019-04-03 |
| 1225505928 | Bent Tree Counseling, Pllc | Marriage & Family Therapist | 16800 North Dallas Parkway, Suite 100, Dallas, TX 75248 | 2018-10-31 |
| 1649764598 | Annie Girson | Dentist | 16000 Preston Rd. Suite 310, Dallas, TX 75248 | 2018-06-14 |
| 1821503772 | Affordable Dentist Near Me Dallas Pllc. | Dentist | 14902 Preston Road. Suite 201, Dallas, TX 75248 | 2017-12-13 |
| 1477077717 | Children's Dental At Preston Trail, PC | Dentist | 17194 Preson Road, Dallas, TX 75248 | 2017-07-28 |
| 1871023481 | Caroline Ford | Psychologist | 16150 Preston Road, Dallas, TX 75248 | 2017-06-15 |
| 1679940902 | North Texas Cin, Inc. | Clinic/Center | 15770 North Dallas Parkway, Suite 900, Dallas, TX 75248 | 2015-08-21 |
| 1508246240 | Arzu Shams | Counselor | 17103 Preston Rd Ste 230, Dallas, TX 75248 | 2015-06-08 |
| 1992182174 | Texas Dentistry for Kids Richardson, Pllc | Dentist | 7989 Beltline Rd Ste# 107, Dallas, TX 75248 | 2015-04-27 |
| Find all providers in zip 75248 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641051 | Kelsey Young | Physician Assistant | 12201 Merit Dr Ste 400, Dallas, TX 75251-3117 | 2019-07-17 |
| 1558863555 | Kyra Nicole Logan | Physician Assistant | 221 W Colorado Blvd Pav II Ste. 425, Dallas, TX 75208-7520 | 2018-03-06 |
| 1386169175 | Lauren Moore | Physician Assistant | 5201 Harry Hines Blvd Fl Htower1, Dallas, TX 75235-7708 | 2017-08-14 |
| 1811427594 | Jena Benik | Physician Assistant | 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 | 2017-06-15 |
| 1881123909 | One Healthcare LLC | Physician Assistant | 1722 Routh St Ste 900, Dallas, TX 75201-2588 | 2017-06-12 |
| 1972037307 | Morrison Medical | Physician Assistant | 17746 Preston Rd Ste 100, Dallas, TX 75252-5736 | 2017-04-12 |
| 1205297652 | Keri Miller | Physician Assistant | 9780 Lbj Fwy Ste 124, Dallas, TX 75243-6847 | 2016-03-14 |
| 1275907776 | Aleshia Mutai | Physician Assistant | 5800 E Lovers Ln, Dallas, TX 75206-2901 | 2015-11-20 |
| 1588049613 | Yvonne Conard | Physician Assistant | 2650 Cedar Springs Rd, #5535, Dallas, TX 75201-1495 | 2015-07-30 |
| 1699174599 | John Michael Cline | Physician Assistant | 5201 Harry Hines Boulevard, Psychiatric Emergency Room, Dallas, TX 75235 | 2014-08-15 |
| Find all providers in DALLAS | ||||
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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.