Kenya Nicole Nelson (NPI# 1265089320, PAC ID# 6608108360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1265089320 |
| PAC ID by PECOS | 6608108360 |
| Professional Enrollment ID | I20191029003302 |
| Full Name | Kenya Nicole Nelson |
| Organization Legal Name | SENIOR PSYCHOLOGICAL CARE DALLAS I LLC |
| Address |
1850 W Pleasant Run Rd Lancaster TX 75146-1220 |
| Phone Number | 4105524800 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 3375717044 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 120 Meadow View Dr, Justin, TX 76247-9639 | 9406482731 | SENIOR PSYCHOLOGICAL CARE DALLAS I LLC |
| 1850 W Pleasant Run Rd, Lancaster, TX 75146-1220 | 4105524800 | SENIOR PSYCHOLOGICAL CARE DALLAS I LLC |
| Organization Legal Name | SENIOR PSYCHOLOGICAL CARE DALLAS I LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashlei Thomas | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 411 Airport Rd, Sulphur Springs, TX 75482-2005 |
| Jack E Bentham | Psychologist, Clinical | Senior Psychological Care Dallas I LLC | 2645 W Randol Mill Rd, Interlochen Health and Rehabilitation, Arlington, TX 76012-4228 |
| Valarie Johnson | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 1110 State Hwy 135 S, Overton Healthcare Center, Overton, TX 75684-1924 |
| Alisha Neal | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 983 N Texas St, Emory, TX 75440-2450 |
| Deborah Tome | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 1000 Wiggins Pkwy, Christian Care Centers Inc., Mesquite, TX 75150-7465 |
| Nancy Hernandez | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 805 Harrison Ave, Matador, TX 79244-2000 |
| Kimberly Lasheryl Clough | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 1200 S Hall St, Ennis Care Center, Ennis, TX 75119-6318 |
| Loyce Hopkins | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 1000 Wiggins Pkwy, Christian Care Centers Inc., Mesquite, TX 75150-7465 |
| Faye A. Reimers | Psychologist, Clinical | Senior Psychological Care Dallas I LLC | 434 Paza Dr, Mesquite, TX 75149-5107 |
| Tascha Reese | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 1870 John King Blvd, Rockwall, TX 75032-6216 |
| Street Address |
1850 W PLEASANT RUN RD |
| City | LANCASTER |
| State | TX |
| Zip | 75146-1220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ofear Moore Norris | Nurse Practitioner | Senior Psychcare of Dallas I Pllc | 1850 W Pleasant Run Rd, Lancaster, TX 75146-1220 |
| Anthony Doti | Internal Medicine | 1850 W Pleasant Run Rd, Lancaster, TX 75146-1220 | |
| Deitra F Lebouef | Nurse Practitioner | Mihaela Perijoc, Md, Pa | 1850 W Pleasant Run Rd, Lancaster, TX 75146-1220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Damien B Mallat | Gastroenterology | 2700 W Pleasant Run Rd, Suite 240, Lancaster, TX 75146-1004 | |
| Alejandro Santos | General Surgery | 2700 W Pleasant Run Rd, Suite 240, Lancaster, TX 75146-1004 | |
| Scott Moulton | Nurse Practitioner | 3250 W Pleasant Run Rd, Suite 130, Lancaster, TX 75146-1041 | |
| Jennifer A Weatherly | Family Medicine | 3250 W Pleasant Run, Suite 160, Lancaster, TX 75146-1071 | |
| Michael L Gibson | Anesthesiology | Champion Anesthesia Consultants Pllc | 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 |
| Chengrong Zhang | Certified Registered Nurse Anesthetist (crna) | Zenith Anesthesia Pllc | 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 |
| David B Serota | Anesthesiology | Champion Anesthesia Consultants Pllc | 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 |
| Raymond T Fulp Iii | Orthopedic Surgery | 2600 W Pleasant Run Rd, Suite Admin, Lancaster, TX 75146-1114 | |
| Julie B Greene | Anesthesiology | Anesthesiology Consultants of North Texas Pa | 2600 W Pleasant Run Rd, Crescent Medical Center Lancaster, Lancaster, TX 75146-1114 |
| Austin I Ogwu | Internal Medicine | 2505 W Beltline Rd, Lancaster, TX 75146-1930 | |
| Find all physicians in zip 75146 | |||
| City | LANCASTER |
| Zip Code | 75146 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LANCASTER + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.