DARYL KEITH MOTSENBOCKER (NPI# 1003261512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003261512 |
| Entity Type | Individual |
| Full Name | DARYL KEITH MOTSENBOCKER |
| Credential | AG-ACNP |
| Practice Address |
221 W Colorado Blvd Pavillion 2, Suite 929 Dallas TX 75208-2363 |
| Mailing Address |
1113 Pin Oak Dr Denton TX 76209-4624 |
| Practice Telephone | 2149605681 |
| Practice Fax Number | 2149472727 |
| Mailing Telephone | 9407658987 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 754742 | TX | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP130775 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
221 W COLORADO BLVD PAVILLION 2, SUITE 929 |
| City | DALLAS |
| State | TX |
| Zip Code | 75208-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750388815 | James Michael Morrissey | Plastic Surgery | 221 W Colorado Blvd, Pav 2, Ste 727, Dallas, TX 75208-2363 | 2005-07-05 |
| 1982248548 | Kellie Edwardsen | Nurse Practitioner | 221 W Colorado Blvd, Dallas, TX 75208-2363 | 2019-11-06 |
| 1316426588 | Amanda Indalecia Jimenez | Nurse Practitioner | 221 W Colorado Blvd, Dallas, TX 75208-2363 | 2018-08-08 |
| 1851826473 | Margaret Bondoc | Nurse Practitioner | 221 W Colorado Blvd, Ste#845, Dallas, TX 75208-2363 | 2017-04-21 |
| 1770014771 | Dallas Pulmonary Associates Critical Care | General Acute Care Hospital | 221 W Colorado Blvd, Ste 845, Dallas, TX 75208-2363 | 2017-03-22 |
| 1952859126 | Divali Docs, Pllc | Surgery | 221 W Colorado Blvd, Ste 943, Dallas, TX 75208-2363 | 2016-09-16 |
| 1821443409 | Emily Alice Lowrance | Physician Assistant | 221 W Colorado Blvd, Pavilion II, Suite 425, Dallas, TX 75208-2363 | 2016-05-02 |
| 1093175390 | Center for Cardiovascular Health Pllc | Clinic/Center | 221 W Colorado Blvd, Ste. 729, Dallas, TX 75208-2363 | 2016-02-29 |
| 1518325133 | Heather Rose Nugent | Registered Nurse | 221 W Colorado Blvd, Pav II, Suite 630, Dallas, TX 75208-2363 | 2016-02-10 |
| 1760857684 | Petra Adams | Nurse Practitioner | 221 W Colorado Blvd, 929, Dallas, TX 75208-2363 | 2015-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048710 | Roshonda Guest | Counselor | 529 W. Commerce, 1414, Dallas, TX 75208 | 2019-11-26 |
| 1316506025 | Molecular Innovations Neo-designs Laboratories, LLC | Clinical Medical Laboratory | 839 W. Commerce, Dallas, TX 75208 | 2019-06-07 |
| 1477023430 | Amber M James Dmd, Pllc | Dentist | 650 Fort Worth Ave, Ste 130, Dallas, TX 75208 | 2018-12-03 |
| 1659841237 | Andrea Pavia-jimenez | Physician Assistant | 817 Jefferson Blvd, Dallas, TX 75208 | 2018-11-27 |
| 1841716859 | Jennifer Atherton | Midwife | 618 S Rosemont Ave, Dallas, TX 75208 | 2017-08-22 |
| 1659815892 | Texas Traumatic Brain Injury Rehab | Counselor | 214 W. Colorado Blvd., Dallas, TX 75208 | 2016-12-07 |
| 1295120111 | Silva Pharmacy, Inc | Pharmacy | 939 W Jefferson Blvd Ste 101, Dallas, TX 75208 | 2015-03-30 |
| 1487052478 | Kassandra Sanchez | Counselor | 210 West 10th Street, Dallas, TX 75208 | 2014-12-08 |
| 1023458650 | O.c Medical Associates Pa | Internal Medicine | 737 N. Bishop Avenue, Ste B, Dallas, TX 75208 | 2013-06-27 |
| 1306105135 | Sts Dental, Pllc | Dentist | 909 S. Tyler St., Dallas, TX 75208 | 2012-05-14 |
| Find all providers in zip 75208 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083077 | Renee Mieselle Lies | Nurse Practitioner | 2602 Mckinney Ave Ste 115, Dallas, TX 75204-0727 | 2020-08-11 |
| 1518592534 | Raven Aravind | Nurse Practitioner | 1900 Caddo Street, Number 4, Dallas, TX 75204-4223 | 2020-03-10 |
| 1366090417 | Maria Whitney Nance | Nurse Practitioner | 7777 Forest Ln Ste D308, Dallas, TX 75230-2571 | 2019-09-02 |
| 1336708361 | Sunny Dedmon | Nurse Practitioner | 3225 Turtle Creek Blvd Apt 520, Dallas, TX 75219-5461 | 2019-06-12 |
| 1306401419 | Quatina Lasha Rivers-fleming | Nurse Practitioner | 522 Ivy Chase Loop, Dallas, GA 30157-0946 | 2019-05-03 |
| 1679136220 | Marvise Ijeoma Oduagu | Nurse Practitioner | 305 W Commerce St Apt 336, Dallas, TX 75208-1985 | 2019-04-19 |
| 1851860365 | Yoon Jung Ra | Nurse Practitioner | 2610 Allen St Apt 5410, Dallas, TX 75204-2447 | 2018-11-14 |
| 1134696453 | Mitchell Grayson Kelly | Nurse Practitioner | 5323 Harry Hines Blvd Mailcode 8590, Dallas, TX 75390-0001 | 2018-10-24 |
| 1710411822 | Latosca Brunner | Nurse Practitioner | 221 W Beckley Blvd, Pavilion 2 Suite 929, Dallas, TX 75202 | 2017-04-14 |
| 1376900746 | Lashandra Gray | Nurse Practitioner | 9111 Prairie Bluff Dr, Dallas, TX 75227-5245 | 2016-01-15 |
| 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.