SHAEDERRICA THEUS (NPI# 1053814053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053814053 |
| Entity Type | Individual |
| Full Name | SHAEDERRICA THEUS |
| Practice Address |
8640 Cove Meadow Ln Ft Worth TX 76123-2330 |
| Mailing Address |
5311 Wendel Dr Ft Worth TX 76133-4813 |
| Practice Telephone | 3187621281 |
| Mailing Telephone | 3187621281 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | TX | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DBA | 081112616 | 01 |
| Street Address |
8640 COVE MEADOW LN |
| City | FT WORTH |
| State | TX |
| Zip Code | 76123-2330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023511029 | My Saints | Home Health | 8640 Cove Meadow Ln, Ft Worth, TX 76123-2330 | 2018-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440146 | Ismile Dental At The Chisolm Trail Pllc | Dentist | 5513 Sycamore School Rd, Fort Worth, TX 76123 | 2020-09-08 |
| 1558916361 | Nimu Pllc | Dentist | 5325 Mcpherson Blvd, Suite 120, Fort Worth, TX 76123 | 2019-08-08 |
| 1306361431 | Kelley Phillips | Counselor | 5013 Pallas Court, Fort Worth, TX 76123 | 2017-08-09 |
| 1396280756 | Chisholm Trail Emergency Center | Clinic/Center | 5500 Sycamore School Rd., Ste. 150, Fort Worth, TX 76123 | 2016-12-21 |
| 1457801391 | Point of Grace Home Health | Registered Nurse | 2533 Mill Spring Pass, Fort, TX 76123 | 2016-10-04 |
| 1992253306 | Jason Bowers | Specialist/Technologist, Other | 5316 Quail Feather Dr, Fort Worth, TX 76123 | 2016-09-14 |
| 1831546944 | Kalima Charway | Psychologist | 4532 Endercrest Lane, Fort Worth, TX 76123 | 2016-05-18 |
| 1033551577 | Michael Rose | Specialist | 4924 Belladonna Dr, Fort Worth, TX 76123 | 2013-07-25 |
| 1265871768 | Anna Uppal | Dentist | 100 Wolfe Nursery Street, 180, Stephenville, TX 76123 | 2013-06-18 |
| 1366880627 | Mesa Springs, LLC | Psychiatric Hospital | 5560 Mesa Springs Drive, Fort Worth, TX 76123 | 2013-06-10 |
| Find all providers in zip 76123 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) 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 |
|---|---|---|---|---|
| 1184225328 | Nia Lynshun Washington | Nurse's Aide | 1705 S Houston St, Longview, TX 75602-3317 | 2020-11-04 |
| 1396343315 | Dawn Akindele | Nurse's Aide | 7619 Chalk Hl, Missouri City, TX 77459-6156 | 2020-10-12 |
| 1831705540 | Patrictia Wright | Nurse's Aide | 440 Benmar Dr Ste 2289, Houston, TX 77060-3077 | 2020-09-17 |
| 1295340263 | Sedrick Roberto Miles | Nurse's Aide | 16815 Mclean Rd, Pearland, TX 77584-4636 | 2020-09-15 |
| 1366054405 | Dawnshetta Nycole Sparks | Nurse's Aide | 2805 Shaye Ln, Fort Worth, TX 76112-5931 | 2020-08-19 |
| 1689284663 | Rahfeki S Williams | Nurse's Aide | 6900 Cross B Rd Apt M201, Odessa, TX 79765-2393 | 2020-08-05 |
| 1083238364 | Patricia Gail Helms | Nurse's Aide | 123 Toyah Dr, Portland, TX 78374-1227 | 2020-06-03 |
| 1144841743 | Divine Services Unlimited LLC | Nurse's Aide | 15003 Lance Cir, Houston, TX 77053-2591 | 2020-05-05 |
| 1811518681 | Darcie Ann Waggle | Nurse's Aide | 997 Water Oak, Schertz, TX 78154-2074 | 2020-05-02 |
| 1225665714 | Angela Merida | Nurse's Aide | 1404 W 12th Ave, Corsicana, TX 75110-6341 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
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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.