SHELIA YVONNE MCKINNEY (NPI# 1063839165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063839165 |
Entity Type | Individual |
Full Name | SHELIA YVONNE MCKINNEY |
Practice Address |
4623 Miller Ave Ste B Fort Worth TX 76119-5064 |
Mailing Address |
Po Box 24446 Fort Worth TX 76124-1446 |
Practice Telephone | 8179887602 |
Practice Fax Number | 8174135572 |
Mailing Telephone | 8179887602 |
Mailing Fax Number | 8174135572 |
Enumeration Date | 2014-03-26 |
Last Update Date | 2014-03-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 171W00000X | Contractor | TX | Other Service Providers | |
Y | 253J00000X | Foster Care Agency | TX | Agencies |
Street Address |
4623 MILLER AVE STE B |
City | FORT WORTH |
State | TX |
Zip Code | 76119-5064 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
Find all providers in zip 76119 |
Taxonomy Code | 253J00000X |
Grouping | Agencies |
Classification | Foster Care Agency |
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487023024 | Alicia Porter | Foster Care Agency | 3642 Hulen Park Cir, Fort Worth, TX 76123-1428 | 2015-09-23 |
1770952822 | Love -n-care | Foster Care Agency | 3954 Sarasota Springs Dr, Fort Worth, TX 76123-1479 | 2015-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316553258 | Ruth Guillen | Foster Care Agency | 2032 N 77 Sunshinestrip, Harlingen, TX 78550-4127 | 2020-09-16 |
1255951562 | Toni Lee Leday | Foster Care Agency | 3210 Clipper Winds Way, Houston, TX 77084-7618 | 2020-04-16 |
1528697794 | Melba Foster Care | Foster Care Agency | 21934 Grand Brook Ln, Richmond, TX 77469-6362 | 2020-04-08 |
1285267955 | Vanessa Horn | Foster Care Agency | 851 Woodridge Cir, Desoto, TX 75115-7568 | 2020-02-20 |
1215597422 | Samuel E. Aghaziem | Foster Care Agency | 228 The Falls Dr, Sunnyvale, TX 75182-6204 | 2019-06-19 |
1285199752 | Starry | Foster Care Agency | 1300 N Mays St, Round Rock, TX 78664-4207 | 2019-02-08 |
1003391947 | Bertha Alicia Carvallo | Foster Care Agency | 2725 Fillmore, El Paso, TX 79930 | 2018-09-26 |
1861987141 | Madre Teresa Adult Foster Home | Foster Care Agency | 2909 Lake Spier Dr, El Paso, TX 79936-3319 | 2018-06-28 |
1386136612 | Advantage Star | Foster Care Agency | 1801 N Hampton Rd Ste 418, Desoto, TX 75115-2422 | 2018-06-01 |
1730670589 | Monica Graves | Foster Care Agency | 1029 Aries St, Cedar Hill, TX 75104-3263 | 2018-05-27 |
Find all providers with the same taxonomy |
City | FORT WORTH |
Zip Code | 76119 |
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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.