SHEENA TAVANA (NPI# 1073039434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073039434 |
| Entity Type | Individual |
| Full Name | SHEENA TAVANA |
| Credential | CNIM |
| Practice Address |
251 E Southlake Blvd Southlake TX 76092-6269 |
| Practice Telephone | 8174240971 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
251 E SOUTHLAKE BLVD |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437283264 | Jessica L Wilson | Specialist/Technologist, Other | 251 E Southlake Blvd, Southlake, TX 76092-6269 | 2007-03-15 |
| 1376089961 | Avery Cording | Specialist/Technologist, Other | 251 E Southlake Blvd, 150, Southlake, TX 76092-6269 | 2017-01-06 |
| 1457897050 | Qi Zhang | Specialist/Technologist, Other | 251 E Southlake Blvd, 150, Southlake, TX 76092-6269 | 2017-01-06 |
| 1992241574 | Robert Pierce | Specialist/Technologist, Other | 251 E Southlake Blvd, 150, Southlake, TX 76092-6269 | 2017-01-06 |
| 1992150288 | John Mouser | Specialist/Technologist, Other | 251 E Southlake Blvd, Suite 150, Southlake, TX 76092-6269 | 2016-04-25 |
| 1487029880 | Samantha Birtalan | Specialist/Technologist, Other | 251 E Southlake Blvd, Suite 150, Southlake, TX 76092-6269 | 2015-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609396431 | Kami Pope | Specialist/Technologist, Other | 251 E. Southlake Blvd, 150, Southlake, TX 76092 | 2017-06-22 |
| 1558891879 | Neurite Monitoring, LLC | Specialist/Technologist, Other | 2600 E Southlake Blvd Ste 120, 298, Southlake, TX 76092-8045 | 2017-06-19 |
| 1437283264 | Jessica L Wilson | Specialist/Technologist, Other | 251 E Southlake Blvd, Southlake, TX 76092-6269 | 2007-03-15 |
| 1265906366 | Latoria Randile | Specialist/Technologist, Other | 251 E Southlake Blvd Ste 150, Southlake, TX 76092-6276 | 2019-01-11 |
| 1902322365 | Synmed, LLC | Specialist/Technologist, Other | 251 E Southlake Blvd Ste 150, Southlake, TX 76092-6276 | 2017-08-17 |
| 1376089961 | Avery Cording | Specialist/Technologist, Other | 251 E Southlake Blvd, 150, Southlake, TX 76092-6269 | 2017-01-06 |
| 1457897050 | Qi Zhang | Specialist/Technologist, Other | 251 E Southlake Blvd, 150, Southlake, TX 76092-6269 | 2017-01-06 |
| 1992241574 | Robert Pierce | Specialist/Technologist, Other | 251 E Southlake Blvd, 150, Southlake, TX 76092-6269 | 2017-01-06 |
| 1992150288 | John Mouser | Specialist/Technologist, Other | 251 E Southlake Blvd, Suite 150, Southlake, TX 76092-6269 | 2016-04-25 |
| 1487029880 | Samantha Birtalan | Specialist/Technologist, Other | 251 E Southlake Blvd, Suite 150, Southlake, TX 76092-6269 | 2015-12-10 |
| Find all providers in SOUTHLAKE | ||||
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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.