NIDISH JOSE (NPI# 1104348903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104348903 |
| Entity Type | Individual |
| Full Name | NIDISH JOSE |
| Credential | AGNP-C |
| Practice Address |
2700 Tibbets Dr Ste 300 Bedford TX 76022-5938 |
| Mailing Address |
3044 Hidden Valley Dr Fort Worth TX 76177-2716 |
| Practice Telephone | 8174840233 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
789098 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2700 TIBBETS DR STE 300 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76022-5938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851773428 | Beth Ann Zanon | Nurse Practitioner | 2700 Tibbets Dr Ste 300, Bedford, TX 76022-5938 | 2015-06-19 |
| 1124558796 | Arete Medical Group | Specialist | 2700 Tibbets Dr Ste 300, Bedford, TX 76022-5938 | 2017-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155754 | Jacquelyn H Holloway | Registered Nurse | 820 Uptown Blvd, Bedrord, TX 76022 | 2020-08-18 |
| 1861972556 | Red Diamond Medical Group Pllc | Internal Medicine | 2700 Tibbets Dr # 301, Bedford, TX 76022 | 2018-08-21 |
| 1649761958 | Florine Karimi Mati | Behavioral Analyst | 1413 Tennis Dr, Bedford, TX 76022 | 2018-05-22 |
| 1760836704 | Healing Hands Senior Care Service | Technician | 1152 High Point Rd., Bedford, TX 76022 | 2016-04-15 |
| 1972965283 | Emily Vandoren | Physical Therapist | 1705 Forest Ridge Drive, Bedford, TX 76022 | 2016-03-25 |
| 1396123949 | Decorla Holmes | Adult Companion | 1152 Highpoint Rd., Bedford, TX 76022 | 2015-05-15 |
| 1629409198 | Susan Yvonne Pelletier | Durable Medical Equipment & Medical Supplies | 1600 Central Drive, Suite 157, Bedford, TX 76022 | 2013-12-09 |
| 1649565953 | Alisa Thamwiwat | Internal Medicine | 1604 Hospital Pkwy Ste 301, Bedford, TX 76022 | 2011-06-15 |
| 1528227576 | Ft. Worth Home Care Inc | Home Health | 1600 Airport Freeway, Suite 503, Bedford, TX 76022 | 2008-06-05 |
| 1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
| Find all providers in zip 76022 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740769173 | Annette Theresa Pohlchuck | Nurse Practitioner | 44 Blaine Ave Fl 4, Bedford, OH 44146-2709 | 2018-08-07 |
| 1831335173 | Kimberly Ann Koch | Nurse Practitioner | 1305 Airport Fwy Ste 405, Bedford, TX 76021-6607 | 2008-12-16 |
| 1205912995 | Lisa A Kleindorfer | Nurse Practitioner | 2424 Q St, Bedford, IN 47421-4734 | 2006-10-27 |
| 1629175146 | Ann Louise Paladin | Nurse Practitioner | Edith North Hospital, 200 Springs Rd, Bedford, MA 01730-1198 | 2006-09-19 |
| 1548282718 | Elizabeth Mary Cullity | Nurse Practitioner | 300 Springs Road, Bedford, MA 01730 | 2006-07-24 |
| 1942204540 | Judy A Custer | Nurse Practitioner | 342 Richard St, Bedford, PA 15522 | 2005-06-10 |
| 1770587024 | Gloria Just | Nurse Practitioner | 217 Washington Street, Bedford, VA 24523 | 2005-06-02 |
| 1851905970 | Kortney Nicole Curtis | Nurse Practitioner | 2811 Washington Ave, Bedford, IN 47421-5310 | 2020-09-04 |
| 1750912960 | Stephanie Holdcroft | Nurse Practitioner | 3251 Shawnee Dr S, Bedford, IN 47421-5277 | 2020-01-28 |
| 1154879203 | Wayne Snyder Jr. | Nurse Practitioner | 44 Blaine Ave, Bedford, OH 44146-2709 | 2016-09-19 |
| Find all providers in BEDFORD | ||||
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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.