CONNIE VIDLER (NPI# 1124487236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124487236 |
| Entity Type | Individual |
| Full Name | CONNIE VIDLER |
| Credential | RDCS |
| Practice Address |
525 S Locust St Ste 200 Denton TX 76201-6136 |
| Mailing Address |
4816 Ashworth Ct Arlington TX 76017-1036 |
| Practice Telephone | 9403680220 |
| Mailing Telephone | 8176025362 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
137975 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
525 S LOCUST ST STE 200 |
| City | DENTON |
| State | TX |
| Zip Code | 76201-6136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174994206 | Carrie Breedlove | Counselor | 525 S Locust St Ste 200, Denton, TX 76201-6136 | 2015-10-15 |
| 1851949325 | Emily Burditt | Occupational Therapist | 525 S Locust St Ste 200, Denton, TX 76201-6136 | 2019-08-28 |
| 1902462765 | Jessica O'brien | Occupational Therapist | 525 S Locust St Ste 200, Denton, TX 76201-6136 | 2019-05-16 |
| 1538668546 | Brandi Burnett | Nurse Practitioner | 525 S Locust St Ste 200, Denton, TX 76201-6136 | 2018-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779885 | Darren Duy Pham | Optometrist | 1800 W Chestnut St # 101, Denton, TX 76201 | 2020-01-12 |
| 1184276032 | Daniel Max & Marc Andrea LLC | Optometrist | 2505 W University Dr #1015, Denton, TX 76201 | 2019-07-11 |
| 1396254975 | Ideal Dental of Denton Pllc | Dentist | 2200 W University Drive, Suite 120, Denton, TX 76201 | 2017-09-26 |
| 1861919144 | Mary Lenore Garcia | Nurse Practitioner | 2435 W. Oak St., Suite 103, Denton, TX 76201 | 2017-08-28 |
| 1275065724 | Daneydy Hernandez | Dietitian, Registered | 721 Locust St., Denton, TX 76201 | 2017-04-03 |
| 1073998118 | National Vision, Inc. | Technician/Technologist | 2600 W University Dr, Ste 1240, Denton, TX 76201 | 2015-07-29 |
| 1326420555 | Brittany Ann Ortiz | Occupational Therapist | 2620 Scripture Street, Denton, TX 76201 | 2015-06-24 |
| 1932581253 | Kim Tien Blois | Optometrist | 1800 W Chestnut St Ste 101, Denton, TX 76201 | 2015-06-23 |
| 1679969257 | Allison Haffey | Physical Therapist | 26260 Scripture St, Denton, TX 76201 | 2015-04-10 |
| 1982001319 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1510 W Hickory St, Denton, TX 76201 | 2014-12-01 |
| Find all providers in zip 76201 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568085538 | Christina Danielle Barraco | Spec/Tech, Cardiovascular | 5723 Glenmere Ln, Spring, TX 77379-7845 | 2020-05-25 |
| 1265067276 | Charles Drew Smith | Spec/Tech, Cardiovascular | 914 Rscr 3345, Emory, TX 75440-4810 | 2020-03-10 |
| 1013547314 | Annali Goette | Spec/Tech, Cardiovascular | 305 Murray Farm Dr Apt 428, Fairview, TX 75069-6907 | 2020-01-25 |
| 1932751146 | Edis Hobson | Spec/Tech, Cardiovascular | 8323 Southwest Fwy Ste 470, Houston, TX 77074-1636 | 2019-07-09 |
| 1538625306 | Brian Lawson | Spec/Tech, Cardiovascular | 5508 Valley Oak Dr, El Paso, TX 79932-4404 | 2019-02-15 |
| 1811468077 | Nyquist Imaging,llc | Spec/Tech, Cardiovascular | 7248 Copper Trail Ave, El Paso, TX 79934-3415 | 2018-12-16 |
| 1477023448 | Keylesha Susso | Spec/Tech, Cardiovascular | 1705 Coit Rd Apt 1017, Plano, TX 75075-6146 | 2018-12-03 |
| 1922504455 | Beng Mooi Liew | Spec/Tech, Cardiovascular | 3401 Nova Trl, Plano, TX 75023-3608 | 2018-04-03 |
| 1215432034 | Tiffany Aneu | Spec/Tech, Cardiovascular | 5301 W Spring Creek Pkwy Apt 735, Plano, TX 75024-4905 | 2018-03-25 |
| 1427565860 | Lynette Gascoigne | Spec/Tech, Cardiovascular | 18833 Town Ridge Lane, Apt 1424, Webster, TX 77598-7759 | 2018-01-08 |
| 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.