JETTA PLOTKE (NPI# 1164998050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164998050 |
| Entity Type | Individual |
| Full Name | JETTA PLOTKE |
| Credential | RN |
| Practice Address |
7777 Forest Ln Ste B122 Dallas TX 75230-6806 |
| Practice Telephone | 9723831060 |
| Practice Fax Number | 9723831061 |
| Mailing Telephone | 9723831060 |
| Mailing Fax Number | 9723831061 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
636799 | TX | Nursing Service Providers |
| Street Address |
7777 FOREST LN STE B122 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-6806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811427594 | Jena Benik | Physician Assistant | 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 | 2017-06-15 |
| 1235604042 | Walton Matthew Desplas | Registered Nurse | 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 | 2018-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891110458 | Belinda Nangah | Registered Nurse | 13615 Keepers Green St, Dallas, TX 75240-5824 | 2014-02-19 |
| 1437757382 | Beatrice Kubvaruno | Registered Nurse | 13601 Preston Rd, Dallas, TX 75240-4911 | 2020-10-13 |
| 1881194819 | Joanne Quintero | Registered Nurse | 13601 Preston Rd Ste 210w, Dallas, TX 75240-4986 | 2018-02-16 |
| 1326494964 | Ruthann Day | Registered Nurse | 4099 Mcewen Rd, Dallas, TX 75244-5030 | 2016-05-13 |
| 1326365719 | Linda Sherilyn (sheri) Ketchum | Registered Nurse | 4917 Harry Hines Blvd, Dallas, TX 75235-7718 | 2010-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093639 | Leslie Victoria Macias | Registered Nurse | 8000 W Interstate 10 Ste 1500, San Antonio, TX 78230-3883 | 2020-05-01 |
| 1124649546 | Blanca Rosa Amador | Registered Nurse | 205 Redwood Dr, Coppell, TX 75019-5422 | 2020-04-27 |
| 1538794169 | Tina L Coen | Registered Nurse | 10923 W State Highway 7, Nacogdoches, TX 75964-2325 | 2020-03-04 |
| 1326696436 | Cush Young | Registered Nurse | 1908 Parkside Mews, Lancaster, TX 75146-0120 | 2019-09-01 |
| 1538715297 | Treasure Chest Global | Registered Nurse | 3512 Mclean Rd, Pearland, TX 77584-9007 | 2019-08-16 |
| 1821653627 | Misstex Healthcare Consulting, LLC | Registered Nurse | 10854 Chickasha Dr, Tyler, TX 75703-7924 | 2019-05-07 |
| 1083180608 | Kaneisha Teague | Registered Nurse | 15335 Paseo Del Rey Dr, Houston, TX 77083-2427 | 2018-10-22 |
| 1851870604 | Melissa Smith | Registered Nurse | 212 Fernwood St, Bridge City, TX 77611-2328 | 2018-08-13 |
| 1154800076 | Anna Elizabeth Gonzalez | Registered Nurse | 1103 Grover Ave, Lubbock, TX 79416-5007 | 2018-08-10 |
| 1477032571 | Diana Pemberton | Registered Nurse | 1255 W 15th St Ste 1025, Plano, TX 75075-7253 | 2018-08-09 |
| 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.