SONDRA A MACH (NPI# 1174036024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174036024 |
| Entity Type | Individual |
| Full Name | SONDRA A MACH |
| Credential | NP |
| Practice Address |
3614 Camp Bowie Blvd Ft Worth TX 76107-3352 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 8178701873 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
583401 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3614 CAMP BOWIE BLVD |
| City | FT WORTH |
| State | TX |
| Zip Code | 76107-3352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669576450 | Cvs Pharmacy Inc | Pharmacy | 3614 Camp Bowie Blvd, Ft Worth, TX 76107-3352 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102366 | Stephanie Marie Williams | Nurse Practitioner | 6016 Forest Ln, Ft Worth, TX 76112-1060 | 2019-03-07 |
| 1992210579 | Good Doctor Clinic and Urgent Care Pllc | Nurse Practitioner | 4759 South Fwy Ste A, Ft Worth, TX 76115-3655 | 2017-12-05 |
| 1437285541 | Rachelle Shuntae Campbell | Nurse Practitioner | 900w Leuda St, Ft Worth, TX 76104-3002 | 2007-02-25 |
| 1851399240 | Ingrid Cora Hinojosa | Nurse Practitioner | 6080 S Hulen St, Ste. 360, Ft Worth, TX 76132-2622 | 2005-07-11 |
| 1235730623 | Angie Rivera | Nurse Practitioner | 801 7th Ave, Ft Worth, TX 76104-2733 | 2020-11-03 |
| 1447872007 | Maria Ester Ramirez | Nurse Practitioner | 800 8th Ave Ste 528, Ft Worth, TX 76104-2604 | 2020-05-17 |
| 1386286037 | Rachel Martha Mansheim | Nurse Practitioner | 7801 Oakmont Blvd Ste 101, Ft Worth, TX 76132-4242 | 2019-10-15 |
| 1578114617 | Osarugue Cassandra Aigbogun | Nurse Practitioner | 5801 Oakbend Trl Ste 250, Ft Worth, TX 76132-3914 | 2019-09-20 |
| 1124688817 | Casie Laine Coon | Nurse Practitioner | 7510 N Beach St, Ft Worth, TX 76137-1505 | 2019-06-16 |
| 1760969521 | Tomara Lena Torres | Nurse Practitioner | 5601 Bridge St, Ft Worth, TX 76112-2384 | 2018-07-25 |
| Find all providers in FT WORTH | ||||
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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.