MRS. JERLENE BONNER TIPPETT (NPI# 1194048116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194048116 |
| Entity Type | Individual |
| Full Name | MRS. JERLENE BONNER TIPPETT |
| Practice Address |
1701 Bunch Dr Ft Worth TX 76112 |
| Mailing Address |
1701 Bunch Dr Fort Worth TX 76112 |
| Practice Telephone | 8174463662 |
| Practice Fax Number | 8174463191 |
| Mailing Telephone | 8174463662 |
| Mailing Fax Number | 8174463191 |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
1701 BUNCH DR |
| City | FT WORTH |
| State | TX |
| Zip Code | 76112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396211397 | Shelia Minor | Home Health Aide | 5648 Victoria Place, Fort Worth, TX 76112 | 2018-10-17 |
| 1457833816 | Joanne Medford | Physical Therapy Assistant | 1704 Wilson Rd, Fort Worth, TX 76112 | 2018-09-02 |
| 1821525502 | Kids & Hugs Home Therapy | Home Health | 2317 Maryel Dr., Fort Worth, TX 76112 | 2017-05-12 |
| 1932516846 | Neuroassessment Services LLC | Clinical Neuropsychologist | 5601 Bridge Street, Suite 500, Ft. Worth, TX 76112 | 2014-07-14 |
| 1114346335 | Blessed Beginnings | Day Training, Developmentally Disabled Services | 2320 Blue Smoke Court North, Fort Worth, TX 76112 | 2014-04-15 |
| 1790035517 | Transitions for Success Inc | In Home Supportive Care | 6228 Warrington Pl Ace, Fort Worth, TX 76112 | 2012-09-19 |
| 1396076543 | Roy Kenji Yamada | Emergency Medicine | 5800 Forest Bend Pl., Ft. Worth, TX 76112 | 2010-01-27 |
| 1437488228 | Rose A Miller | Case Manager/Care Coordinator | 7312 Laurie Drive, Ft. Worth, TX 76112 | 2009-12-08 |
| 1174760508 | Advocate Angels | Case Management | 6829 Gary Lane, Fort Worth, TX 76112 | 2009-01-07 |
| 1215136510 | Ralph Fredrick Baine | Emergency Medicine | 6451 Brentwood Stair Road, Suite 200, Fort Worth, TX 76112 | 2007-07-16 |
| Find all providers in zip 76112 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962576397 | Osita Teddy Okonkwo | Home Health Aide | 5460 Wedgmont Cir N, Ft Worth, TX 76133-2640 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577335 | Monica Rashell Monasmith | Home Health Aide | 1800 Mormon Mill Rd Ste A6, Marble Falls, TX 78654-4176 | 2020-10-30 |
| 1316546377 | Pamela Hubbard Greenwood | Home Health Aide | 2806 Don Hill Ln, Taylor, TX 76574-5341 | 2020-10-21 |
| 1134727019 | Raquel Carmenate Proenza | Home Health Aide | 7380 Autumn Sage Dr, El Paso, TX 79911-3124 | 2020-10-13 |
| 1295333086 | Laquanda Cohen | Home Health Aide | 12655 Kuykendahl Rd Apt 5205, Houston, TX 77090-6937 | 2020-10-13 |
| 1861090052 | David T Bui | Home Health Aide | 506 Cunningham Dr, Arlington, TX 76002-5005 | 2020-10-11 |
| 1023615218 | Temitope Idowu | Home Health Aide | 4411 Garden Ridge Ct, Houston, TX 77084-7393 | 2020-10-01 |
| 1740896240 | Tina Johnson | Home Health Aide | 1601 Garth Rd Apt 3011, Baytown, TX 77520-2378 | 2020-09-20 |
| 1881209179 | Danielle Lapree Mccole | Home Health Aide | 400 Yearwood Ln, Jarrell, TX 76537-1910 | 2020-09-13 |
| 1093329112 | Abdel-fawzi Issah | Home Health Aide | 14019 Wolftrap Ln, Conroe, TX 77384-5619 | 2020-09-04 |
| 1578175816 | Melissa Ann Zepeda | Home Health Aide | 4610 Allison Rd Trlr 312, Houston, TX 77048-4651 | 2020-08-18 |
| 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.