KALYN PETERSON


Address: 293 Bent Tree Ln, Haslet, TX 76052-3876
Phone: 8178258781

KALYN PETERSON (NPI# 1215487442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215487442
Entity Type Individual
Full Name KALYN PETERSON
Practice Address 293 Bent Tree Ln
Haslet
TX 76052-3876
Practice Telephone 8178258781
Practice Fax Number 8174391835
Mailing Telephone 8178258781
Mailing Fax Number 8174391835
Enumeration Date 2016-10-12
Last Update Date 2016-10-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization Managed Care Organizations

Office Location

Street Address 293 BENT TREE LN
City HASLET
State TX
Zip Code 76052-3876

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437679206 Oak Haven Special Care, LLC Assisted Living Facility 293 Bent Tree Ln, Haslet, TX 76052-3876 2017-06-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770123481 Coppell Spine & Sports Rehab Limited Partnership Physical Therapist 12520 Willow Springs Road, Building 3, Suite 104, Haslet, TX 76052 2020-01-10
1568954451 Brian Rue Physical Therapist 12520 Willow Springs Rd, Bldg 3, #104, Haslet, TX 76052 2018-06-05
1831550334 Haslet Family Dental Pllc Dentist 2412 Avondale Haslet Ro., Suite 100, Fort Worth, TX 76052 2016-03-10
1205293883 William Shattuck, Dds, Pllc Dentist 295 Fm 156, Ste 200, Haslet, TX 76052 2016-01-27
1790155489 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 13901 Sendera Ranch Rd, Haslet, TX 76052 2015-10-07
1902203409 Matthew Sapit Physician Assistant 13000 Chisholm Ranch Dr, Haslet, TX 76052 2014-11-26
1457750853 Haslet Medical Center LLC Clinic/Center 13172 Nw Hwy 287, Fort Worth, TX 76052 2014-08-21
1972943355 Wal-mart Stores Texas, LLC Technician/Technologist 2401 Avondale Haslet, Fort Worth, TX 76052 2013-06-28
1356784110 Pediatric Dentistry of Haslet, P.C. Dentist 544 Fm 156 South, Suite 100, Haslet, TX 76052 2013-04-11
1073866703 Lisa Mari Cecil Specialist 10840 Texas Health Trail, Ste 110, Ft Worth, TX 76052 2012-10-18
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841849494 Face To Face Healthcare Services LLC Preferred Provider Organization 2616 S Loop W Ste 300, Houston, TX 77054-2672 2019-09-06
1700438827 Cleveland Phillips Jr. Preferred Provider Organization 11146 Vance Jackson Rd Apt 3801, San Antonio, TX 78230-2563 2019-07-09
1154983492 Cassandra Denese Mitchell Preferred Provider Organization 8319 Heights Vly, Converse, TX 78109-3503 2019-07-08
1083187223 Chinese Community Center, Inc. Preferred Provider Organization 9800 Town Park Dr, Houston, TX 77036-2316 2019-01-10
1013422492 Cicero L Sadler Preferred Provider Organization 4001 San Jacinto St, Houston, TX 77004-4021 2017-12-07
1528577483 Mary Brown-jacobs Preferred Provider Organization 501 Canvas Ct, Crowley, TX 76036-4338 2017-09-22
1962931220 Ai Community Services LLC Preferred Provider Organization 6928 Shoreway Dr, Grand Prairie, TX 75054 2017-06-08
1649706227 Divine Integrity Allied Healthcare Services Preferred Provider Organization 4738 Bedford Ave, Midland, TX 79703-4535 2017-05-03
1255866950 Guardian of Angels Community Living Preferred Provider Organization 12703 Jones Rd, 1115, Houston, TX 77070-4676 2017-05-01
1356874622 Urban Line LLC Preferred Provider Organization 2500 Woodland Park Dr Apt C304, Houston, TX 77077-2278 2017-04-04
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Competitor

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City HASLET
Zip Code 76052

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Dataset Information

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.

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