KALYN PETERSON (NPI# 1215487442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
Street Address |
293 BENT TREE LN |
City | HASLET |
State | TX |
Zip Code | 76052-3876 |
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 |
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 |
Find all providers in zip 76052 |
Taxonomy Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
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 |
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 |
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.