BERNICE FOMUNUNG (NPI# 1225679368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225679368 |
| Entity Type | Individual |
| Full Name | BERNICE FOMUNUNG |
| Practice Address |
8501 Wade Blvd Ste 110 Frisco TX 75034-6262 |
| Mailing Address |
3134 Izabella Ct Frisco TX 75033-8068 |
| Practice Telephone | 9726683109 |
| Mailing Telephone | 4694271482 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP142982 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8501 WADE BLVD STE 110 |
| City | FRISCO |
| State | TX |
| Zip Code | 75034-6262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972921534 | Mary Beck | Nurse Practitioner | 8501 Wade Blvd Ste 110, Frisco, TX 75034-6262 | 2014-04-01 |
| 1598376204 | Misty Heather Mcnabb | Nurse Practitioner | 8501 Wade Blvd Ste 110, Frisco, TX 75034-6262 | 2020-08-14 |
| 1083172225 | Linh Thuy Tran | Nurse Practitioner | 8501 Wade Blvd Ste 110, Frisco, TX 75034-6262 | 2019-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
| Find all providers in zip 75034 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942844519 | Bernard Kofi Marfo | Nurse Practitioner | 4645 Wyndham Ln Ste 240, Frisco, TX 75033-0025 | 2019-11-06 |
| 1336706100 | Progressive Psych Solutions | Nurse Practitioner | 8668 John Hickman Pkwy Ste 401, Frisco, TX 75034-8182 | 2019-05-28 |
| 1972921534 | Mary Beck | Nurse Practitioner | 8501 Wade Blvd Ste 110, Frisco, TX 75034-6262 | 2014-04-01 |
| 1730469966 | Jill Ridley, Pmhnp, Rxp, Rn | Nurse Practitioner | 120 North 3rd Ave, Frisco, CO 80443 | 2011-08-19 |
| 1598376204 | Misty Heather Mcnabb | Nurse Practitioner | 8501 Wade Blvd Ste 110, Frisco, TX 75034-6262 | 2020-08-14 |
| 1275161366 | Harmonica Psychiatry | Nurse Practitioner | 9300 John Hickman Pkwy Ste 904, Frisco, TX 75035-5894 | 2020-04-01 |
| 1972138170 | Lloyd Ray Hatton | Nurse Practitioner | 11500 State Highway 121 Ste 510, Frisco, TX 75035-9348 | 2020-03-08 |
| 1508498080 | Open Hands Psychiatry | Nurse Practitioner | 5850 Town and Country Blvd Ste 301, Frisco, TX 75034-6945 | 2020-02-12 |
| 1083172225 | Linh Thuy Tran | Nurse Practitioner | 8501 Wade Blvd Ste 110, Frisco, TX 75034-6262 | 2019-03-06 |
| 1083005961 | Charles T Macdonald | Nurse Practitioner | 360 Peak One Dr, Ste 110, Frisco, CO 80443 | 2015-02-12 |
| Find all providers in FRISCO | ||||
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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.