PHYLLIS F. MCNIEL (NPI# 1265792089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265792089 |
| Entity Type | Individual |
| Full Name | PHYLLIS F. MCNIEL |
| Credential | CPO |
| Practice Address |
800 E California St Suite 1 Gainesville TX 76240-4281 |
| Practice Telephone | 9406681118 |
| Practice Fax Number | 9406681123 |
| Mailing Telephone | 9406681118 |
| Mailing Fax Number | 9406681123 |
| Enumeration Date | 2012-05-26 |
| Last Update Date | 2012-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | 121 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | 121 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BOARD OF ORTHOTICS/PROSTHETICS | 121 | 01 |
| Street Address |
800 E CALIFORNIA ST SUITE 1 |
| City | GAINESVILLE |
| State | TX |
| Zip Code | 76240-4281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275712127 | Alliance Orthotics and Prosthetics, L.L.C. | Prosthetic/Orthotic Supplier | 800 E California St, Suite 1, Gainesville, TX 76240-4281 | 2007-10-29 |
| 1801156625 | Alan T Sheppard | Orthotist | 800 E California St, Suite 1, Gainesville, TX 76240-4281 | 2012-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144886318 | Wesley Partners Senior Living LLC | Assisted Living Facility | 3291 E Broadway, Gainesville, TX 76240 | 2019-05-14 |
| 1699259341 | Justin Edward Rainey | Specialist/Technologist | 308 Dozier Ln, Callisburg, TX 76240 | 2018-09-19 |
| 1598250128 | Stuart Lloyd Smith | Nurse Practitioner | 1820 Oneal St, Gainesville, TX 76240 | 2018-06-26 |
| 1962903385 | Kristin Marie Robinson | Licensed Vocational Nurse | 1802 Cr222, Gainsville, TX 76240 | 2018-02-21 |
| 1730693185 | Kelea Ann Tischler | Pharmacist | 1201 Olive St., Gainsville, TX 76240 | 2017-11-21 |
| 1003285933 | Family Chiropractic & Wellness Center of Gainesville | Chiropractor | 4322 W. Hwy 82, Gainesville, TX 76240 | 2015-09-22 |
| 1104206820 | Emily Springer | Speech-Language Pathologist | 1014 E Highway 82 Unit 209, Gainesville, TX 76240 | 2015-06-08 |
| 1417291717 | Higbee Dialysis LLC | Clinic/Center | 1902 Hospital Blvd Ste D, Gainesville, TX 76240 | 2012-11-27 |
| 1356629679 | Mark Allen Cox | Chiropractor | 4322 W Hwy 82, Gainesville, TX 76240 | 2011-08-03 |
| 1043470180 | North Texas Children's Dentistry, Pllc | Dentist | 321 North Grand Avenue, Gainesville, TX 76240 | 2008-06-12 |
| Find all providers in zip 76240 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447612205 | Shannon Ovwigho | Prosthetist | 1105 Nw 13th St, Gainesville, FL 32601-4137 | 2016-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151678 | Emelia A Nwokobia | Prosthetist | 5218 Urban Crest Rd, Dallas, TX 75227-1530 | 2020-10-12 |
| 1952911984 | Aisha Mathis | Prosthetist | 3405 Midway Rd Ste 420, Plano, TX 75093-8144 | 2020-08-04 |
| 1568083897 | Shawana Duncantel | Prosthetist | 4700 Trimmier Rd Ste F, Killeen, TX 76542-5870 | 2020-04-28 |
| 1922631043 | Kyera Johnson | Prosthetist | 5619 Aldine Bender Rd Apt 275b, Houston, TX 77032-4506 | 2020-02-17 |
| 1003447764 | Capital Prosthetics & Orthotics, LLC | Prosthetist | 4125 Old Denton Rd, Carrollton, TX 75010-2309 | 2020-01-31 |
| 1053950303 | Billy Gordon | Prosthetist | 4001 Ross Ave Apt 111, Dallas, TX 75204-5252 | 2020-01-04 |
| 1427696145 | M D Prosthetics | Prosthetist | 2000 Crawford St Ste 1122, Houston, TX 77002-9065 | 2019-12-12 |
| 1669029849 | Monika J Salon LLC | Prosthetist | 17610 Midway Rd Ste 122, Dallas, TX 75287-6741 | 2019-08-21 |
| 1356997332 | Taylor Nicole Hickson | Prosthetist | 7703 Floyd Curl Dr # Mc7798, San Antonio, TX 78229-3901 | 2019-08-14 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 76240 |
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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.