BRITTANY DIRDACK (NPI# 1316473671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316473671 |
| Entity Type | Individual |
| Full Name | BRITTANY DIRDACK |
| Credential | FNP-C |
| Practice Address |
3044 Old Denton Rd Suite 317 Carrollton TX 75007-5016 |
| Mailing Address |
2413 Top Rail Ln Southlake TX 76092-5741 |
| Practice Telephone | 9722424440 |
| Mailing Telephone | 9738767111 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 26NR16210800 | NJ | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 899441 | TX | Nursing Service Providers |
| N | 207Q00000X | Family Medicine | AP133736 | TX | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP133736 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3044 OLD DENTON RD SUITE 317 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75007-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093711285 | Simon Lim | Family Medicine | 3044 Old Denton Rd, Suite 115, Carrollton, TX 75007-5016 | 2005-06-22 |
| 1316450604 | Ideal Assist, Pllc | Physician Assistant | 3044 Old Denton Rd, Ste 111 #307, Carrollton, TX 75007-5074 | 2017-11-09 |
| 1982156634 | Karena Mondrianh-ybarra | Psychologist | 3044 Old Denton Rd, Suite 317, Carrollton, TX 75007-5016 | 2016-10-28 |
| 1144689373 | Mainmedplus | Clinic/Center | 3044 Old Denton Rd, Ste 115, Carrollton, TX 75007-5016 | 2016-02-16 |
| 1972922789 | Janessa Junghee Park | Nurse Practitioner | 3044 Old Denton Rd, Ste 115, Carrollton, TX 75007-5016 | 2014-04-09 |
| 1285061309 | All Star Smiles | Dentist | 3044 Old Denton Rd, Suite 126, Carrollton, TX 75007-5016 | 2013-10-03 |
| 1700146966 | E Line Orthodontics | Dentist | 3044 Old Denton Rd, Ste. 111-304, Carrollton, TX 75007-5016 | 2012-05-22 |
| 1386835569 | Elizabeth Rachel Thomas | Pediatrics | 3044 Old Denton Rd, Suite 138, Carrollton, TX 75007-5016 | 2007-08-05 |
| 1598985004 | Dr. Suzan J. Smith Chiropractic Pa | Chiropractor | 3044 Old Denton Rd, Suite 316, Carrollton, TX 75007-5016 | 2007-04-26 |
| 1659413706 | Hun K. Lee | Family Medicine | 3044 Old Denton Rd, 317, Carrollton, TX 75007-5016 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184106510 | Reshaped Pllc | Family Medicine | 2008 E Hebron Pkwy #114, Carrollton, TX 75007 | 2018-09-01 |
| 1912436353 | Amanda M Nguyen | Pharmacist | 4112 N Josey, Carollton, TX 75007 | 2017-06-08 |
| 1811423379 | Kvillage Dental | Dentist | 1028 Mac Arthur Dr, #100, Carrollton, TX 75007 | 2017-05-03 |
| 1205362928 | Harichandana Vemireddy Dmd Pllc | Clinic/Center | 1000 West Rosemeade Parkway Ste 100, Carrolton, TX 75007 | 2017-05-02 |
| 1215477195 | Patrick Vo | Pharmacist | 1725 Flowers Dr, Carrollton, TX 75007 | 2017-02-27 |
| 1538514500 | Rimvin, LLC | Clinic/Center | 2710 N Josey Ln., Suite 301, Carrollton, TX 75007 | 2016-04-27 |
| 1780052985 | Double A Hospice Care Inc | Hospice Care, Community Based | 3712 Old Denton Rd, Ste 120, Carrollton, TX 75007 | 2015-09-04 |
| 1619360450 | Trinity J & S, Inc. | Dentist | 1000 West Rosemeade Parkway, Carrollton, TX 75007 | 2015-03-17 |
| 1659762987 | Sheena Thomas Kottackal | Pharmacist | 1453 Meadow Vista Dr, Carrollton, TX 75007 | 2015-02-09 |
| 1144638099 | Courtney Leigh Rodriguez | Behavioral Analyst | 2020 E Hebron Pkwy Ste 120, Carrollton, TX 75007 | 2014-07-23 |
| Find all providers in zip 75007 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583531 | Tessy M. John | Nurse Practitioner | 1656 Audubon Ct, Carrollton, TX 75010-2145 | 2020-09-16 |
| 1619589769 | Hyo Sook Choi | Nurse Practitioner | 2324 Old Denton Rd Ste 100, Carrollton, TX 75006-1440 | 2020-08-20 |
| 1861001000 | Allwell Health Care | Nurse Practitioner | 1001 E Hebron Pkwy Ste 118-297, Carrollton, TX 75010-1002 | 2020-07-23 |
| 1114536364 | Gloria Oluchi Ikonne | Nurse Practitioner | 1001 East Hebron Pkwy Suite 118-297, Carrollton, TX 75010-1015 | 2020-07-23 |
| 1851909717 | Antoinae Hawkins | Nurse Practitioner | 1110 E Branch Hollow Dr Apt 356, Carrollton, TX 75007-1072 | 2020-07-16 |
| 1770106429 | Rhema Healthcare Services | Nurse Practitioner | 1420 Valwood Pkwy Ste No20170a, Carrollton, TX 75006-8312 | 2020-05-28 |
| 1255968004 | Eunjung Kim | Nurse Practitioner | 4444 Saukenuk Ln, Carrollton, TX 75010-1203 | 2020-03-23 |
| 1124660063 | Jenna Brooke Pugh | Nurse Practitioner | 2160 County Road 130, Carrollton, MS 38917-5731 | 2019-10-11 |
| 1760023972 | Amy Rowell | Nurse Practitioner | 150 Clinic Ave Ste 201, Carrollton, GA 30117-4402 | 2019-09-30 |
| 1083270557 | Ray Thomas | Nurse Practitioner | 1033 Dame Carol Way, Carrollton, TX 75010-2357 | 2019-05-10 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75007 |
Please comment or provide details below to improve the information on BRITTANY DIRDACK.
| 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.