KOURTNEY MARIE WILLETT (NPI# 1326691957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326691957 |
Entity Type | Individual |
Full Name | KOURTNEY MARIE WILLETT |
Credential | PA-C |
Practice Address |
1411 N Beckley Ave Pav 3 Suite 363 Dallas TX 75203-1259 |
Mailing Address |
5920 E University Blvd Apt 5110 Dallas TX 75206-4990 |
Practice Telephone | 2149463687 |
Mailing Telephone | 7135829099 |
Enumeration Date | 2019-07-23 |
Last Update Date | 2019-09-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA12883 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1411 N BECKLEY AVE PAV 3 SUITE 363 |
City | DALLAS |
State | TX |
Zip Code | 75203-1259 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386264125 | Dylan Lopez | Internal Medicine | Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 | 2020-04-22 |
1902303183 | Sarah Mcferon | Nurse Practitioner | 1411 N. Beckley Ave, Pavilion IIi Suite 268, Dallas, TX 75203 | 2018-04-12 |
1659727030 | Kathy Lightsey | Counselor | 1836 Berwick Ave, Dall, TX 75203 | 2016-05-04 |
1659712453 | Maura M Mcglynn | Occupational Therapist | 1520 North Beckley Ave 1033, Dallas, TX 75203 | 2013-07-10 |
1093153454 | Adrienne Workman | Internal Medicine | 1441 North Beckley Avenue, Dallas, TX 75203 | 2013-06-07 |
1851642490 | April Rebecca Meras | Nurse Practitioner | 610 E Jefferson Blvd Ste 110, Dallas, TX 75203 | 2012-09-22 |
1699081612 | East Run Management, Ltd. Company | Alzheimer Center (Dementia Center) | 2653 Cedar Crest Blvd, Dallas, TX 75203 | 2010-08-27 |
1538471305 | Preetivi Ellis | Internal Medicine | 1441 N Beckley Ave Fl 4, Dallas, TX 75203 | 2010-07-09 |
1306085378 | Maggie Fardella | Counselor | 201 E 9th St, Dallas, TX 75203 | 2009-02-13 |
1811159122 | Maryam Raza Md Pa | Internal Medicine | 1441 N. Beckley, Dallas, TX 75203 | 2008-06-27 |
Find all providers in zip 75203 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003302944 | Amk Provider Solutions Pllc | Physician Assistant | 8197 Midtown Blvd Apt 15101, Dallas, TX 75231-4566 | 2018-07-03 |
1184136632 | Pa Solutions, Pllc | Physician Assistant | 1408 N Riverfront Blvd # 166, Dallas, TX 75207-3912 | 2017-10-24 |
1528589918 | Operator Assistants, LLC | Physician Assistant | 8440 Walnut Hill Ln Ste 250, Dallas, TX 75231-3815 | 2017-07-06 |
1447603683 | Exos Surgical Assist, Pllc | Physician Assistant | 7324 Gaston Ave Ste 124-90, Dallas, TX 75214-6126 | 2016-07-22 |
1871941419 | Premier Physician Surgical Associates, Pllc | Physician Assistant | 9540 Garland Rd # 381-416, Dallas, TX 75218-5004 | 2016-05-24 |
1144686452 | Clara Joplin | Physician Assistant | 10830 N. Central Expy. Suite 120, Dallas, TX 75231-1050 | 2016-01-04 |
1689057820 | Horizon Pa Services, Pllc | Physician Assistant | 381 Casa Linda Plz # 417, Dallas, TX 75218-3471 | 2015-07-07 |
1942681572 | Ridgeback Assist, Pllc | Physician Assistant | 381 Casa Linda Plz # 418, Dallas, TX 75218-3471 | 2015-06-09 |
1164802385 | Kris Holmes Pa Pllc | Physician Assistant | 740 Peavy Rd, Dallas, TX 75218-2149 | 2015-06-03 |
1558752436 | Wellspring Plastic Surgery Pllc | Physician Assistant | 7777 Forest Ln Ste B107, Dallas, TX 75230-6888 | 2015-02-12 |
Find all providers in DALLAS |
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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.