BLUE LIGHT THERAPIES LLC (NPI# 1457976714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457976714 |
Entity Type | Organization |
Organization Name | BLUE LIGHT THERAPIES LLC |
Practice Address |
421 E Royal Ln Suite 100 Irving TN 75039 |
Practice Telephone | 4692267516 |
Mailing Telephone | 4692267516 |
Enumeration Date | 2020-06-12 |
Last Update Date | 2020-07-20 |
Authorized Official Name | HANNAH NUR MOHAMED (CEO) |
Authorized Official Telephone | 4692267516 |
Authorized Official Credential | BCBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NPI | 1386106623 | 01 |
Street Address |
421 E ROYAL LN SUITE 100 |
City | IRVING |
State | TN |
Zip Code | 75039 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912537127 | Family Pharmacy @ Las Colinas LLC | Pharmacy | 6555 North State Hwy 161, Suite B, Irving, TX 75039 | 2020-01-16 |
1669011581 | Thrive House Therapy Pllc | Counselor | 5000 Riverside Drive, Bldg 6, Ste 100, Irving, TX 75039 | 2019-12-23 |
1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
1932753894 | Jane Spagnoletti Niemtschk | Pharmacist | 750 West John Carpenter Freeway, Mc500, Irving, TX 75039 | 2019-07-30 |
1235796640 | Daniel Puig | Massage Therapist | 5000 Riverside Dr. Bldg 6 Ste. 100e, Irving, TX 75039 | 2019-05-21 |
1104301738 | Charity Maashe | Technician, Other | 400 E. Royal Lane, Bld 3, Ste 290, Irving, TX 75039 | 2018-09-28 |
1225545460 | Kuriachan Eye Institute, Pllc | Ophthalmology | 6750 N Macarthur Blvd Ste 331, Irving, TX 75039 | 2018-01-09 |
1619489978 | Eric Reaves | Assistant Behavior Analyst | 400 E. Royal Lane Bldg. 3, Suite 290, Irving, TX 75039 | 2017-10-26 |
1194247023 | Michael Do | Optometrist | 6445 Love Dr Apt 3035, Irving, TX 75039 | 2017-07-12 |
1679008130 | Sarah K Alexander | Social Worker | 527 Northwest Hwy #2507, Irving, TX 75039 | 2017-04-21 |
Find all providers in zip 75039 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336218130 | North Texas Ime | Clinic/Center | 2940 N O Connor Rd Ste 117, Irving, TX 75062-8802 | 2006-11-07 |
1649429689 | Concentra Health Services, Inc. | Clinic/Center | 2233 Grauwyler, Suite 110, Irving, TX 75061-3211 | 2008-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669081477 | Mint Edition Wellness Center | Clinic/Center | 1400 N Mount Juliet Rd Ste 104, Mount Juliet, TN 37122-1508 | 2020-07-28 |
1538777024 | Tri-k Health LLC | Clinic/Center | 525 Cherokee Blvd Ste 5, Chattanooga, TN 37405-3865 | 2020-07-21 |
1174147870 | Freedom Medical Services Pllc | Clinic/Center | 1203 Laurel Springs Way, Signal Mountain, TN 37377-1445 | 2020-05-29 |
1023630019 | Daya Medicals, Inc. | Clinic/Center | 460 S Highland St, Memphis, TN 38111-4302 | 2020-05-12 |
1518421148 | Paramount Solutions Clinic & Laboratory Testing | Clinic/Center | 2010 Church St Ste 624, Nashville, TN 37203-2075 | 2019-01-28 |
1982180113 | Abundant Healthcare Clinic LLC | Clinic/Center | 130 Serral Dr, Greeneville, TN 37745-3074 | 2018-07-11 |
1649776691 | Serious Health Services | Clinic/Center | 715 Cherry St Ste 207, Chattanooga, TN 37402-1929 | 2018-03-30 |
1124523287 | Hands of Health and Rehab | Clinic/Center | 80 N. Tillman St. Ste. 104, Memphis, TN 38111 | 2018-03-29 |
1205377348 | Southeastern Swallowing Diagnostics | Clinic/Center | 8459 Lexie Ln, Ooltewah, TN 37363-5796 | 2017-03-08 |
1861949133 | Moore Healthcare | Clinic/Center | 1138 N Germantown Pkwy Ste 226, Cordova, TN 38016-5872 | 2016-09-05 |
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.