KELLY POTTER BAJAJ (NPI# 1477187185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477187185 |
| Entity Type | Individual |
| Full Name | KELLY POTTER BAJAJ |
| Practice Address |
3301 Matlock Rd Arlington TX 76015-2908 |
| Mailing Address |
640 Cherry Tree Dr Keller TX 76248-8240 |
| Practice Telephone | 6825096200 |
| Mailing Telephone | 8174033059 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
837950 | TX | Nursing Service Providers |
| Street Address |
3301 MATLOCK RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76015-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417786 | George Wisdom Abatso | Emergency Medicine | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2005-12-07 |
| 1275147944 | Conceptah Luchendo | Nurse Practitioner | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-09-01 |
| 1396361580 | Khomthorn P Cunvong | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-06-23 |
| 1922621846 | Heran Abiye | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-27 |
| 1669094678 | Allison Jane Walworth | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-13 |
| 1538781539 | Sumeet Kumar Gossain | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-12 |
| 1609498997 | Angela Issa | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-11 |
| 1427670785 | Joedwina Randine Gaston | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-09 |
| 1114549433 | Sahil Patel | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-08 |
| 1083236319 | Jessenia Ariana Contreras | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358955 | Shavon Ohiomu | Licensed Vocational Nurse | 3402 Timberwood Circle Apt 2130, Arlington, TX 76015 | 2018-03-01 |
| 1194235580 | In Balance In Control, L.L.C. | Massage Therapist | 1402 W Mayfield Rd, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1063922458 | Kenneth Eugene Frey II | Massage Therapist | 1402 West Mayfield Road, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1285181263 | U S Anesthesia Partners of Texas, Pa | Nurse Practitioner | 800 W Arbrook, Suite 120, Arlington, TX 76015 | 2016-09-07 |
| 1659739365 | Danika Rasmussengeter | Chiropractor | 1216 Florida Dr # 130, Arlington, TX 76015 | 2016-02-09 |
| 1962809541 | Texas Rehabilitation Hospital of Arlington, LLC | Rehabilitation Hospital | 900 West Arbrook Blvd, Arlington, TX 76015 | 2014-11-26 |
| 1528470473 | Felicia Montgomery | Doula | 3903 Melear Drive, Unit 151681, Arlington, TX 76015 | 2014-05-27 |
| 1437572427 | E.s. Drugs Inc. | Pharmacy | 3295 S. Cooper Street #107, Arlington, TX 76015 | 2014-01-27 |
| 1477802890 | James Tra | Pharmacist | 1600 West Arbrook Blvd, Arlington, TX 76015 | 2012-08-30 |
| 1225397912 | Apsp-arlington, LLC | Clinical Medical Laboratory | 1348 W. Mayfield Road, Suite 200, Arlington, TX 76015 | 2012-05-15 |
| Find all providers in zip 76015 | ||||
| Taxonomy Code | 163WN0002X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neonatal Intensive Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275165318 | Brandy Mitchell Hanus | Registered Nurse | 911 Ashford Pkwy, Houston, TX 77077-2401 | 2020-02-06 |
| 1528531290 | Misty Elaine Garza | Registered Nurse | 13030 Hunters Breeze St, San Antonio, TX 78230-2811 | 2019-01-05 |
| 1447745674 | Jennifer Anne Krebsbach | Registered Nurse | 11718 Drought Pass, Helotes, TX 78023-4446 | 2018-06-29 |
| 1962908806 | Adolfo Duron Jr. | Registered Nurse | 5430 Fredericksburg Rd Ste 503, San Antonio, TX 78229 | 2018-03-31 |
| 1265941660 | Nikki Marie Wilborn | Registered Nurse | 276 Northside Rd, Victoria, TX 77904-5227 | 2017-09-28 |
| 1386049740 | Andrea Michelle Escamilla | Registered Nurse | 5607 Timber Bark, San Antonio, TX 78250-4241 | 2014-10-28 |
| 1588902811 | Suzanne Elaine Juneau | Registered Nurse | 3506 Acacia Dr, Sugar Land, TX 77479-2815 | 2013-01-21 |
| 1265778260 | Ann Setian Demaio | Registered Nurse | 1889 County Road 450, Thorndale, TX 76577-5206 | 2012-12-19 |
| 1235482449 | Trista Suzanne Davis | Registered Nurse | 301 E Cevallos Apt 328, San Antonio, TX 78204-1951 | 2012-10-25 |
| 1407142862 | Brenda Karen Robinette | Registered Nurse | 1231 Cypress Cove Rd, Spring Branch, TX 78070-4805 | 2011-06-23 |
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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.