JACIE MICHELLE KEITH (NPI# 1508482290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508482290 |
| Entity Type | Individual |
| Full Name | JACIE MICHELLE KEITH |
| Other Name | JACIE MICHELLE WHITAKER |
| Credential | APRN, FNP |
| Practice Address |
4909 Johnson Rd Wichita Falls TX 76310-2547 |
| Practice Telephone | 9406910985 |
| Practice Fax Number | 9406874647 |
| Mailing Telephone | 9406910985 |
| Mailing Fax Number | 9406874647 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1012258 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3410 Taft Blvd, Wichita Falls, TX 763082036 | 9403974060 |
| Street Address |
4909 JOHNSON RD |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76310-2547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770583254 | Hospice of Wichita Falls, Inc. | Hospice Care, Community Based | 4909 Johnson Rd, Wichita Falls, TX 76310-2547 | 2005-07-27 |
| 1043834567 | Lindsey Rene' Mccrary | Nurse Practitioner | 4909 Johnson Rd, Wichita Falls, TX 76310-2547 | 2020-06-01 |
| 1043700727 | Hospice of Wichita Falls Pharmacy | Pharmacy | 4909 Johnson Rd, Suite B102 Pharmacy, Wichita Falls, TX 76310-2547 | 2018-05-17 |
| 1992238612 | David Randall Tate | Pharmacist | 4909 Johnson Rd, Pharmacist, Wichita Falls, TX 76310-2547 | 2017-04-10 |
| 1871960500 | Hospice of Wichita Falls, Inc. | Internal Medicine | 4909 Johnson Rd, Wichita Falls, TX 76310-2547 | 2015-08-28 |
| 1982982609 | Michelle Noel Watson | Clinical Nurse Specialist | 4909 Johnson Rd, Wichita Falls, TX 76310-2547 | 2011-07-29 |
| 1215243282 | Hospice of Wichita Falls, Inc. | Internal Medicine | 4909 Johnson Rd, Wichita Falls, TX 76310-2547 | 2010-08-27 |
| 1558517854 | Arthur J. Szczerba, M.d., P.a. | Family Medicine | 4909 Johnson Rd, Wichita Falls, TX 76310-2547 | 2008-08-18 |
| 1356350193 | Arthur Jack Szczerba | Family Medicine | 4909 Johnson Rd, Wichita Falls, TX 76310-2547 | 2006-08-07 |
| 1518951623 | Barbara A Murphy | Internal Medicine | 4909 Johnson Rd, Wichita Falls, TX 76310-2547 | 2005-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205329067 | Alesha Lynn Dean | Licensed Vocational Nurse | 6211 Talon Trail, Wichita Falls, TX 76310 | 2018-06-07 |
| 1962766741 | Kimberly D'anne Ravelo | Audiologist | 1 Burnside Drive, Wichita Falls, TX 76310 | 2012-06-27 |
| 1407142417 | Tobin Strom | Radiology | Texas Oncology, 5400 Kell West Blvd, Wichita Falls, TX 76310 | 2011-06-28 |
| 1386850055 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 6086 Kovarik Road, Wichita Falls, TX 76310 | 2007-05-16 |
| 1639391394 | Amy Louise Walmsley | Pharmacist | 1724 Woodridge Dr, Wichita Falls, TX 76310 | 2007-05-03 |
| 1619007416 | Stephanie Joy Postma | Specialist/Technologist | #1 West Medical Court, Wichita Falls, TX 76310 | 2007-03-07 |
| 1568518306 | Bestcare Health Services,inc | Home Health | 5800 Kell West Blvd, Suite 500, Wichita Falls, TX 76310 | 2007-01-26 |
| 1851453856 | Anthony Armando Denis Noya | Family Medicine | 8 Prairie Lace Court, Wichita Falls, TX 76310 | 2006-12-15 |
| 1467872127 | William Russell | Family Medicine | 4327 Barnett Rd, Wichita Falls, TX 76310 | 2014-04-22 |
| 1528297256 | Vanya David Wagler | Internal Medicine | 4327 Barnett Rd, Wichita Falls, TX 76310 | 2009-07-02 |
| Find all providers in zip 76310 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098434 | D Esthetique Cosmetic &laser Center | Nurse Practitioner | 3916 Callfield Road, Suite 300, Wichita Falls, TX 76308 | 2019-11-25 |
| 1821548843 | Krysla Darden | Nurse Practitioner | 12 Canyon View Ct, Wichita Falls, TX 76309-2718 | 2016-10-13 |
| 1063876209 | Michelle Leigh Mcquerry | Nurse Practitioner | 200 Martin Luther King Blvd # Jr, Wichita Falls, TX 76301-1152 | 2016-04-13 |
| 1841677671 | Evelyn Oshoro | Nurse Practitioner | 5005 Lake Park Dr Apt 417a, Wichita Falls, TX 76302-4617 | 2015-04-30 |
| 1821412081 | Jennifer Burbage | Nurse Practitioner | 1700 3rd Street, Wichita Falls, TX 76301 | 2014-02-09 |
| 1053740753 | Joe Lawrence Sledge | Nurse Practitioner | 1631 11th St Ste A, Wichita Falls, TX 76301-4320 | 2013-11-04 |
| 1033492343 | Judith L Brewer | Nurse Practitioner | 867 Wellington Ln, Wichita Falls, TX 76305-5255 | 2011-09-22 |
| 1578891271 | Valerie Biller Pinson | Nurse Practitioner | 804 Denver St, Wichita Falls, TX 76301-4139 | 2009-11-18 |
| 1306077888 | Quality Express Clinic LLC | Nurse Practitioner | 6020 Laci Ln, Wichita Falls, TX 76310-2818 | 2009-08-02 |
| 1417102625 | Lisa Sheriff | Nurse Practitioner | 3506 Buchanan, Wichita Falls, TX 76308-2303 | 2008-12-02 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76310 |
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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.