MICHAELA KING KLOSE


Address: 9219 Garland Rd Ste 2107, Dallas, TX 75218-4639
Phone: 2142938180

MICHAELA KING KLOSE (NPI# 1528431178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528431178
Entity Type Individual
Full Name MICHAELA KING KLOSE
Other Name MICHAELA KING KLOSE
Credential APRN, FNP-BC, NP-C
Practice Address 9219 Garland Rd Ste 2107
Dallas
TX 75218-4639
Practice Telephone 2142938180
Mailing Telephone 2142938180
Enumeration Date 2015-11-04
Last Update Date 2020-09-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP129526 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICARE NUMBER 458409YNQJ 01
TX ANCC 2015005246 01
TX APRN TX LICENSE AP129526 01
TX AANP CERTIFICATION NUMBER F1015126 01

Office Location

Street Address 9219 GARLAND RD STE 2107
City DALLAS
State TX
Zip Code 75218-4639

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467749705 Christiane Bell Jamieson Nurse Practitioner 9219 Garland Rd Ste 2107, Dallas, TX 75218-4639 2011-07-07
1598374811 Christiane Bell Jamieson Aprn Fnp-c Pllc Nurse Practitioner 9219 Garland Rd Ste 2107, Dallas, TX 75218-4639 2020-07-23
1508474131 Michaela King Klose Aprn Fnp Bc Pllc Nurse Practitioner 9219 Garland Rd Ste 2107, Dallas, TX 75218-4639 2020-07-20
1588103915 Tina Taylor Dietitian, Registered 9219 Garland Rd Ste 2107, Dallas, TX 75218-4639 2017-02-17
1538415260 Lakewood Surgical Associates Lp Specialist 9219 Garland Rd Ste 2107, Dallas, TX 75218-4639 2012-07-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407412034 Sunaina Shalu Gill Specialist/Technologist 718 North Buckner Boulevard, #312, Dallas, TX 75218 2019-05-20
1851896492 Tawana Anderson Floyd Occupational Therapy Assistant 718 Buckner Blvd, #312, Dallas, TX 75218 2018-03-26
1164948097 Behavioral Health Connections, Inc. Psychiatry & Neurology 1350 N. Buckner Blvd., Ste. 100, Dallas, TX 75218 2017-08-22
1083988729 Paras Bharatkumar Patel Dentist 12316 Coolmeadow Lane, Dallas, TX 75218 2012-02-27
1881990216 Dallas Doctors Pain Clinic Pain Medicine 1110 N. Buckner Blvd., Suite 100, Dallas, TX 75218 2011-02-02
1861719387 Mi Familia Medical Pllc General Practice 1100 Garland Road, Dallas, TX 75218 2010-04-23
1972832541 James Ervin Bridges Chiropractor 1214 Old Gate Ln, Dallas, TX 75218 2009-12-10
1326291295 Karl F Woodmansey Dentist 1215 Waterside Cir, Dallas, TX 75218 2008-10-23
1679739841 All About Care Homehealth Services Inc. Home Health 12115 Self Plaza Drive, Suite 100, Dallas, TX 75218 2008-08-06
1104035187 Charlotte Ann Hodges Surgery 1151 North Buckner Blvd #308, Dallas, TX 75218 2007-05-22
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235730409 Cheryl Lynn Williams Nurse Practitioner 282 Somerset Dr, Dallas, GA 30132-9761 2020-11-04
1699376723 David James Wainwright Nurse Practitioner 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 2020-11-04
1528668860 Nicole Chadwick Nurse Practitioner 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 2020-10-27
1952901415 Melissa Green Nurse Practitioner 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 2020-10-26
1194324640 Busola Stella Amurawaiye Nurse Practitioner 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 2020-10-25
1164020350 Christina Wilder Nurse Practitioner 821 Allen Street Apt 424, Dallas, TX 75204 2020-10-11
1689288276 Chinyere Ezeh Nurse Practitioner 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 2020-09-01
1992317341 Modern Enhancement Nurse Practitioner 2777 N Stemmons Fwy Ste 1141, Dallas, TX 75207-2273 2020-08-18
1679183172 Stacie Teresa Mccally Nurse Practitioner 4055 Valley View Lane, Dallas, TX 75022 2020-08-09
1528678083 Esther Siriba Nurse Practitioner 9304 Forest Ln Ste N244, Dallas, TX 75243-6238 2020-08-08
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Competitor

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City DALLAS
Zip Code 75218

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Dataset Information

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.

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