MRS. MARQUITA MICHELLE PICKENS (NPI# 1588279525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588279525 |
Entity Type | Individual |
Full Name | MRS. MARQUITA MICHELLE PICKENS |
Credential | AGNP-C |
Practice Address |
6817 Historic Vw Dallas TX 75236-0109 |
Mailing Address |
Po Box 382873 Duncanville TX 75138-2873 |
Practice Telephone | 2254855075 |
Mailing Telephone | 2254855075 |
Enumeration Date | 2020-09-15 |
Last Update Date | 2020-09-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1006751 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6817 HISTORIC VW |
City | DALLAS |
State | TX |
Zip Code | 75236-0109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952805962 | Braken Group, LLP | Clinic/Center | 6431 Rosalie Dr, Dallas, TX 75236 | 2018-03-23 |
1952732398 | Shauna Jones | Military Hospital | 4504 Bronzeway, Dallas, TX 75236 | 2013-12-11 |
1295857902 | Patricia A Welborn | Physician Assistant | 5701 W Kiest Blvd, Dallas, TX 75236-1047 | 2007-04-04 |
1871757401 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 5701 W Kiest Blvd, Dallas, TX 75236-1047 | 2008-07-13 |
1700409026 | Earl Mark Green | Counselor | 4621 Country Creek Dr Apt 1044, Dallas, TX 75236-1220 | 2020-05-20 |
1659517829 | Eagle Advantage Academy, Inc. | Local Education Agency (LEA) | 4011 Joseph Hardin Dr Ste F, Dallas, TX 75236-1507 | 2008-12-18 |
1972700995 | James Robert Auvil | Optometrist | 3911 S Walton Walker Blvd, Dallas, TX 75236-1509 | 2007-07-02 |
1558698068 | Aafes Optometry (kadena) | Clinic/Center | 3911 S Walton Walker Blvd, Fa-c/or, Dallas, TX 75236-1509 | 2009-11-05 |
1750726345 | Laura V Settlage | Registered Nurse | 5222 Whispering Oaks Dr, Dallas, TX 75236-1740 | 2013-05-08 |
1386096055 | Camey Allen | Contractor | 4919 Cedarbrier Dr, Dallas, TX 75236-1842 | 2016-07-06 |
Find all providers in zip 75236 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
1407469125 | Ashley Johnson Nakwaasah | Nurse Practitioner | 14650 Landmark Blvd Apt 1508, Dallas, TX 75254-6932 | 2020-08-24 |
1881229359 | Laura Karmann | Nurse Practitioner | 1515 S Buckner Blvd Ste 141, Dallas, TX 75217-1794 | 2020-03-05 |
1659902120 | Alegntaye Yirdaw | Nurse Practitioner | 2709 S Buckner Blvd, Dallas, TX 75227-6904 | 2020-02-03 |
1154964047 | Jessica Maria Scarf | Nurse Practitioner | 13907 Montfort Dr Apt 2031, Dallas, TX 75240-7374 | 2019-10-23 |
1447893565 | Mallory Lynn Mcgroarty | Nurse Practitioner | 3500 Oak Lawn Ave Ste 760, Dallas, TX 75219-4308 | 2019-10-21 |
1720563539 | Heather Inkman Kinder | Nurse Practitioner | 16619 Vicarage Ct, Dallas, TX 75248-2227 | 2018-09-27 |
1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
1922594902 | Susan Markose | Nurse Practitioner | 3310 Anchor Ct, Dallas, TX 75219-2752 | 2018-07-02 |
1992217822 | Lucy Waithaka | Nurse Practitioner | 18880 Marsh Ln Apt 2010, Dallas, TX 75287-2243 | 2017-11-01 |
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.