BRENDA WAKEFIELD (NPI# 1609102862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609102862 |
| Entity Type | Individual |
| Full Name | BRENDA WAKEFIELD |
| Credential | LMT |
| Practice Address |
665 W Lbj Fwy Irving TX 75063-3712 |
| Mailing Address |
10225 Marchant Ln Irving TX 75063-4503 |
| Practice Telephone | 2143809700 |
| Mailing Telephone | 9376204286 |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2013-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT110561 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
665 W LBJ FWY |
| City | IRVING |
| State | TX |
| Zip Code | 75063-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861838013 | Hands of Choice Massage & Wellness, LLC | Massage Therapist | 665 W Lbj Fwy, Suite 207, Irving, TX 75063-3712 | 2013-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288868 | Fiesta Lifecare Pharmacy 8 LLC | Pharmacy | 412 E Riley St, Freer, TX 75063 | 2019-10-29 |
| 1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
| 1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
| 1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
| 1861956542 | Hannah Kennedy | Specialist/Technologist | 8249 Ranchview Dr Apt 3087, Irving, TX 75063 | 2019-01-26 |
| 1447732805 | Ziprad Inc | Clinic/Center | 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 | 2018-09-02 |
| 1457831646 | Laura Robinson | Specialist/Technologist | 8641 Mill Creek Rd, Irving, TX 75063 | 2018-08-16 |
| 1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
| 1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
| 1376086561 | Mika Claire Smith | Social Worker | 1175 Kinwest Pky, #100, Irving, TX 75063 | 2016-11-21 |
| Find all providers in zip 75063 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366057713 | Christopher Alan Burke | Massage Therapist | 810 Lake Carolyn Pkwy Apt 327, Irving, TX 75039-4181 | 2020-09-12 |
| 1235796640 | Daniel Puig | Massage Therapist | 5000 Riverside Dr. Bldg 6 Ste. 100e, Irving, TX 75039 | 2019-05-21 |
| 1083199517 | Danya Jonas | Massage Therapist | 6750 N Macarthur Blvd Ste 258, Irving, TX 75039-2483 | 2018-10-01 |
| 1689178212 | Dyman Baker Conner | Massage Therapist | 3751 William Dehaes Dr Apt 301, Irving, TX 75038-8906 | 2018-03-20 |
| 1861904781 | Andrea Jo Pagels | Massage Therapist | 12040 Sulphur Springs Rd, Irving, NY 14081-9597 | 2017-11-01 |
| 1023554268 | Goldie Lynn Ingstad | Massage Therapist | 715 Cowboys Pkwy Apt 3037, Irving, TX 75063-7739 | 2017-01-11 |
| 1609320647 | Jing Zhao | Massage Therapist | 5447 N Macarthur Blvd, Irving, TX 75038-3104 | 2016-08-08 |
| 1295145027 | Carri T Moore | Massage Therapist | 300 E Royal Ln Ste 110, Irving, TX 75039-3508 | 2014-05-01 |
| 1174837645 | Barbara Townsend | Massage Therapist | 1949 Briarwood Ln, Irving, TX 75061-4432 | 2010-07-27 |
| 1174764443 | Agnes M Lopez | Massage Therapist | 8634 Old Oak Dr, Irving, TX 75063-7207 | 2009-03-17 |
| Find all providers in IRVING | ||||
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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.