MANDALYNNE PEARCE (NPI# 1619529377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619529377 |
Entity Type | Individual |
Full Name | MANDALYNNE PEARCE |
Credential | CPNP AC/PC |
Practice Address |
1935 Medical District Dr Dallas TX 75235-7701 |
Mailing Address |
500 Wichita Dr Nicholasville KY 40356-1480 |
Practice Telephone | 2144567000 |
Mailing Telephone | 8594947098 |
Enumeration Date | 2019-07-12 |
Last Update Date | 2019-08-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
AP142161 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1935 MEDICAL DISTRICT DR |
City | DALLAS |
State | TX |
Zip Code | 75235-7701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689670929 | Donald Ray Cochran | Anesthesiology | 1935 Medical District Dr, Maildrop B3.02, Dallas, TX 75235-7701 | 2005-06-22 |
1437759842 | Kira Ann Snyder | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-10-27 |
1063011245 | Dana Marie Mckay | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-10-20 |
1508472374 | Marcia Michele Seebachan | Social Worker | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-09-17 |
1811509474 | Zehneel Jiwani | Anesthesiologist Assistant | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-08-17 |
1477165066 | Deisy R Ybarra | Counselor | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-08-17 |
1285242933 | Stephanie Lynn Spencer | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-20 |
1790393627 | Cameron Leigh Keylor | Student in an Organized Health Care Education/Training Program | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-16 |
1689292807 | Coralie Ciceron | Student in an Organized Health Care Education/Training Program | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-14 |
1568070738 | Beth Renae Shell | Registered Nurse | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
Find all providers in zip 75235 |
Taxonomy Code | 363LC0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972078541 | Robert Engle | Nurse Practitioner | 6306 Rincon Way, Dallas, TX 75214-2039 | 2018-10-09 |
1477182426 | Amy Thienphuong Nguyen | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-04-02 |
1548892441 | Ashley King | Nurse Practitioner | 5323 Harry Hines Blvd, Dallas, TX 75390-7200 | 2020-02-08 |
1528567104 | Maria Guadalupe Alvarado | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2018-02-08 |
1770097115 | Hanh My Nguyen-castillo | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2017-11-21 |
1649639683 | Mary Mckean | Nurse Practitioner | 3400 W Wheatland Rd, Dallas, TX 75237-4418 | 2016-02-18 |
1326425794 | Elevate Seniors LLC | Nurse Practitioner | 5050 Quorum Dr Ste 700, Dallas, TX 75254-1410 | 2015-05-05 |
1306273628 | Leia Fine Oh-spradling | Nurse Practitioner | 221 W Colorado Blvd, #929, Dallas, TX 75208-2363 | 2013-10-01 |
1124328893 | Tamara Lynn Philpott | Nurse Practitioner | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 | 2010-10-28 |
1396908729 | Marilen F Ching | Nurse Practitioner | 5939 Harry Hines Blvd, Suite 731, Dallas, TX 75235-6246 | 2008-07-07 |
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.