JOEL D MACK (NPI# 1649335233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649335233 |
| Entity Type | Individual |
| Full Name | JOEL D MACK |
| Credential | NP |
| Practice Address |
3515 Richmond Rd Texarkana TX 75503 |
| Mailing Address |
3005 Princeton Dr Plano TX 75075-7655 |
| Practice Telephone | 9037919355 |
| Mailing Telephone | 2144703174 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2012-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 618334 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497959506 | Joel David Mack | Psychiatry & Neurology | Va Portland Health Care System, 3710 Sw Us Veterans Hospital Road, Portland, OR 97239 | 2007-06-13 |
| 1598735060 | Joel D Mack | Orthopaedic Surgery | 1801 28 Street, Bakersfield, CA 93301 | 2006-01-25 |
| Street Address |
3515 RICHMOND RD |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948003 | Henry J Platt | Emergency Medicine | 3515 Richmond Rd, Texarkana, TX 75503-0711 | 2005-08-03 |
| 1477189207 | Janelle A Martinez | Nurse Practitioner | 3515 Richmond Rd, Texarkana, TX 75503-0711 | 2020-03-12 |
| 1992211510 | Sharon Alexis West | Registered Nurse | 3515 Richmond Rd, Texarkana, TX 75503-0711 | 2017-12-19 |
| 1821526146 | Kelly Denise Hodge | Nurse Practitioner | 3515 Richmond Rd, Texarkana, TX 75503 | 2017-05-31 |
| 1215478367 | Ronald Lloyd Russette | Registered Nurse | 3515 Richmond Rd, Texarkana, TX 75503 | 2017-03-08 |
| 1588104590 | Liam Thornell | Physician Assistant | 3515 Richmond Rd, Texarkana, TX 75503-0711 | 2017-02-24 |
| 1871041715 | Dana Mccrary | Nurse Practitioner | 3515 Richmond Rd, Texarkana, TX 75503-0711 | 2016-09-21 |
| 1912360538 | Tonya Traylor | Nurse Practitioner | 3515 Richmond Rd, Texarkana, TX 75503-0711 | 2016-03-31 |
| 1609233535 | Tracy Renee Foltz | Nurse Practitioner | 3515 Richmond Rd, Texarkana, TX 75503-0711 | 2016-01-22 |
| 1760848253 | Sharhonda Colbert | Nurse Practitioner | 3515 Richmond Rd, Texarkana, TX 75503-0711 | 2016-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891335584 | Barbara Wright | Nurse Practitioner | 4101 Columbia Ave, Texarkana, TX 75503-2851 | 2020-01-09 |
| 1407333784 | Brittny Nicole Mills | Nurse Practitioner | 3401 Austin St, Texarkana, TX 75501-6711 | 2018-07-19 |
| 1174044531 | Kristie Lynn Thomas | Nurse Practitioner | 2604 Saint Michael Dr Ste 239, Texarkana, TX 75503-2378 | 2017-07-06 |
| 1215475546 | Whitney Lindsey | Nurse Practitioner | 3002 Moores Ln, Texarkana, TX 75503-2204 | 2017-02-07 |
| 1013163013 | Marla Kay English-pickett | Nurse Practitioner | 16060 Broadleaf, Texarkana, TX 75503-9607 | 2008-08-11 |
| 1417588393 | James Owens | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2020-01-30 |
| 1720618390 | Amanda Smith | Nurse Practitioner | 300 E 6th St, Texarkana, AR 71854-5207 | 2020-01-22 |
| 1871052050 | Ian Watson | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2019-03-18 |
| 1629575964 | Tiffany A Hughes | Nurse Practitioner | 4605 Texas Blvd, Texarkana, TX 75503-3028 | 2018-04-12 |
| 1285148585 | Deanna Robin Padgett | Nurse Practitioner | 2435 College Dr, Texarkana, TX 75501-2788 | 2017-11-22 |
| Find all providers in TEXARKANA | ||||
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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.