MS. SHANA FAKKEL (NPI# 1659612752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659612752 |
| Entity Type | Individual |
| Full Name | MS. SHANA FAKKEL |
| Credential | PA |
| Practice Address |
11910 Greenville Ave Suite 500 Dallas TX 75243-3596 |
| Practice Telephone | 2145721124 |
| Practice Fax Number | 2145727724 |
| Mailing Telephone | 2145721124 |
| Mailing Fax Number | 2145727724 |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11910 GREENVILLE AVE SUITE 500 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-3596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053040 | Hedley Rakusin | Dentist | 11910 Greenville Ave, Ste 110, Dallas, TX 75243-3564 | 2005-06-20 |
| 1629523642 | Ashley Smith | Dentist | 11910 Greenville Ave, Suite 110, Dallas, TX 75243-3596 | 2016-08-19 |
| 1306180096 | Benjamin Scott Scarbro | Nurse Anesthetist, Certified Registered | 11910 Greenville Ave, Suite 650, Dallas, TX 75243-3596 | 2012-11-19 |
| 1477808897 | Katherine M. Floyd | Nurse Anesthetist, Certified Registered | 11910 Greenville Ave, Suite 650, Dallas, TX 75243-3596 | 2012-07-23 |
| 1528329307 | Smith Family Dentistry Pa | Dentist | 11910 Greenville Ave, Suite 110, Dallas, TX 75243-3596 | 2012-06-07 |
| 1770872657 | Florence Nwagwu | Anesthesiology | 11910 Greenville Ave, Suite 650, Dallas, TX 75243-3596 | 2011-03-31 |
| 1003121112 | Ambreen Feroz Ali Nadeem | Physician Assistant | 11910 Greenville Ave, 500, Dallas, TX 75243-3596 | 2010-08-12 |
| 1285967174 | Kathryn Branch | Nurse Practitioner | 11910 Greenville Ave, Suite 500, Dallas, TX 75243-3596 | 2009-09-10 |
| 1235307307 | Charles Gravely | Physician Assistant | 11910 Greenville Ave, Suite 500, Dallas, TX 75243-3596 | 2008-02-12 |
| 1902084395 | Guillermo Guardiola Jr. | Nurse Anesthetist, Certified Registered | 11910 Greenville Ave, Suite 650, Dallas, TX 75243 | 2008-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641051 | Kelsey Young | Physician Assistant | 12201 Merit Dr Ste 400, Dallas, TX 75251-3117 | 2019-07-17 |
| 1558863555 | Kyra Nicole Logan | Physician Assistant | 221 W Colorado Blvd Pav II Ste. 425, Dallas, TX 75208-7520 | 2018-03-06 |
| 1386169175 | Lauren Moore | Physician Assistant | 5201 Harry Hines Blvd Fl Htower1, Dallas, TX 75235-7708 | 2017-08-14 |
| 1811427594 | Jena Benik | Physician Assistant | 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 | 2017-06-15 |
| 1881123909 | One Healthcare LLC | Physician Assistant | 1722 Routh St Ste 900, Dallas, TX 75201-2588 | 2017-06-12 |
| 1972037307 | Morrison Medical | Physician Assistant | 17746 Preston Rd Ste 100, Dallas, TX 75252-5736 | 2017-04-12 |
| 1205297652 | Keri Miller | Physician Assistant | 9780 Lbj Fwy Ste 124, Dallas, TX 75243-6847 | 2016-03-14 |
| 1275907776 | Aleshia Mutai | Physician Assistant | 5800 E Lovers Ln, Dallas, TX 75206-2901 | 2015-11-20 |
| 1588049613 | Yvonne Conard | Physician Assistant | 2650 Cedar Springs Rd, #5535, Dallas, TX 75201-1495 | 2015-07-30 |
| 1699174599 | John Michael Cline | Physician Assistant | 5201 Harry Hines Boulevard, Psychiatric Emergency Room, Dallas, TX 75235 | 2014-08-15 |
| 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.