DOLLY K. CHAFFIN


Address: 1325 Pennsylvania Ave Ste 450, Fort Worth, TX 76104-2191
Phone: 8172507240

DOLLY K. CHAFFIN (NPI# 1669775425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669775425
Entity Type Individual
Full Name DOLLY K. CHAFFIN
Credential NP
Practice Address 1325 Pennsylvania Ave Ste 450
Fort Worth
TX 76104-2191
Practice Telephone 8172507240
Practice Fax Number 8889771985
Mailing Telephone 8172507240
Mailing Fax Number 8889771985
Enumeration Date 2010-12-15
Last Update Date 2019-09-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 563286 TX Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
AP119369 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1325 PENNSYLVANIA AVE STE 450
City FORT WORTH
State TX
Zip Code 76104-2191

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164498192 Stephen Cheng Transplant Surgery 1325 Pennsylvania Ave Ste 450, Fort Worth, TX 76104-2191 2006-02-28
1194336677 Katherine Jane Hager Nurse Practitioner 1325 Pennsylvania Ave Ste 450, Fort Worth, TX 76104-2191 2020-08-10
1346456092 Tariq Nawaz Khan Transplant Surgery 1325 Pennsylvania Ave Ste 450, Fort Worth, TX 76104-2191 2007-05-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184223786 Vincy Saji Mathew Nurse Practitioner 8804 Viridian Ln, Fort Worth, TX 76123-4030 2020-10-23
1821635814 Sarah Elizabeth Martin Nurse Practitioner 4212 Selkirk Dr W, Fort Worth, TX 76109-5328 2019-12-09
1568930360 Chelsea Lynne Outhier Nurse Practitioner 4628 Belladonna Dr, Fort Worth, TX 76123-1841 2018-11-09
1265900567 Sarah Jane Armendarez Nurse Practitioner 6715 Bluffview Dr, Fort Worth, TX 76132-3062 2018-11-05
1548736366 Nina Quijano Nurse Practitioner 8209 Whistling Duck Dr, Fort Worth, TX 76118-7623 2018-10-18
1275015612 Falguni Udayan Patel Nurse Practitioner 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 2018-09-02
1487159612 Jose Sanchez Nurse Practitioner 3540 Wharton Dr, Fort Worth, TX 76133-2121 2018-03-29
1376057752 Shabnum Shakeel Zaman Nurse Practitioner 816 Stone Water Dr Apt 1015, Fort Worth, TX 76120-2798 2017-11-21
1376081752 Cheryl D. Mitchell Nurse Practitioner 11803 S. Freeway, Ste. 311, Fort Worth, TX 76115 2017-02-06
1184167561 Reynaldo Daba II Nurse Practitioner 1412 May St, Fort Worth, TX 76104-7639 2016-12-02
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Competitor

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City FORT WORTH
Zip Code 76104

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Dataset Information

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.

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