MICHELLE JAVELLANA DE LA CRUZ (NPI# 1669810016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669810016 |
| Entity Type | Individual |
| Full Name | MICHELLE JAVELLANA DE LA CRUZ |
| Credential | ANP-BC |
| Practice Address |
4343 N Josey Ln Carrollton TX 75010-4603 |
| Mailing Address |
632 Lake City Dr Lewisville TX 75056-4164 |
| Practice Telephone | 4698356436 |
| Mailing Telephone | 4698356436 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2015-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
708814 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196586 | Michelle De La Cruz | Behavior Technician | 2140 Nw 113th Ter, Miami, FL 33167-3516 | 2017-07-12 |
| Street Address |
4343 N JOSEY LN |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386620656 | Jean Marie Nusbaum | Anesthesiology | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2005-12-19 |
| 1922612977 | Castle Hills Medical Group | Internal Medicine | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2020-09-06 |
| 1326676206 | Jessica Danielle Spears | Nurse Practitioner | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2020-03-27 |
| 1134769789 | Ies Carrollton Pllc | Emergency Medicine | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2020-01-12 |
| 1184262800 | Sana Healthcare Carrollton | General Acute Care Hospital | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2019-12-12 |
| 1649752882 | Suma Stanly Chirayath | Nurse Practitioner | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2018-09-04 |
| 1205330297 | Luke Slama | Physical Therapist | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2018-03-22 |
| 1063860419 | Cindy Lynne Parrish | Speech-Language Pathologist | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2016-05-26 |
| 1104282862 | Lindsay Nicole Deal | Physician Assistant | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2016-01-11 |
| 1720450547 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2015-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073002960 | Micah Deshaun Martin | Nurse Practitioner | 1420 Valwood Pkwy Ste 170, Carrollton, TX 75006-8312 | 2018-05-07 |
| 1053821942 | Shova Gurung | Nurse Practitioner | 3829 Westminster Dr, Carrollton, TX 75007-2628 | 2017-10-04 |
| 1366452617 | Diana L. Dally | Nurse Practitioner | 1020 Trump Rd, Carrollton, OH 44615 | 2006-08-09 |
| 1831750926 | Kelli Strickland | Nurse Practitioner | 157 Clinic Ave Ste 201, Carrollton, GA 30117-4454 | 2019-06-28 |
| 1487153839 | Lauren Holcombe | Nurse Practitioner | 100 Professional Pl Ste 204, Carrollton, GA 30117 | 2018-02-12 |
| 1881149102 | Shelley Smith | Nurse Practitioner | 129 Bankhead Hwy, Carrollton, GA 30117-3425 | 2016-08-16 |
| 1952854572 | Hannah Pollard | Nurse Practitioner | 100 Professional Pl, #202, Carrollton, GA 30117-3874 | 2016-07-31 |
| 1285187161 | Kerri Coduti | Nurse Practitioner | 3730 N Josey Ln, #104, Carrollton, TX 75007-2484 | 2016-07-27 |
| 1306293923 | Sequoise Givens | Nurse Practitioner | 2459 E Hebron Pkwy, Carrollton, TX 75010-4482 | 2016-05-24 |
| 1184084600 | Kelly Forrest | Nurse Practitioner | 705 Dixie St, Carrollton, GA 30117-3818 | 2016-02-25 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
Please comment or provide details below to improve the information on MICHELLE JAVELLANA DE LA CRUZ.
| 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.