DOCTORS EXTENDERS, INC (NPI# 1689021917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689021917 |
| Entity Type | Organization |
| Organization Name | DOCTORS EXTENDERS, INC |
| Practice Address |
1104 Monterrey St Bedford TX 76022-7531 |
| Practice Telephone | 2143890855 |
| Practice Fax Number | 2143890859 |
| Mailing Telephone | 2143890855 |
| Mailing Fax Number | 2143890859 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |
| Authorized Official Name | BRIAN SCOTT MORROW (OWNER/ DIRECTOR) |
| Authorized Official Telephone | 2143890855 |
| Authorized Official Credential | ANP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP115380 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1104 MONTERREY ST |
| City | BEDFORD |
| State | TX |
| Zip Code | 76022-7531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155754 | Jacquelyn H Holloway | Registered Nurse | 820 Uptown Blvd, Bedrord, TX 76022 | 2020-08-18 |
| 1861972556 | Red Diamond Medical Group Pllc | Internal Medicine | 2700 Tibbets Dr # 301, Bedford, TX 76022 | 2018-08-21 |
| 1649761958 | Florine Karimi Mati | Behavioral Analyst | 1413 Tennis Dr, Bedford, TX 76022 | 2018-05-22 |
| 1760836704 | Healing Hands Senior Care Service | Technician | 1152 High Point Rd., Bedford, TX 76022 | 2016-04-15 |
| 1972965283 | Emily Vandoren | Physical Therapist | 1705 Forest Ridge Drive, Bedford, TX 76022 | 2016-03-25 |
| 1396123949 | Decorla Holmes | Adult Companion | 1152 Highpoint Rd., Bedford, TX 76022 | 2015-05-15 |
| 1629409198 | Susan Yvonne Pelletier | Durable Medical Equipment & Medical Supplies | 1600 Central Drive, Suite 157, Bedford, TX 76022 | 2013-12-09 |
| 1649565953 | Alisa Thamwiwat | Internal Medicine | 1604 Hospital Pkwy Ste 301, Bedford, TX 76022 | 2011-06-15 |
| 1528227576 | Ft. Worth Home Care Inc | Home Health | 1600 Airport Freeway, Suite 503, Bedford, TX 76022 | 2008-06-05 |
| 1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
| Find all providers in zip 76022 | ||||
| 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 |
|---|---|---|---|---|
| 1821622911 | Mh Health Care Services, PC | Nurse Practitioner | 125 Middlesex Tpke, Bedford, MA 01730-1409 | 2020-02-27 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1972079788 | Mychelle Baxter | Nurse Practitioner | 1900 Wimbleton Dr, Bedford, TX 76021-2554 | 2018-10-18 |
| 1225579063 | Fc Indiana, LLC | Nurse Practitioner | 2418 16th St, Bedford, IN 47421-3049 | 2017-03-13 |
| 1710137245 | Kristen Kay Brooks | Nurse Practitioner | 2217 Murphy Dr Apt 2026, Bedford, TX 76021 | 2008-09-20 |
| 1376665422 | Integrated Pain Care of Bedford, LLC | Nurse Practitioner | 706 Riverway Place, Bedford, NH 03110-6768 | 2007-04-06 |
| 1982706180 | Dorothy A Sullivan | Nurse Practitioner | 262 S River Rd, Bedford, NH 03110-6916 | 2006-09-01 |
| 1528001377 | Carolyn Finocchiaro | Nurse Practitioner | 306 Riverway Pl, Bedford, NH 03110-6764 | 2006-06-13 |
| 1164470944 | Denise Doyle | Nurse Practitioner | 1017 14th St, Bedford, IN 47421-3510 | 2006-05-04 |
| 1154395747 | Jill S Buterbaugh | Nurse Practitioner | 104 Railroad St, Bedford, PA 15522-1013 | 2006-02-13 |
| Find all providers in BEDFORD | ||||
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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.