MS. CARMEN PHILLIPS WHITE (NPI# 1689831562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689831562 |
| Entity Type | Individual |
| Full Name | MS. CARMEN PHILLIPS WHITE |
| Credential | FNP-BC |
| Practice Address |
503 Main St Ste C Lake Dallas TX 75065-2878 |
| Practice Telephone | 9405355296 |
| Practice Fax Number | 9725355297 |
| Mailing Telephone | 9405355296 |
| Mailing Fax Number | 9725355297 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP116632 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
687867 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
503 MAIN ST STE C |
| City | LAKE DALLAS |
| State | TX |
| Zip Code | 75065-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158907 | Lake Dallas Family Medicine Pllc | Family Medicine | 503 Main St Ste C, Lake Dallas, TX 75065-2878 | 2019-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538650924 | Nalani M Newton | Physical Therapy Assistant | 300 E Swisher Rd Apt 3101, Lake Dallas, TX 75065 | 2018-05-22 |
| 1174801880 | Christin Danielle Vaello | Dentist | 2020 Fm 2181, Hickory Creek, TX 75065 | 2011-07-29 |
| 1912934167 | Thuan N Pham | Dentist | 4550 Swisher Road, Hickory Creek, TX 75065 | 2006-06-26 |
| 1346718111 | Stephanie Mouser | Counselor | 211 Main Street, #150, Lake Dallas, TX 75065 | 2018-11-09 |
| 1104100361 | America Dental | Dentist | 4550 Swisher Road, Hickory Creek, TX 75065 | 2011-10-06 |
| 1447817465 | One Reach LLC | Counselor | 211 Saratoga Dr, Lake Dallas, TX 75065-0320 | 2019-05-24 |
| 1710184296 | Family Chiropractic & Wellness Center | Chiropractor | Po Box 760, Lake Dallas, TX 75065-0760 | 2007-06-28 |
| 1184984403 | K2 Home Healthcare, Inc. | Home Health | 318 Sweet Leaf Ln, Lake Dallas, TX 75065-2275 | 2012-05-21 |
| 1598042657 | Jerome P. Kralka I | Hearing Instrument Specialist | 514 Meadowbrook St, Lake Dallas, TX 75065-2312 | 2011-11-03 |
| 1518354000 | Sloane Garrett | Developmental Therapist | 506 Ridgewood St, Lake Dallas, TX 75065-2320 | 2015-04-22 |
| Find all providers in zip 75065 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | LAKE DALLAS |
| Zip Code | 75065 |
Please comment or provide details below to improve the information on MS. CARMEN PHILLIPS WHITE.
| 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.