ELIZABETH CISNEROS (NPI# 1700443645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700443645 |
| Entity Type | Individual |
| Full Name | ELIZABETH CISNEROS |
| Credential | NP |
| Practice Address |
1301 Pennsylvania Ave Fort Worth TX 76104-2122 |
| Mailing Address |
2716 Bull Shoals Dr Fort Worth TX 76131-2072 |
| Practice Telephone | 8172503094 |
| Mailing Telephone | 6822406713 |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2019-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP115979 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619102100 | Elizabeth Preston Cisneros | Clinical Neuropsychologist | 14788 Oak Leaf Dr, Eastvale, CA 92880-1048 | 2009-05-27 |
| 1790210854 | Elizabeth Packard Cisneros | Occupational Therapist | 1601 E Yesler Way, Seattle, WA 98122-5640 | 2017-04-26 |
| Street Address |
1301 PENNSYLVANIA AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227257 | Robert Louis Quillin | Pediatrics | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2005-07-05 |
| 1003414996 | Jana Mitchell | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-10-13 |
| 1730799941 | Brin Alexandra Morris | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-08-03 |
| 1871103168 | Niki Sheth | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-08-03 |
| 1033736863 | Molly Taylor | Respiratory Therapist, Registered | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-27 |
| 1215554175 | Suja Varghese | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-26 |
| 1538786470 | Amanda A Viehmann | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-26 |
| 1376169599 | Heather Nicole Le | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-23 |
| 1750904249 | Kelli Renee Vogler | Physician Assistant | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-05-19 |
| 1598387169 | Alim Virji | Radiology | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-05-17 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556341 | Sarah R Tabor | Nurse Practitioner | 4819 El Campo Ave, Fort Worth, TX 76107-4917 | 2020-10-21 |
| 1336747963 | Thomas Liles | Nurse Practitioner | 4 Carlson Ct, Fort Worth, TX 76119-5901 | 2020-10-15 |
| 1518565597 | Khyatiben Harsh Parikh | Nurse Practitioner | 8121 Belgian Blue Ct, Fort Worth, TX 76131-1734 | 2020-10-13 |
| 1225645906 | Manju Karki K C | Nurse Practitioner | 4812 Meadow Falls Dr # A, Fort Worth, TX 76244-2308 | 2020-09-28 |
| 1497361778 | Mulikat Dossou | Nurse Practitioner | 8024 Valley Crest Dr, Fort Worth, TX 76120-5651 | 2020-09-22 |
| 1275148793 | Bianca Adrianna Agnello | Nurse Practitioner | 8465 Boat Club Rd Ste 115, Fort Worth, TX 76179-3676 | 2020-09-11 |
| 1356955363 | Alba C. Rivas | Nurse Practitioner | 6958 Legato Ln, Fort Worth, TX 76134-3727 | 2020-09-07 |
| 1043824139 | Traci D Huff | Nurse Practitioner | 7121 Sundance Ln, Fort Worth, TX 76179-2533 | 2020-09-04 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1619589108 | Megan King | Nurse Practitioner | 9734 N Beach St Ste 100, Fort Worth, TX 76244-6185 | 2020-08-18 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on ELIZABETH CISNEROS.
| 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.