ANGELIQUE TCHOUNKOVSKY (NPI# 1760712483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760712483 |
| Entity Type | Individual |
| Full Name | ANGELIQUE TCHOUNKOVSKY |
| Credential | A.N.P.-C. |
| Practice Address |
5801 Oakbend Trl Ste 200 Fort Worth TX 76132 |
| Mailing Address |
5801 Oakbend Trl Ste 200 Fort Worth TX 76132-3916 |
| Practice Telephone | 8175299100 |
| Practice Fax Number | 8175299106 |
| Mailing Telephone | 8175299100 |
| Mailing Fax Number | 8175299106 |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP118541 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 8820NZ | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 W Magnolia Ave, Ste 100, Fort Worth, TX 761048517 | 8178707300 | 8173359529 |
| Street Address |
5801 OAKBEND TRL STE 200 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285668475 | Loraine Nadine Yeoham | Family Medicine | 5801 Oakbend Trl Ste 200, Fort Worth, TX 76132-3916 | 2006-07-11 |
| 1639715915 | Jessica Catherine Dadgari | Nurse Practitioner | 5801 Oakbend Trl Ste 200, Fort Worth, TX 76132-3916 | 2019-11-21 |
| 1508330838 | Jamie Marie Underhill | Nurse Practitioner | 5801 Oakbend Trl Ste 200, Fort Worth, TX 76132-3916 | 2019-01-21 |
| 1700804499 | Badia Islah Harlin | Nurse Practitioner | 5801 Oakbend Trl Ste 200, Fort Worth, TX 76132-3916 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| Find all providers in zip 76132 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310009 | Mercy Ngeusang | Nurse Practitioner | 5440 Tuxbury Pond Dr, Fort Worth, TX 76179-1489 | 2020-06-12 |
| 1003475682 | Rachel A Oyejide | Nurse Practitioner | 4205 Golden Horn Ln, Fort Worth, TX 76123-2569 | 2019-06-07 |
| 1457829962 | Nelius Njuguna | Nurse Practitioner | 5204 Bryant Irvin Rd Apt 2119, Fort Worth, TX 76132-3847 | 2018-11-02 |
| 1215442819 | Samuel Nganga Kamau | Nurse Practitioner | 10008 Channing Rd, Fort Worth, TX 76244-8500 | 2017-12-06 |
| 1841739018 | Shannon Boodhwani | Nurse Practitioner | 6100 Harris Pkwy Ste 345, Fort Worth, TX 76132-4134 | 2017-02-21 |
| 1831632306 | Brianna Hawkins | Nurse Practitioner | 10628 Donnis Dr, Fort Worth, TX 76244-6658 | 2016-11-30 |
| 1518359645 | Barbara Evans | Nurse Practitioner | 1001 12th Ave Ste 130, Fort Worth, TX 76104-3926 | 2015-02-26 |
| 1942575329 | Mari J. Finley | Nurse Practitioner | 4503 Anglin Cir, Fort Worth, TX 76140-4205 | 2012-03-18 |
| 1306110366 | Janice Renea Richardson | Nurse Practitioner | 1350 E Lancaster Ave Ste 100, Fort Worth, TX 76102-6671 | 2012-03-07 |
| 1477154490 | Cassandra Jade Hinojosa | Nurse Practitioner | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4266 | 2020-11-05 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76132 |
Please comment or provide details below to improve the information on ANGELIQUE TCHOUNKOVSKY.
| 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.