WILLYBROAD CHE (NPI# 1770046807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770046807 |
| Entity Type | Individual |
| Full Name | WILLYBROAD CHE |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1341 W Mockingbird Ln Dallas TX 75247-6913 |
| Mailing Address |
1706 Long Meadow Rd Wylie TX 75098-0290 |
| Practice Telephone | 9726304810 |
| Mailing Telephone | 4692868288 |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2019-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP137559 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1341 W MOCKINGBIRD LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75247-6913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243151 | Michael C Fitzpatrick | Specialist | 1341 W Mockingbird Ln, Mockingbird Towers, Ste 710e, Dallas, TX 75247-6913 | 2005-05-24 |
| 1083247522 | Nina Anunobi | Nurse Practitioner | 1341 W Mockingbird Ln, Dallas, TX 75247-6913 | 2020-02-12 |
| 1417322157 | Premiere Counseling and Recovery Services | Counselor | 1341 W Mockingbird Ln, Suite 600, West Tower, Dallas, TX 75247-6913 | 2015-12-07 |
| 1215241211 | John G Mchenry Md Mph Pllc | Ophthalmology | 1341 W Mockingbird Ln, Suite 241, Dallas, TX 75247-6913 | 2010-08-02 |
| 1811223993 | Carestaf of Dallas, Lp | Home Health | 1341 W Mockingbird Ln, Suite 242w, Dallas, TX 75247-6913 | 2009-10-26 |
| 1588899256 | Peter Choi | Internal Medicine | 1341 W Mockingbird Ln, Suite 240e, Dallas, TX 75247-4971 | 2009-05-24 |
| 1477725398 | Lifespan Pharmacy Inc | Pharmacy | 1341 W Mockingbird Ln, Suite 304w, Dallas, TX 75247 | 2008-04-01 |
| 1073654661 | Marcus M Stavchansky | Pharmacist | 1341 W Mockingbird Ln, Suite #400 E, Dallas, TX 75247-6913 | 2007-02-08 |
| 1548310691 | Bahar Anbar | Physician Assistant | 1341 W Mockingbird Ln, Mockingbird Towers, Ste 710e, Dallas, TX 75247-6913 | 2007-01-11 |
| 1104975655 | Jeanelle Leilani Kam | Obstetrics & Gynecology | 1341 W Mockingbird Ln, Suite 200 E, Dallas, TX 75247-6913 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973842 | Paramount Medical Rehabilitation LLC | Clinic/Center | 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 | 2020-08-19 |
| 1750916144 | Sunshine Kids Pediatric Day Center, LLC | Nursing Care | 9127-9131 King Arthur Boulevard, Dallas, TX 75247 | 2020-03-06 |
| 1740789924 | Jennifer Pauli | Nurse Practitioner | 7610 N Stemmons Fwy Ste 360, Dallas, TX 75247 | 2018-02-02 |
| 1669991097 | Kai Medical Laboratories, LLC | Pathology | 8230 Elmbrook Dr Ste 200, Dallas, TX 75247 | 2017-09-18 |
| 1174055610 | Hoa Perkins | Technician/Technologist | 1499 Regal Row Suite 505a, Dallas, TX 75247 | 2017-04-03 |
| 1376910018 | Integron LLC | Clinical Medical Laboratory | 5139 Sharp Street, Dallas, TX 75247 | 2015-08-28 |
| 1710364575 | T.e.a.m. | Community/Behavioral Health | 1140 Empire Central Blvd, 520, Dallas, TX 75247 | 2015-04-30 |
| 1093053126 | Guardian Health Systems Aurora | Pharmacy | 7920 Elmbrook Drive Suite 108, Suite 108, Dallas, TX 75247 | 2013-01-24 |
| 1457665317 | Pediatric Home Healthcare, LLC | Home Health | 1341 W Mockingbird Ln Ste 245e, Dallas, TX 75247 | 2010-08-03 |
| 1275846388 | Another Chancee, Inc. | Social Worker | 1140 Empire Central Drive, Suite 260, Dallas, TX 75247 | 2010-07-17 |
| Find all providers in zip 75247 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1699376723 | David James Wainwright | Nurse Practitioner | 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 | 2020-11-04 |
| 1528668860 | Nicole Chadwick | Nurse Practitioner | 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 | 2020-10-27 |
| 1952901415 | Melissa Green | Nurse Practitioner | 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 | 2020-10-26 |
| 1194324640 | Busola Stella Amurawaiye | Nurse Practitioner | 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 | 2020-10-25 |
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1689288276 | Chinyere Ezeh | Nurse Practitioner | 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 | 2020-09-01 |
| 1992317341 | Modern Enhancement | Nurse Practitioner | 2777 N Stemmons Fwy Ste 1141, Dallas, TX 75207-2273 | 2020-08-18 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1528678083 | Esther Siriba | Nurse Practitioner | 9304 Forest Ln Ste N244, Dallas, TX 75243-6238 | 2020-08-08 |
| Find all providers in DALLAS | ||||
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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.