JILL KOLSTAD (NPI# 1790042596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790042596 |
| Entity Type | Individual |
| Full Name | JILL KOLSTAD |
| Credential | M.ED |
| Practice Address |
6205 Fallow Ct Fort Worth TX 76132-3544 |
| Practice Telephone | 9037249985 |
| Practice Fax Number | 8174230787 |
| Mailing Telephone | 9037249985 |
| Mailing Fax Number | 8174230787 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
495743 | TX | Behavioral Health & Social Service Providers |
| Y | 174400000X | Specialist | 495743 | TX | Other Service Providers |
| Street Address |
6205 FALLOW CT |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76132-3544 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093334039 | Sport Is Religion | Specialist | 8641 Las Vegas Ct Apt 2722, Fort Worth, TX 76116-0044 | 2020-04-09 |
| 1518471986 | Tyrin W Holt | Specialist | 1540 Berckmans Rd, Fort Worth, TX 76120-1500 | 2017-11-21 |
| 1538567151 | Sarah Dimarco | Specialist | 3704 Staghorn Cir N, Fort Worth, TX 76137-6054 | 2014-12-13 |
| 1639581077 | Pre Diabetes Physician Services Inc | Specialist | 1307 8th Ave Ste 502, Fort Worth, TX 76104-4137 | 2014-05-20 |
| 1447661509 | Veronica C Zapata | Specialist | 1113 Nw 25th St, Fort Worth, TX 76164-6904 | 2014-05-12 |
| 1962835439 | Sara Syeda | Specialist | 7250 Hawkins View Dr Ste 410, Fort Worth, TX 76132-3932 | 2013-08-19 |
| 1750624417 | Jennifer C. Brooks, Md Pllc | Specialist | 909 9th Ave Ste 101, Fort Worth, TX 76104-3916 | 2013-04-01 |
| 1063766178 | Richard Eugene Smith | Specialist | 7162 Axis Ct, Fort Worth, TX 76132-3573 | 2012-10-29 |
| 1770831463 | Sharon A Guillory | Specialist | 5441 S Hulen Street, Dona's Wigs, Fort Worth, TX 76132 | 2012-08-28 |
| 1740537281 | Chu Eye Institute, P.a. | Specialist | 3017 W 7th St # 210, Fort Worth, TX 76107-2223 | 2012-08-14 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76132 |
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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.