MERCY ITESA (NPI# 1790272920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790272920 |
| Entity Type | Individual |
| Full Name | MERCY ITESA |
| Practice Address |
11937 Grizzly Bear Dr Fort Worth TX 76244-4784 |
| Practice Telephone | 7135452672 |
| Mailing Telephone | 7135452672 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
873458 | TX | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
873458 | TX | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1016777 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11937 GRIZZLY BEAR DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-4784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257814 | Daniel Oyewusi Oyewole | Nurse Practitioner | 4051 Hunters Creek Dr, Fort Worth, TX 76123-2549 | 2020-08-25 |
| 1174147037 | Ugbodu Ene Awoniyi | Nurse Practitioner | 4924 Cliburn Dr, Fort Worth, TX 76244-6130 | 2020-06-05 |
| 1346863925 | Lynnetta Vanice Cheeks | Nurse Practitioner | 6101 Saddlepack Dr, Fort Worth, TX 76123-1591 | 2020-05-18 |
| 1073143160 | Dorcas Mwangi | Nurse Practitioner | 4809 Campfire Ct, Fort Worth, TX 76244-7922 | 2020-01-17 |
| 1497390686 | Chigane Abraham | Nurse Practitioner | 8609 Glenburne Dr, Fort Worth, TX 76131 | 2019-11-12 |
| 1457895666 | Paul Geise | Nurse Practitioner | 3501 Ne Loop 820, #306, Fort Worth, TX 76137-2415 | 2016-12-06 |
| 1477005007 | Amie Wolverton Riddle | Nurse Practitioner | 320 Silver Canyon Dr, Fort Worth, TX 76108-9612 | 2016-10-31 |
| 1659742211 | Kamesha Roshun Mitchell | Nurse Practitioner | 3100 Hulen St, Fort Worth, TX 76107 | 2015-10-08 |
| 1255592424 | Akosua Serwaa Obeng | Nurse Practitioner | 8949 Silent Brook Ln, Fort Worth, Fort Worth, TX 76244-4946 | 2008-06-20 |
| 1154518470 | Dawn Dean | Nurse Practitioner | 124 Cooks Ln, Fort Worth, TX 76120-2016 | 2007-10-01 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
Please comment or provide details below to improve the information on MERCY ITESA.
| 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.