MISS PAULA YETUNDA EBO (NPI# 1831489947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831489947 |
| Entity Type | Individual |
| Full Name | MISS PAULA YETUNDA EBO |
| Credential | FNP |
| Practice Address |
4545 Fuller Dr Ste 325 Irving TX 75038-6530 |
| Mailing Address |
Po Box 1239 Troy MI 48099-1239 |
| Practice Telephone | 2149842168 |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP120082 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
738344 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TXB143990 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4800 Fredericksburg Rd Ste 127, San Antonio, TX 782293781 | 2104680800 | 2107338649 |
| Street Address |
4545 FULLER DR STE 325 |
| City | IRVING |
| State | TX |
| Zip Code | 75038-6530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700804937 | William Richard Travis | Internal Medicine | 4545 Fuller Dr Ste 325, Irving, TX 75038-6530 | 2006-07-17 |
| 1326667536 | Vpa of Texas Pllc | Pediatrics | 4545 Fuller Dr Ste 325, Irving, TX 75038-6530 | 2020-04-09 |
| 1942829155 | Vpa of Texas Pllc | Pediatrics | 4545 Fuller Dr Ste 325, Irving, TX 75038-6530 | 2020-04-09 |
| 1932751211 | Patricia M Milford | Registered Nurse | 4545 Fuller Dr Ste 325, Irving, TX 75038-6530 | 2019-07-16 |
| 1477010767 | Nelson Fon Achu | Nurse Practitioner | 4545 Fuller Dr Ste 325, Irving, TX 75038-6530 | 2019-02-23 |
| 1043730971 | Cierra Nicole Thomas | Nurse Practitioner | 4545 Fuller Dr Ste 325, Irving, TX 75038-6530 | 2017-06-21 |
| 1396298006 | Lauren Mae Huffman | Nurse Practitioner | 4545 Fuller Dr Ste 325, Irving, TX 75038-6530 | 2016-07-28 |
| 1629423363 | Binita Kharel Nepal | Internal Medicine | 4545 Fuller Dr Ste 325, Irving, TX 75038 | 2016-05-02 |
| 1932578671 | Grace W Maina | Nurse Practitioner | 4545 Fuller Dr Ste 325, Irving, TX 75038-6530 | 2015-09-23 |
| 1790101624 | Paul B Bourland | Nurse Practitioner | 4545 Fuller Dr Ste 325, Irving, TX 75038-6530 | 2014-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959587 | S&w Primary Home Care | Home Health | 3921 Timberidge Drive, Irving, TX 75038 | 2020-10-12 |
| 1295372928 | Wecare Tlc | Clinic/Center | 777 Hidden Ridge, Irving, TX 75038 | 2019-12-02 |
| 1407369135 | North Texas Psychiatry Associates Pllc | Psychiatry & Neurology | 4020 N. Macarthur Blvd, Suite 122 - 153, Irving, TX 75038 | 2017-11-16 |
| 1164970745 | Young Men's Christian Association of Metropolitan Dallas | Health Educator | 1621 W Walnut Hill Ln, Irving, TX 75038 | 2016-09-13 |
| 1285086397 | Edge-md Holding Pllc | Family Medicine | 1200 W. Walnut Hill Lane, Suite 3950, Irving, TX 75038 | 2016-07-13 |
| 1912318445 | Alliance Neurodiagnostics, LLC | Clinic/Center | 4545 Fuller Dr Ste 200, Irving, TX 75038 | 2014-05-19 |
| 1790029841 | Paul Dean Allen | Counselor | 5525 N. Macarthur Blvd, Suite 800, Mhn Government Services, Irving, TX 75038 | 2012-11-15 |
| 1437403227 | Dashwood Pharmacy | Pharmacy | 1300 W. Walnut Hill Lane, Suite 163, Irving, TX 75038 | 2012-11-01 |
| 1265795538 | Michael Fooshee | Dentist | 3007 Skyway Circle North, Suite 100, Irving, TX 75038 | 2012-06-20 |
| 1205107273 | Sylviane Akenda Kasende | Nurse Practitioner | 2925 Skyway Circle N, Irving, TX 75038 | 2012-01-23 |
| Find all providers in zip 75038 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
| 1770148421 | Ashily Susan Skaria | Nurse Practitioner | 1618 Skyview Dr, Irving, TX 75060-4712 | 2019-05-08 |
| 1932628831 | Justus Mogaka | Nurse Practitioner | 4604 W Pioneer Dr Apt 347, Irving, TX 75061-3845 | 2017-09-12 |
| 1861862245 | Nicole Crooks | Nurse Practitioner | 4250 Club House Cir, Apartment 2229, Irving, TX 75038-9093 | 2015-09-29 |
| 1205107273 | Sylviane Akenda Kasende | Nurse Practitioner | 2925 Skyway Circle N, Irving, TX 75038 | 2012-01-23 |
| 1356618748 | Elisabeth Anne Buchanan | Nurse Practitioner | 5605 N. Macarthur Bl., #400, Irving, TX 75038-2617 | 2011-11-29 |
| 1083857809 | Bibi S Koo | Nurse Practitioner | 3050 Regent Blvd., Suite 200, Irving, FL 75063 | 2009-04-09 |
| 1619981784 | Melissa Demasi | Nurse Practitioner | 3501 N Macarthur Blvd Ste 360, Irving, TX 75062-3621 | 2006-07-27 |
| 1437126703 | Christine M Acker | Nurse Practitioner | 3050 Regent Blvd Ste 200, Irving, TX 75063-5806 | 2006-03-04 |
| 1881680650 | Diana Joyce Mcmains | Nurse Practitioner | 3050 Regent Blvd. Suite 200, Examination Management Services, Irving, TX 75063 | 2005-09-27 |
| Find all providers in IRVING | ||||
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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.