MS. JACQUELINE LANAE FORT (NPI# 1861639718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861639718 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE LANAE FORT |
| Practice Address |
842 Pangburn St Grand Prairie TX 75051 |
| Practice Telephone | 9726060496 |
| Practice Fax Number | 9726060496 |
| Mailing Telephone | 9726060496 |
| Mailing Fax Number | 9726060496 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
842 PANGBURN ST |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750940342 | Laura Burdette | Counselor | 2801 Oster Dr., Building A Suite 300, Grand Prairie, TX 75051 | 2019-06-07 |
| 1871087460 | Cam Chau Huynh | Pharmacist | 2615 W Pioneer Pwky Suite 139, Grand Prairie, TX 75051 | 2018-06-18 |
| 1710416060 | Squeece Services LLC | Private Vehicle | 2304 Oak Ln Dr Suite 201, Grand Prairie, TX 75051 | 2017-06-09 |
| 1477000883 | Marshall Anderson | Specialist/Technologist | 101 Gopher Boulevard, Grand Prairie, TX 75051 | 2016-09-01 |
| 1932570934 | By His Grace Housecalls Inc | Nurse Practitioner | 2305 Oak Ln Ste 106, Grand Prairie, TX 75051 | 2015-10-15 |
| 1225453921 | Perfection Housecalls of Texas LLC | Nurse Practitioner | 2755 Furlong Dr, Grand Prairie, TX 75051 | 2014-03-04 |
| 1669619300 | Parker Health Care Services Inc | Nursing Care | 2305 Oak Lane Ste 211, Grand Prairie, TX 75051 | 2009-01-16 |
| 1386841625 | Omolara Abitoye | Pediatrics | 688 W Pioneer Pkwy Ste 120, Grand Prairie, TX 75051 | 2007-06-29 |
| 1750584934 | Mai Tram Phan | Dentist | 2100 S Great Sw Pky, Suite #102, Grand Prairie, TX 75051 | 2007-06-06 |
| 1437270220 | 303 Medical Clinic, P.a. | Family Medicine | 710 East Pioneer Parkway, Grand Prarie, TX 75051 | 2007-04-02 |
| Find all providers in zip 75051 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104308931 | Reginah Mbula Ngwili | Contractor | 3318 Spring Meadow Ln, Grand Prairie, TX 75052-6482 | 2018-08-29 |
| 1396111019 | Tommy Lee Provost | Contractor | 5832 Midnight Ln, Grand Prairie, TX 75052-8585 | 2015-08-17 |
| 1073829883 | Marcie Frazier-martin | Contractor | 2768 Park Pl, Grand Prairie, TX 75052-8582 | 2010-08-31 |
| 1710126230 | Claude Russell Trotter IIi | Contractor | 674 W Warrior Trl, Grand Prairie, TX 75052-6099 | 2009-02-05 |
| 1629134440 | Executive De-tails | Contractor | 2952 Celian Dr, Grand Prairie, TX 75052-8737 | 2006-12-28 |
| 1134200389 | Sharon Ruth Jackson | Contractor | 2100 N. Hwy 360, Suite 1704, Grand Prairie, TX 75050-1062 | 2006-10-17 |
| 1801904644 | Dwight Lee | Contractor | 4223 Cedar Ridge Dr, Grand Prairie, TX 75052-2819 | 2006-08-29 |
| 1013933084 | Deborah A Burns | Contractor | 3122 S Holiday Dr, Grand Prairie, TX 75052-5857 | 2006-07-14 |
| 1598916991 | Moses B Fagbeyiro | Contractor | 2516 Wayne Way, Grand Prairie, TX 75052-7883 | 2008-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123228 | D and J Development | Contractor | 3016 N I 35 E, Lancaster, TX 75134-1851 | 2020-10-28 |
| 1427657659 | Mipcn, Inc. | Contractor | 9305 Hammerly Blvd, Houston, TX 77080-5413 | 2020-10-19 |
| 1497353569 | Mark Sanders | Contractor | 3046 Fordham Rd, Dallas, TX 75216-4819 | 2020-10-12 |
| 1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
| 1235744244 | Dignity Services LLC | Contractor | 1001 N Medford Rd, Brownsville, TX 78521-8474 | 2020-09-15 |
| 1568076826 | Hanaa Mohammed | Contractor | 6825 Huebner Rd # 680012, San Antonio, TX 78238-2108 | 2020-09-03 |
| 1609487107 | Lateshna D Oliver | Contractor | 1714 7th St, Wichita Falls, TX 76301-4223 | 2020-08-10 |
| 1588282354 | Tenzie May | Contractor | 5413 Mansel Ln, Fort Worth, TX 76134-1615 | 2020-07-08 |
| 1720605116 | Physmedics LLC | Contractor | 10900 Research Blvd., Ste 160-c, #3, Austin, TX 78759-5718 | 2020-07-01 |
| 1609493444 | Kizzey Ann Collins | Contractor | 810 Skyline Trl, Houston, TX 77019-2950 | 2020-06-27 |
| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75051 |
Please comment or provide details below to improve the information on MS. JACQUELINE LANAE FORT.
| 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.