JANICE M PETTIS-INGRAM (NPI# 1891776829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891776829 |
| Entity Type | Individual |
| Full Name | JANICE M PETTIS-INGRAM |
| Other Name | JANICE PETTIS |
| Credential | ED.D, LLC |
| Practice Address |
5201 S Westmoreland Rd Dallas TX 75237-1622 |
| Practice Telephone | 2143392047 |
| Practice Fax Number | 2143392049 |
| Mailing Telephone | 2143392047 |
| Mailing Fax Number | 2143392049 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
10714 | TX | Behavioral Health & Social Service Providers |
| Street Address |
5201 S WESTMORELAND RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75237-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851372890 | Chequita Dian Badger | Specialist | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2005-11-08 |
| 1760915839 | Jokae Ingram | Psychologist | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2017-04-06 |
| 1932441383 | Healthcare Rehab Group, Inc. | Counselor | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2013-03-25 |
| 1265792063 | Jelani D Ingram | Family Medicine | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2012-05-25 |
| 1417076258 | Rehabilitation Solutions Inc | Occupational Therapist | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2007-03-29 |
| 1063530301 | Behavioral Psychology Clinic, PC | Psychologist | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2007-03-26 |
| 1295862431 | Charles E. Willis II, M.d., P.a. | Anesthesiology | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2007-02-27 |
| 1548229347 | Rosalyn Renee Pryor | Specialist | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2006-03-21 |
| 1407837024 | Jesse C Ingram | Psychologist | 5201 S Westmoreland Rd, Dallas, TX 75237-1622 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223372 | Advanced Medical Services Associates, LLC | Clinic/Center | Advanced Urgent Care Center, 3690 W Wheatland Rd, Suite 150, Dallas, TX 75237 | 2020-10-20 |
| 1225520455 | Ethan William Gingras | Nurse Practitioner | 39769 I-20, Dallas, TX 75237 | 2018-06-04 |
| 1376031450 | Maria North | Student in an Organized Health Care Education/Training Program | Methodist Charlton Medical Center, 3500 W. Wheatland Road, Dallas, TX 75237 | 2018-04-25 |
| 1639671118 | Arquimedes Hernandez Perez | Registered Nurse | 6010 S Westmoreland Rd 423, Dallas, TX 75237 | 2018-03-01 |
| 1275055832 | Tanaka Transport | Non-emergency Medical Transport (VAN) | 4353 Gannon Ln Ste 103-a, Dallas, TX 75237 | 2017-07-14 |
| 1730620543 | Joshua Vong | Physical Therapist | 3107 W. Camp Wisdom Road Suite 131, Dallas, TX 75237 | 2017-03-13 |
| 1821537507 | Votka Sbong | Chiropractor | 2525 W. Wheatland Rd. Ste 230, Dallas, TX 75237 | 2017-02-15 |
| 1508304957 | Archana Srivastava Md Pa | Internal Medicine | 4305 W. Wheatland Road, Suite 130, Dallas, TX 75237 | 2017-02-06 |
| 1295272045 | Stafford Family Enterprises LLC | Dentist | 3306 West Camp Wisdom, Suite 100, Dallas, TX 75237 | 2017-01-31 |
| 1891170585 | Philip James Tyler | Chiropractor | 7125 Marvin D Love Fwy Ste 107, Dallas, TX 75237 | 2015-07-23 |
| Find all providers in zip 75237 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1497355754 | Charles Alexander Plafcan | Counselor | 5969 E Northwest Hwy Apt 1092, Dallas, TX 75231-7429 | 2020-10-27 |
| 1730788290 | Britton Michele Elliott | Counselor | 6318 Richmond Ave Unit 1203, Dallas, TX 75214-3686 | 2020-10-25 |
| 1619576634 | Kaitlin Short | Counselor | 2616 Colby St Apt 2105, Dallas, TX 75204-2664 | 2020-10-21 |
| 1356948061 | Mary Carlisle Reid-doulgas | Counselor | 7724 Dentcrest Dr, Dallas, TX 75254-8134 | 2020-10-06 |
| 1316550247 | Rodney Dean Beck | Counselor | 9814 Ridgehaven Dr, Dallas, TX 75238-2621 | 2020-08-29 |
| 1295348852 | Elizabeth Thompson | Counselor | 4100 Spring Valley Rd Ste 520, Dallas, TX 75244-3629 | 2020-08-24 |
| 1245840701 | Alaina Michelle Mount | Counselor | 9535 Forest Ln Ste 288, Dallas, TX 75243-5900 | 2020-08-08 |
| 1992314736 | Maritza Garcia | Counselor | 3850 W Nothwest Hwy, #3004, Dallas, TX 75220 | 2020-07-28 |
| 1316556582 | Zhen Barrientos | Counselor | 7141 Elliott Dr, Dallas, TX 75227-1806 | 2020-07-23 |
| 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.