MEGAN R FORTENBERRY (NPI# 1902457047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902457047 |
| Entity Type | Individual |
| Full Name | MEGAN R FORTENBERRY |
| Practice Address |
100 Hillcrest Medical Blvd Waco TX 76712-8897 |
| Mailing Address |
Po Box 848491 Dallas TX 75284-8491 |
| Practice Telephone | 2542022000 |
| Practice Fax Number | 2542025651 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
AP143827 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 HILLCREST MEDICAL BLVD |
| City | WACO |
| State | TX |
| Zip Code | 76712-8897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639177462 | Tamsak Kanoklukul | Nurse Anesthetist, Certified Registered | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2005-07-14 |
| 1851992184 | Heather Ann Johnson | Registered Nurse | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2020-11-03 |
| 1013542372 | Samuel Kelly | Anesthesiologist Assistant | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2020-03-06 |
| 1275188732 | Betty Jean Gonzalez | Nurse Practitioner | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-08-01 |
| 1073166559 | Ricardo G Altahif Jr. | Occupational Therapist | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-07-23 |
| 1184286148 | Julia Melee Jones | Physician Assistant | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-06-30 |
| 1194386870 | Daniel Roy Beane | Anesthesiologist Assistant | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-06-24 |
| 1376100875 | Meryl Lee Boutte | Anesthesiology | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-05-21 |
| 1982178018 | Kenneth James Roeger | Nurse Anesthetist, Certified Registered | 100 Hillcrest Medical Blvd, Waco, TX 76712 | 2019-01-11 |
| 1861965329 | Allison Joy Vickers | Speech-Language Pathologist | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013489061 | Jared Blake Griffin | Nurse Practitioner | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2018-12-31 |
| 1598800013 | Andrea Dossey | Nurse Practitioner | 3000 Herring Ave, Waco, TX 76708-3239 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552916 | Wonderfully Made Wellness Sanctuary | Nurse Practitioner | 105 S. Tennessee Street Suite 102, Mckinney, TX 75069 | 2020-03-12 |
| 1538793161 | Torey Shay Cortez | Nurse Practitioner | 762 Annette Dr, Fort Worth, TX 76108-4562 | 2020-02-21 |
| 1356672679 | Margaret Mary Brown | Nurse Practitioner | 2322 Sycamore Trl, Round Rock, TX 78664-7766 | 2010-01-26 |
| 1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
| 1013923051 | Gina Marie Harris | Nurse Practitioner | 601 E 15th St # L502, Austin, TX 78701-1930 | 2006-07-31 |
| 1447266457 | Suzanne N. Backenstose | Nurse Practitioner | 1604 Rock Prairie Road, College Station Medical Center, College Station, TX 77845-8345 | 2006-07-31 |
| 1306889977 | Laura Jean Isaacson | Nurse Practitioner | 1819 La Branch St, Houston, TX 77002-8319 | 2006-06-13 |
| 1538124086 | Michael Lalli | Nurse Practitioner | 1303 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2006-04-19 |
| 1447213293 | Donna R Enderle | Nurse Practitioner | Baylor Hospital - 3 Hob, 3500 Gaston Avenue, Dallas, TX 75248 | 2006-04-11 |
| 1922061266 | Mark Vollmer | Nurse Practitioner | 2511 Burlington Blvd, Dallas, TX 75211-5322 | 2006-04-08 |
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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.