TIFFANY MERRILL KETZLE (NPI# 1982719837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982719837 |
| Entity Type | Individual |
| Full Name | TIFFANY MERRILL KETZLE |
| Credential | APRN, ANP-C |
| Practice Address |
6513 Preston Rd Suite 300 Plano TX 75024-2688 |
| Mailing Address |
4537 Eldorado Dr Plano TX 75093-5406 |
| Practice Telephone | 9726082025 |
| Practice Fax Number | 9726082032 |
| Mailing Telephone | 9728670129 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2009-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
681853 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6513 PRESTON RD SUITE 300 |
| City | PLANO |
| State | TX |
| Zip Code | 75024-2688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882263 | Thomas A West | Surgery | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2005-06-21 |
| 1972970036 | Skin and Radiation Specialists Pllc | Radiology | 6513 Preston Rd, Suite 300, Plano, TX 75024-2694 | 2015-08-25 |
| 1992182703 | Brachytherapy Centers of Texas LLC | Radiology | 6513 Preston Rd, Suite #300, Plano, TX 75024-2688 | 2015-04-30 |
| 1487952909 | Elective Surgical Care Specialists,pllc | Surgery | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2011-03-08 |
| 1700045861 | Smile Island Dental, Pllc | Dentist | 6513 Preston Rd, Suite 500, Plano, TX 75024-2688 | 2008-06-04 |
| 1366646143 | Elizabeth Carroll Kim | Surgery | 6513 Preston Rd, Plano, TX 75024-2688 | 2007-06-13 |
| 1609964394 | Mark O Tucker | Surgery | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2006-10-10 |
| 1619071925 | Craig Owen Daniel | Surgery | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2006-09-08 |
| 1215971247 | John D Josephs | Specialist | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2006-06-16 |
| 1205878766 | Kent K Skipper | Specialist | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2006-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790289106 | Natalie Kate Yaker | Nurse Practitioner | 4100 W 15th St Ste 106, Plano, TX 75093-5826 | 2018-03-20 |
| 1003350786 | Cristina James | Nurse Practitioner | 3021 Harkness Dr, Plano, TX 75093-6157 | 2016-12-14 |
| 1578016291 | Bhagya Lakshmi Balasa | Nurse Practitioner | 4001 Bashful Dr, Plano, TX 75093-6977 | 2016-07-28 |
| 1942685482 | Nigist Mersha Berhane | Nurse Practitioner | 4105 Waskom Dr, Plano, TX 75024-7079 | 2015-07-27 |
| 1568850899 | Parvaneh Yancheshmeh Azimi | Nurse Practitioner | 2045 Hawken Dr, Plano, TX 75023 | 2015-01-09 |
| 1396154431 | Hong Xiang | Nurse Practitioner | 3556 Bright Star Way, Plano, TX 75074-8904 | 2014-08-02 |
| 1265865638 | Ing-ing Rebecca Wang | Nurse Practitioner | 3112 Bandolino Ln, Plano, TX 75075-1746 | 2013-08-20 |
| 1013192624 | Li-ting Yang | Nurse Practitioner | 1921 Preston Rd, Suite 2008, Plano, TX 75093-5124 | 2008-01-02 |
| 1861681108 | Kelly L Schulte | Nurse Practitioner | 7700 Orly Ct, Plano, TX 75025-6084 | 2007-10-23 |
| 1306942263 | Kathleen M Oneill | Nurse Practitioner | 850 Central Pkwy E, Ste 275, Plano, TX 75074-5561 | 2006-09-16 |
| Find all providers in PLANO | ||||
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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.