LUCY WAITHAKA


Address: 18880 Marsh Ln Apt 2010, Dallas, TX 75287-2243
Phone: 6787779744

LUCY WAITHAKA (NPI# 1992217822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992217822
Entity Type Individual
Full Name LUCY WAITHAKA
Practice Address 18880 Marsh Ln Apt 2010
Dallas
TX 75287-2243
Practice Telephone 6787779744
Mailing Telephone 6787779744
Enumeration Date 2017-11-01
Last Update Date 2017-11-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
817455 TX Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
817455 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX RN 817455 01

Office Location

Street Address 18880 MARSH LN APT 2010
City DALLAS
State TX
Zip Code 75287-2243

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NPI Name Taxonomy Address Enumeration
1356846307 Personal Health Assessment Internal Medicine 18320 Michael Angelo Drive, Dallas, TX 75287 2018-03-29
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1326594177 Sweta Sheth Dds Dentist 18217 Midway Road #122, Dallas, TX 75287 2016-08-31
1003288259 Hamid Reza Pirnajmedin Specialist/Technologist, Other 4808 Haverwood Ln Apt 1236, Dallas, TX 75287 2015-10-28
1013307313 Kaelee Rae Kail Occupational Therapist 17480 Dallas Pkwy # 400, Dallas, TX 75287 2015-01-26
1568875318 Nicole Carvacho Physical Therapist 17480 North Dallas Tollway, Addison, TX 75287 2014-06-10
1326451873 Holly Davis Speech-Language Pathologist 17480 North Dallas Parkway, Suite 221, Dallas, TX 75287 2014-06-03
1033520077 Tammy Duran Non-emergency Medical Transport (VAN) 3653 Briargrove Lane, 1513, Dallas, TX 75287 2014-05-13
1518393206 Cole Wellness Center Home Health 4820 Sea Pine, Dallas, TX 75287 2013-09-25
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1154964047 Jessica Maria Scarf Nurse Practitioner 13907 Montfort Dr Apt 2031, Dallas, TX 75240-7374 2019-10-23
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1720563539 Heather Inkman Kinder Nurse Practitioner 16619 Vicarage Ct, Dallas, TX 75248-2227 2018-09-27
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Competitor

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City DALLAS
Zip Code 75287

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Dataset Information

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.

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