| Mr Kamaldeen Isiaka, FNP-BC | |
|
1701 W Northwest Hwy Ste 240, Grapevine, TX 76051-8107 | |
| (214) 385-2808 | |
| (214) 382-0881 |
| Full Name | Mr Kamaldeen Isiaka |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1701 W Northwest Hwy Ste 240, Grapevine, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750794822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1088172 (Texas) | Primary |
| 111N00000X | Chiropractor | 12108 (Texas) | Secondary |
| Entity Name | Atlas Visiting Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174092092 PECOS PAC ID: 9931445335 Enrollment ID: O20190107000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kamaldeen Isiaka, FNP-BC 1701 W Northwest Hwy Ste 240, Grapevine, TX 76051-8107 Ph: (713) 884-0208 | Mr Kamaldeen Isiaka, FNP-BC 1701 W Northwest Hwy Ste 240, Grapevine, TX 76051-8107 Ph: (214) 385-2808 |
Mrs. Evelyn Carol Ting, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1054 Texan Trail, Suite 100, Grapevine, TX 76051 Phone: 817-424-2113 Fax: 817-439-6839 | |
Tiffany Marie Woods, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 N Park Blvd Ste 114, Grapevine, TX 76051 Phone: 817-488-7771 | |
Kimberly Loraine Kammerer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Lancaster Dr Ste 10b, Grapevine, TX 76051 Phone: 817-576-6665 | |
Deborah Vaughan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1602 Lancaster Dr, Suite 102, Grapevine, TX 76051 Phone: 817-329-8364 Fax: 817-329-1285 | |
Mrs. Phillipa Ifeoma Modebelu, RN/NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3701 Ira E Woods Ave, Grapevine, TX 76051 Phone: 866-389-2727 | |
Ronald G Kimmel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 Ira E Woods Ave, Ste. 600, Grapevine, TX 76051 Phone: 817-488-9991 | |
Megan Catanzaro, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1643 Lancaster Dr Ste 305, Grapevine, TX 76051 Phone: 888-339-0906 |