Jetta Plotke, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

636799 Issued in TX

Practice address

7777 Forest LN Ste B122
Dallas, TX 75230-6806

Phone

(972) 383-1060

Fax

(972) 383-1061

NPI assigned

Oct 17, 2018

Last updated

Oct 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1164998050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE B122",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306806",
            "telephone_number": "972-383-1060",
            "fax_number": "972-383-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE B122",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306806",
            "telephone_number": "972-383-1060",
            "fax_number": "972-383-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTKE",
        "first_name": "JETTA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "636799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Marie Pletin, PA-C
• Erica Marie Plimpton, DNP, FNP-BC
• Julia Allegra Plocica, MD
• Michael Plonski, DDS
• Sergey Ploshchadin
• Allen Plotkin, M.D.
• Steven Plourde, ATC
• Amber Marie Plowden, PTA
• Jessika Plowman, CRNA
• Arifa Plumber, MD

• Case Management Registered Nurse in Dallas, TX
• Providers in Dallas, TX by specialty
• Case Management Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.