Portable Piccline Insertion

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

PORTABLE PICCLINE INSERTION

Practice address

2304 Oak LN Ste 205
Grand Prairie, TX 75051-8816

Phone

(972) 201-4091

NPI assigned

Nov 24, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Gwen Marshall

Title

Ceo

Phone

(817) 566-4899

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1511481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511481600000",
    "number": "1386158640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BUIE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761402931",
            "telephone_number": "817-566-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 OAK LN STE 205",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750518816",
            "telephone_number": "972-201-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTABLE PICCLINE INSERTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-24",
        "last_updated": "2017-11-24",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-566-4899",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2017; 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.