Organization Active NPI

Altabo First Assist

  • Registered Nurse First Assistant
  • Dallas, TX
National Provider Identifier
1891869616
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN451277
Legal business name
ALTABO FIRST ASSIST
Practice address
3947 Stockton LN
Dallas, TX 75287-4921
Phone
(214) 912-9931
Fax
(972) 862-2507
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Beverly Joan Bohan, RNFA
Title
President
Phone
(214) 912-9931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0006X RN451277 Primary

Addresses

Primary practice location

3947 Stockton LN
Dallas, TX 75287-4921

Mailing address

3947 Stockton LN
Dallas, TX 75287-4921
Phone (214) 912-9931

Other names 1

  • Joan Bohan RNFA Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1891869616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3947 STOCKTON LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752874921",
            "telephone_number": "214-912-9931",
            "fax_number": "972-862-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3947 STOCKTON LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752874921",
            "telephone_number": "214-912-9931",
            "fax_number": "972-862-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTABO FIRST ASSIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "BOHAN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-912-9931",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": "RN451277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joan Bohan RNFA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.