| Honestar Wound Care Pllc | |
|
2011 N Collins Blvd Ste 607 Richardson TX 75080-2636 | |
| (800) 640-3451 | |
| Not Available |
| Full Name | Honestar Wound Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2011 N Collins Blvd Ste 607, Richardson, Texas |
| Authorized Official Name and Position | Jeffrey James Honer (MD) |
| Authorized Official Contact | 8175869241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Honestar Wound Care Pllc Po Box 1200 Pleasant Grove UT 84062-1200 Ph: (800) 640-3451 | Honestar Wound Care Pllc 2011 N Collins Blvd Ste 607 Richardson TX 75080-2636 Ph: (800) 640-3451 |
| NPI Number | 1508470170 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 11/06/2024 |
| Medicare PECOS PAC ID | 1456761550 |
|---|---|
| Medicare Enrollment ID | O20201030001343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508470170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Lydia Muthoni Gikere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780982801 PECOS PAC ID: 3971771957 Enrollment ID: I20110718000573 |
| Provider Name | Cheryl D Williams |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1679826853 PECOS PAC ID: 5294987228 Enrollment ID: I20121220000088 |
| Provider Name | Susan Camille Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124432547 PECOS PAC ID: 9133348170 Enrollment ID: I20140924000588 |
| Provider Name | Nichole L Straughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023538071 PECOS PAC ID: 7719915750 Enrollment ID: I20180522000136 |
| Provider Name | Hillary E Drozd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356859169 PECOS PAC ID: 1658620547 Enrollment ID: I20180827001937 |
| Provider Name | Romulo Manuel Banaag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952879280 PECOS PAC ID: 4789928557 Enrollment ID: I20181205000989 |
| Provider Name | Chimira Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174971535 PECOS PAC ID: 1355670019 Enrollment ID: I20190906000615 |
| Provider Name | Caroline C Kibore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497306385 PECOS PAC ID: 2961834064 Enrollment ID: I20191111002550 |
| Provider Name | Jason D Redwine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437357472 PECOS PAC ID: 8123178514 Enrollment ID: I20200506000844 |
| Provider Name | Nicole R Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558994947 PECOS PAC ID: 0446681167 Enrollment ID: I20200513002916 |
| Provider Name | Laura Karmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881229359 PECOS PAC ID: 7113342643 Enrollment ID: I20200731000168 |
| Provider Name | Demia Houston Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952908519 PECOS PAC ID: 4789097866 Enrollment ID: I20210113002743 |
| Provider Name | Rongna Sun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023610078 PECOS PAC ID: 0345656310 Enrollment ID: I20210317001778 |
| Provider Name | Aspara Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770185522 PECOS PAC ID: 4082023247 Enrollment ID: I20210429002426 |
| Provider Name | Renata Victora Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083272546 PECOS PAC ID: 7214336254 Enrollment ID: I20210525001867 |
| Provider Name | Erika Jonte Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891274296 PECOS PAC ID: 1153728225 Enrollment ID: I20210916002464 |
| Provider Name | Betty Petrillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750043642 PECOS PAC ID: 2163810086 Enrollment ID: I20211026003441 |
| Provider Name | Danielle Lee Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356019772 PECOS PAC ID: 2466841614 Enrollment ID: I20211110001135 |
| Provider Name | Heather Eliason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952912263 PECOS PAC ID: 7214327097 Enrollment ID: I20211209002583 |
| Provider Name | Bobbie Gean Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104415231 PECOS PAC ID: 3476949587 Enrollment ID: I20220329002067 |
| Provider Name | Ira Allen Skirlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912671108 PECOS PAC ID: 9133516008 Enrollment ID: I20220422001324 |
| Provider Name | Latonya Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285917922 PECOS PAC ID: 3476940883 Enrollment ID: I20220503000858 |
| Provider Name | Natasha Marie Moorehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437707619 PECOS PAC ID: 9638559271 Enrollment ID: I20220629001610 |
| Provider Name | Chinwe Orabuchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770214090 PECOS PAC ID: 9133501620 Enrollment ID: I20220730000324 |
| Provider Name | Sarah Elizabeth Nyquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740915339 PECOS PAC ID: 4981089679 Enrollment ID: I20220915003851 |
| Provider Name | Matthew Dilworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710617436 PECOS PAC ID: 8921487661 Enrollment ID: I20220920003830 |
| Provider Name | Bohui Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760129613 PECOS PAC ID: 6103292438 Enrollment ID: I20221012000027 |
| Provider Name | Julia Padgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588373187 PECOS PAC ID: 4486023447 Enrollment ID: I20221214000142 |
| Provider Name | Paige Swoope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124792312 PECOS PAC ID: 5991179178 Enrollment ID: I20230330001460 |
| Provider Name | Tammy Kay Litttlefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811697873 PECOS PAC ID: 3173998721 Enrollment ID: I20230412001820 |
| Provider Name | Karl Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730781451 PECOS PAC ID: 6507278561 Enrollment ID: I20230706001981 |
| Provider Name | Alga Nangne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689266579 PECOS PAC ID: 1557723996 Enrollment ID: I20230816002593 |
| Provider Name | Ugochi Ebiye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679107916 PECOS PAC ID: 4789008608 Enrollment ID: I20231030003622 |
| Provider Name | Allison Pedersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265032544 PECOS PAC ID: 4486069325 Enrollment ID: I20231130002999 |
| Provider Name | Alyssa Paige Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568149656 PECOS PAC ID: 9638528532 Enrollment ID: I20231218000071 |
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