IAN UNDERWOOD
NPI 1770115099
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Q: What is Ian Underwood's NPI number?

The NPI number for Ian Underwood is 1770115099. It was assigned to this individual provider in the NPPES registry on February 5, 2020.

Q: What is Ian Underwood's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ian Underwood was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 05, 2020

5204 EMMERYVILLE LN, FORT WORTH, TX 76244(682) 351-4040 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ian Underwood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IAN UNDERWOOD (NPI 1770115099) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1770115099

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameIAN UNDERWOOD

Location Address5204 EMMERYVILLE LNFort Worth, TX 76244-6200

Mailing Address5204 Emmeryville LnFort Worth, TX 76244-6200

Phone(682) 351-4040

Sole ProprietorNo

Enumeration DateFebruary 5, 2020

✔ NPI 1770115099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

5204 EMMERYVILLE LN, Fort Worth, TX 76244

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Underwood's NPI number?

The NPI number for Ian Underwood is 1770115099. It was assigned to this individual provider in the NPPES registry on February 5, 2020.

Where is Ian Underwood located?

Ian Underwood practices at 5204 Emmeryville Ln, Fort Worth, TX 76244. The listed phone number is (682) 351-4040.

What is Ian Underwood's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ian Underwood was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.