| Eventus Wholehealth, Pllc | |
|
101 Cabarrus Ave E Ste 200 Concord NC 28025-3781 | |
| (855) 743-2247 | |
| Not Available |
| Full Name | Eventus Wholehealth, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Cabarrus Ave E Ste 200, Concord, North Carolina |
| Authorized Official Name and Position | George Hall (OWNER) |
| Authorized Official Contact | 8557432247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eventus Wholehealth, Pllc Po Box 1431 Dept 0180 Charlotte NC 28201-1431 Ph: (855) 743-2247 | Eventus Wholehealth, Pllc 101 Cabarrus Ave E Ste 200 Concord NC 28025-3781 Ph: (855) 743-2247 |
| NPI Number | 1548759392 |
|---|---|
| Provider Enumeration Date | 05/08/2018 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Medicare PECOS PAC ID | 6002169539 |
|---|---|
| Medicare Enrollment ID | O20181030001281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548759392 | NPI | - | NPPES |
| Provider Name | Ian Kim |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366594293 PECOS PAC ID: 5092629709 Enrollment ID: I20031119000655 |
| Provider Name | Charles W Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306929674 PECOS PAC ID: 0446243893 Enrollment ID: I20040403000192 |
| Provider Name | Gregorio Z Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558325811 PECOS PAC ID: 5092706788 Enrollment ID: I20040520001546 |
| Provider Name | Stephanie L Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083796262 PECOS PAC ID: 2567444847 Enrollment ID: I20040601001483 |
| Provider Name | Rhonda Sanderson Lowry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215936026 PECOS PAC ID: 3870578925 Enrollment ID: I20040622001221 |
| Provider Name | Robert E Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861576738 PECOS PAC ID: 1951373745 Enrollment ID: I20040811001069 |
| Provider Name | Christopher J Runge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881640852 PECOS PAC ID: 8022085117 Enrollment ID: I20040916001143 |
| Provider Name | John E Fesperman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013096981 PECOS PAC ID: 3678532702 Enrollment ID: I20041005000939 |
| Provider Name | Henry F Tripp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104829142 PECOS PAC ID: 4587613179 Enrollment ID: I20050120001052 |
| Provider Name | Barbara L Trapp-moen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447313226 PECOS PAC ID: 5092765321 Enrollment ID: I20050125000614 |
| Provider Name | Ramesh L Krishnaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003869819 PECOS PAC ID: 5698713212 Enrollment ID: I20050422000712 |
| Provider Name | Donna M Wiener |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477630911 PECOS PAC ID: 6305830811 Enrollment ID: I20050517000780 |
| Provider Name | Staci Anne Braun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669557450 PECOS PAC ID: 4789641028 Enrollment ID: I20050523000833 |
| Provider Name | Lalita V Sidana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295798668 PECOS PAC ID: 7012945348 Enrollment ID: I20051005000075 |
| Provider Name | Amy M Gragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417924085 PECOS PAC ID: 1951326396 Enrollment ID: I20051013001035 |
| Provider Name | Danford E Raynor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891857397 PECOS PAC ID: 3476538224 Enrollment ID: I20051206000469 |
| Provider Name | George D Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518149277 PECOS PAC ID: 4486668282 Enrollment ID: I20060201000098 |
| Provider Name | My Linh T Waldrop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346253978 PECOS PAC ID: 7113937582 Enrollment ID: I20060428000588 |
| Provider Name | Roberts H Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679536064 PECOS PAC ID: 7810909249 Enrollment ID: I20060628000288 |
| Provider Name | Joseph B Mcshea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972503332 PECOS PAC ID: 2365455938 Enrollment ID: I20060726000406 |
| Provider Name | R Steven Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740277243 PECOS PAC ID: 6608776281 Enrollment ID: I20070607000333 |
| Provider Name | Colleen Carol Frye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629109152 PECOS PAC ID: 2961502885 Enrollment ID: I20070706000530 |
| Provider Name | Laura A. Hardcastle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609858745 PECOS PAC ID: 3072591395 Enrollment ID: I20070719000426 |
| Provider Name | Theodus Roach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154340768 PECOS PAC ID: 6608967203 Enrollment ID: I20070810000775 |
| Provider Name | Catherine Tewolde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194854778 PECOS PAC ID: 6507952215 Enrollment ID: I20071010000834 |
| Provider Name | Tanjalesa Bridges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073646741 PECOS PAC ID: 3072600352 Enrollment ID: I20071102000407 |
| Provider Name | Pamela Lowry Burr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639227978 PECOS PAC ID: 0648369173 Enrollment ID: I20071205000437 |
| Provider Name | Pamela Megathlin Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811910516 PECOS PAC ID: 8820987753 Enrollment ID: I20071213000848 |
| Provider Name | Lloyd K Armstrong |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154384980 PECOS PAC ID: 1254351729 Enrollment ID: I20080408000305 |
| Provider Name | Peter C Russ |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568460921 PECOS PAC ID: 1153378856 Enrollment ID: I20081027000081 |
| Provider Name | Murthy Venkata Madduri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750498515 PECOS PAC ID: 2264414127 Enrollment ID: I20090521000607 |
| Provider Name | John Mezzullo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497795553 PECOS PAC ID: 1153471172 Enrollment ID: I20090615000053 |
| Provider Name | Lecia Reardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639226418 PECOS PAC ID: 8921159328 Enrollment ID: I20090624000734 |
| Provider Name | Surah Grumet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497885354 PECOS PAC ID: 2860581105 Enrollment ID: I20090629000541 |
| Provider Name | Shohreh Taavoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417959560 PECOS PAC ID: 7315926326 Enrollment ID: I20090813000669 |
| Provider Name | Abigail L Rutkai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225269566 PECOS PAC ID: 5395890594 Enrollment ID: I20090910000567 |
| Provider Name | Myriah E Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114160066 PECOS PAC ID: 2062548340 Enrollment ID: I20100325000486 |
| Provider Name | Sherry Leigh Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760445431 PECOS PAC ID: 9032245014 Enrollment ID: I20100329001089 |
| Provider Name | Gayani Yahampath Dasanayaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225011539 PECOS PAC ID: 6305972217 Enrollment ID: I20100330001149 |
| Provider Name | Debra J Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164494886 PECOS PAC ID: 5890822233 Enrollment ID: I20100416000365 |
| Provider Name | Carmalinda T Early |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740511559 PECOS PAC ID: 8527199306 Enrollment ID: I20100622000678 |
| Provider Name | John Yacono |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811049307 PECOS PAC ID: 4284821430 Enrollment ID: I20101214000535 |
| Provider Name | Carol A Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659675544 PECOS PAC ID: 3971785056 Enrollment ID: I20110310000559 |
| Provider Name | Damaris Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699007625 PECOS PAC ID: 0143281626 Enrollment ID: I20110322000691 |
| Provider Name | Kathia Desronvil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760669659 PECOS PAC ID: 5597840637 Enrollment ID: I20110629000434 |
| Provider Name | James Arthur Disney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962603506 PECOS PAC ID: 8527237783 Enrollment ID: I20110804000758 |
| Provider Name | Bryan T Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316939788 PECOS PAC ID: 0648444281 Enrollment ID: I20111117000340 |
| Provider Name | Ethan R Levine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538300025 PECOS PAC ID: 3274708722 Enrollment ID: I20111212000189 |
| Provider Name | Jennifer Marie Rucci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598811127 PECOS PAC ID: 2062589682 Enrollment ID: I20120125000589 |
| Provider Name | Paul H Wright |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891759577 PECOS PAC ID: 7315108891 Enrollment ID: I20120410000186 |
| Provider Name | Mark S Sudekum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497077861 PECOS PAC ID: 2769644137 Enrollment ID: I20120501000314 |
| Provider Name | Benedetto Palombo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255691150 PECOS PAC ID: 5294981171 Enrollment ID: I20120808000588 |
| Provider Name | Anne M Malena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083893069 PECOS PAC ID: 2668623034 Enrollment ID: I20121112000426 |
| Provider Name | William S Sampson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629025655 PECOS PAC ID: 2668623810 Enrollment ID: I20121115000485 |
| Provider Name | Graham Henry Erlacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003999780 PECOS PAC ID: 9830183508 Enrollment ID: I20121231000015 |
| Provider Name | Julane C Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629328190 PECOS PAC ID: 9638322068 Enrollment ID: I20130114000370 |
| Provider Name | Courtney Elizabeth Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295072759 PECOS PAC ID: 9739334921 Enrollment ID: I20130219000002 |
| Provider Name | Amanda D Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770822694 PECOS PAC ID: 8527203140 Enrollment ID: I20130401000333 |
| Provider Name | Rayomand R Bengali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811152804 PECOS PAC ID: 5799925939 Enrollment ID: I20130711000040 |
| Provider Name | Shaunak S Parikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295172252 PECOS PAC ID: 1456594928 Enrollment ID: I20130830000765 |
| Provider Name | Andrea Gilroy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013265495 PECOS PAC ID: 0345484721 Enrollment ID: I20130925000603 |
| Provider Name | Teofil L Misaras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710328240 PECOS PAC ID: 2961638762 Enrollment ID: I20131127000951 |
| Provider Name | Donna O Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407283070 PECOS PAC ID: 1951537547 Enrollment ID: I20131204002037 |
| Provider Name | Nick Ly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518156181 PECOS PAC ID: 9335314483 Enrollment ID: I20131205000354 |
| Provider Name | Sunil A Kumta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710202460 PECOS PAC ID: 6800023631 Enrollment ID: I20131226000031 |
| Provider Name | Marlene Whaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609205442 PECOS PAC ID: 1254569643 Enrollment ID: I20140109001467 |
| Provider Name | Nellie Sue Chamblee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508199860 PECOS PAC ID: 2668515370 Enrollment ID: I20140129000997 |
| Provider Name | Steven J Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548566805 PECOS PAC ID: 1759512155 Enrollment ID: I20140328000429 |
| Provider Name | Robin F Bryson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710255468 PECOS PAC ID: 2365674785 Enrollment ID: I20140416002019 |
| Provider Name | Lindsey C Schulten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316371073 PECOS PAC ID: 7719101914 Enrollment ID: I20140609001956 |
| Provider Name | Parul Bhagalia-patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841518768 PECOS PAC ID: 9436392677 Enrollment ID: I20140612002390 |
| Provider Name | Lee Anne Sorto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659719367 PECOS PAC ID: 2264672740 Enrollment ID: I20140613000950 |
| Provider Name | Teresa Cating |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508281593 PECOS PAC ID: 8123244084 Enrollment ID: I20140729002868 |
| Provider Name | Carole Jane Worthington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184043721 PECOS PAC ID: 4587881347 Enrollment ID: I20140819000966 |
| Provider Name | Michael Lurie Greenfield |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154735264 PECOS PAC ID: 8022238443 Enrollment ID: I20141007002868 |
| Provider Name | Tammy L Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518178755 PECOS PAC ID: 4082701271 Enrollment ID: I20141015002206 |
| Provider Name | Kathleen J Craver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396059747 PECOS PAC ID: 3577785906 Enrollment ID: I20141119000887 |
| Provider Name | Lauren K Mcrae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619376266 PECOS PAC ID: 1254654981 Enrollment ID: I20150102001104 |
| Provider Name | Mirenda Latisa Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801289368 PECOS PAC ID: 2668791393 Enrollment ID: I20150501000204 |
| Provider Name | Hong Thu Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831453620 PECOS PAC ID: 7113246869 Enrollment ID: I20150501000900 |
| Provider Name | Wendy West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669731659 PECOS PAC ID: 6901117639 Enrollment ID: I20150622001031 |
| Provider Name | Olga Slepchenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538558960 PECOS PAC ID: 9032421888 Enrollment ID: I20150707003313 |
| Provider Name | Tawana M Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578946950 PECOS PAC ID: 5092022368 Enrollment ID: I20150918000856 |
| Provider Name | Tammy Marietta Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992171227 PECOS PAC ID: 8820393556 Enrollment ID: I20160218000007 |
| Provider Name | Regina Fredua-agyeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114392495 PECOS PAC ID: 9335445477 Enrollment ID: I20160315002665 |
| Provider Name | Emily J Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194109538 PECOS PAC ID: 1951609528 Enrollment ID: I20160414001459 |
| Provider Name | David Edward Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831547603 PECOS PAC ID: 9739472200 Enrollment ID: I20160720002306 |
| Provider Name | Tabitha Alford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316394406 PECOS PAC ID: 4789977000 Enrollment ID: I20160725001973 |
| Provider Name | Richard Kuzma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750720710 PECOS PAC ID: 8426343468 Enrollment ID: I20160830000508 |
| Provider Name | Sandeep B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184631533 PECOS PAC ID: 2668476961 Enrollment ID: I20160907002628 |
| Provider Name | Barbara Worley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295124774 PECOS PAC ID: 4981508322 Enrollment ID: I20161005001382 |
| Provider Name | Dana M Ashe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720457674 PECOS PAC ID: 6103135413 Enrollment ID: I20170112001961 |
| Provider Name | Kaneka Dell Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013258656 PECOS PAC ID: 2961786207 Enrollment ID: I20170303001746 |
| Provider Name | David Sherwood Rodgers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043559271 PECOS PAC ID: 0244515914 Enrollment ID: I20170320001275 |
| Provider Name | Elizabeth Ann Crabtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326583246 PECOS PAC ID: 2961787205 Enrollment ID: I20170328002344 |
| Provider Name | Stephanie Paige Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902019409 PECOS PAC ID: 3476822917 Enrollment ID: I20170627001247 |
| Provider Name | Cameron Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821525692 PECOS PAC ID: 0042580813 Enrollment ID: I20170727000309 |
| Provider Name | Sarah M Gonzalez Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942609300 PECOS PAC ID: 8224309901 Enrollment ID: I20170731001816 |
| Provider Name | Jessica Hope Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417468042 PECOS PAC ID: 1658638218 Enrollment ID: I20171206002995 |
| Provider Name | Michelle Rene Gover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972014538 PECOS PAC ID: 2466710975 Enrollment ID: I20171211000365 |
| Provider Name | Dana Lee Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396250254 PECOS PAC ID: 3577823756 Enrollment ID: I20180208000094 |
| Provider Name | Elizabeth Ann Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508371386 PECOS PAC ID: 0244590461 Enrollment ID: I20180208001887 |
| Provider Name | Shelvey J Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588900989 PECOS PAC ID: 1153682604 Enrollment ID: I20180227000015 |
| Provider Name | Christina Camielle Bannow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497269872 PECOS PAC ID: 8729340229 Enrollment ID: I20180321001649 |
| Provider Name | Cortney Kulers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841700341 PECOS PAC ID: 7214299312 Enrollment ID: I20180402000052 |
| Provider Name | Joan Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225525454 PECOS PAC ID: 1254696024 Enrollment ID: I20180525001549 |
| Provider Name | Tracey Dapper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417347279 PECOS PAC ID: 5698092336 Enrollment ID: I20180620001374 |
| Provider Name | Michelle Lynn Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568720381 PECOS PAC ID: 0749548394 Enrollment ID: I20180626001223 |
| Provider Name | Colleen Baldrige |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619464906 PECOS PAC ID: 0143576900 Enrollment ID: I20180709002871 |
| Provider Name | Janice M Brovet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225168107 PECOS PAC ID: 5496715807 Enrollment ID: I20180811000257 |
| Provider Name | Evelyn Majachani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134647688 PECOS PAC ID: 2769732536 Enrollment ID: I20180829002535 |
| Provider Name | Ma Cornelia V Leano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780179580 PECOS PAC ID: 8729338918 Enrollment ID: I20180910001792 |
| Provider Name | Angela Smith Caines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730697038 PECOS PAC ID: 2264783885 Enrollment ID: I20180920002821 |
| Provider Name | Yessica A Trapani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467945063 PECOS PAC ID: 5395097299 Enrollment ID: I20181003003222 |
| Provider Name | Jennifer Lauren Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740762947 PECOS PAC ID: 0547513574 Enrollment ID: I20181022001455 |
| Provider Name | Kristen Parnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194207605 PECOS PAC ID: 4082968250 Enrollment ID: I20181107002185 |
| Provider Name | Stacey Lynn Hogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386125391 PECOS PAC ID: 2365787587 Enrollment ID: I20181217001763 |
| Provider Name | Felicia Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497130306 PECOS PAC ID: 6002125101 Enrollment ID: I20181228000547 |
| Provider Name | Ashley M Adam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073963906 PECOS PAC ID: 8628316064 Enrollment ID: I20190211002437 |
| Provider Name | Kimberly Leigh Driver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508338542 PECOS PAC ID: 6406195817 Enrollment ID: I20190301001598 |
| Provider Name | Daimisy Sands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831653229 PECOS PAC ID: 3274872445 Enrollment ID: I20190305003504 |
| Provider Name | Brittney Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366957128 PECOS PAC ID: 6709135569 Enrollment ID: I20190318002884 |
| Provider Name | Caroline Christina Obregon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124584610 PECOS PAC ID: 7315289139 Enrollment ID: I20190426001826 |
| Provider Name | Melissa Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588132070 PECOS PAC ID: 7719229483 Enrollment ID: I20190429001540 |
| Provider Name | Jessica Ann Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104382639 PECOS PAC ID: 4789926940 Enrollment ID: I20190508003314 |
| Provider Name | Ivey Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063932473 PECOS PAC ID: 8729205505 Enrollment ID: I20190508003326 |
| Provider Name | Anthony A Foto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396851218 PECOS PAC ID: 4688684368 Enrollment ID: I20190515002924 |
| Provider Name | Valorie M Bogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366005142 PECOS PAC ID: 5496089427 Enrollment ID: I20190626000035 |
| Provider Name | Joshua David Gilpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912482589 PECOS PAC ID: 9436483302 Enrollment ID: I20190626002154 |
| Provider Name | Chelsey Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699330217 PECOS PAC ID: 0345574273 Enrollment ID: I20190627000298 |
| Provider Name | Charnissa Nicole Batts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346804739 PECOS PAC ID: 3678809225 Enrollment ID: I20190719002110 |
| Provider Name | Jennifer A Stakias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437589710 PECOS PAC ID: 6608007760 Enrollment ID: I20190819001547 |
| Provider Name | Iqbal Bhuiyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477052496 PECOS PAC ID: 0749542967 Enrollment ID: I20190821002540 |
| Provider Name | Ashlyne Burris Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679133409 PECOS PAC ID: 7315275450 Enrollment ID: I20190827002646 |
| Provider Name | Leslie Dawn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871159707 PECOS PAC ID: 2466780564 Enrollment ID: I20190828000984 |
| Provider Name | Leigh W Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114583275 PECOS PAC ID: 2769710870 Enrollment ID: I20190828001306 |
| Provider Name | Angela Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841843240 PECOS PAC ID: 6305175910 Enrollment ID: I20190906002552 |
| Provider Name | Jonathan Kenton Tackett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407203888 PECOS PAC ID: 0042578130 Enrollment ID: I20190919002152 |
| Provider Name | Olyvia Nicole Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518526649 PECOS PAC ID: 9335479161 Enrollment ID: I20190923000137 |
| Provider Name | Bryson Schaeffer Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982256475 PECOS PAC ID: 0840520375 Enrollment ID: I20190926002031 |
| Provider Name | Wello Noella Lombahe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124687512 PECOS PAC ID: 2062742398 Enrollment ID: I20190928000217 |
| Provider Name | Mary Anne Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578125019 PECOS PAC ID: 1153651393 Enrollment ID: I20191001001781 |
| Provider Name | Laura Marie Bardascino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255515730 PECOS PAC ID: 1153652904 Enrollment ID: I20191009003025 |
| Provider Name | Hilary Joan Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871148387 PECOS PAC ID: 0648501270 Enrollment ID: I20191014001809 |
| Provider Name | Kathryn Mckelvey Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023664026 PECOS PAC ID: 7810329158 Enrollment ID: I20191107001280 |
| Provider Name | Qadirah Francine Mease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477196665 PECOS PAC ID: 6709219272 Enrollment ID: I20191216000004 |
| Provider Name | Anna B Wolverton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437701877 PECOS PAC ID: 8921432436 Enrollment ID: I20191216002125 |
| Provider Name | Pamela Crawford Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326684598 PECOS PAC ID: 0143654202 Enrollment ID: I20191223001844 |
| Provider Name | Jessica Christine Germaine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558873687 PECOS PAC ID: 1658706007 Enrollment ID: I20200114000837 |
| Provider Name | Jacqueline Renee Thigpen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417592288 PECOS PAC ID: 8921433152 Enrollment ID: I20200116002263 |
| Provider Name | Courtney James Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235778317 PECOS PAC ID: 7113354333 Enrollment ID: I20200228001689 |
| Provider Name | Hannah Leigh Fraser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043780992 PECOS PAC ID: 3476981606 Enrollment ID: I20200320002525 |
| Provider Name | Jacqueline Parker Hatch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265832612 PECOS PAC ID: 1355779562 Enrollment ID: I20200323002302 |
| Provider Name | Robert Wesley Jester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518599554 PECOS PAC ID: 0143658138 Enrollment ID: I20200325003481 |
| Provider Name | Rachel Hargis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922631423 PECOS PAC ID: 4385073022 Enrollment ID: I20200401002151 |
| Provider Name | Jennifer Dawn Eleey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942833868 PECOS PAC ID: 9234568445 Enrollment ID: I20200408003307 |
| Provider Name | Richard Nelson Orino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326020462 PECOS PAC ID: 0840230413 Enrollment ID: I20200421001130 |
| Provider Name | Taylor Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124550256 PECOS PAC ID: 2860752458 Enrollment ID: I20200427001120 |
| Provider Name | Elizabeth Barnhill-blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386275006 PECOS PAC ID: 1850721374 Enrollment ID: I20200504002267 |
| Provider Name | Jasmine Joanne Moore Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295365740 PECOS PAC ID: 1254762107 Enrollment ID: I20200511000844 |
| Provider Name | Glenda Pulliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952871055 PECOS PAC ID: 4082882139 Enrollment ID: I20200514001493 |
| Provider Name | Oscar Njihi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780225458 PECOS PAC ID: 3274964614 Enrollment ID: I20200519000662 |
| Provider Name | Wilby Kurian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740660414 PECOS PAC ID: 4385951664 Enrollment ID: I20200530000276 |
| Provider Name | Trishonda Butts Shackleford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447875380 PECOS PAC ID: 4385066315 Enrollment ID: I20200622001146 |
| Provider Name | Caressa D Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356847347 PECOS PAC ID: 9638591159 Enrollment ID: I20200629002988 |
| Provider Name | Emily Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447876396 PECOS PAC ID: 8426474396 Enrollment ID: I20200824000289 |
| Provider Name | Adam Culbertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245849835 PECOS PAC ID: 5799104154 Enrollment ID: I20201005000309 |
| Provider Name | Traci Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134740137 PECOS PAC ID: 1557781549 Enrollment ID: I20201013001119 |
| Provider Name | Kashari L Fulks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003428293 PECOS PAC ID: 4880004597 Enrollment ID: I20201109002608 |
| Provider Name | Rachael Harris Nagesh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255981783 PECOS PAC ID: 9436560869 Enrollment ID: I20201116001957 |
| Provider Name | Triva Posey Fridley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821611559 PECOS PAC ID: 9436560133 Enrollment ID: I20201202001082 |
| Provider Name | Rhea Juanita Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124629910 PECOS PAC ID: 2264844919 Enrollment ID: I20201222000878 |
| Provider Name | Kimberly Ann Vasiento |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578168134 PECOS PAC ID: 9537572177 Enrollment ID: I20201229000229 |
| Provider Name | Sharon Alene Welborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023614906 PECOS PAC ID: 9638583115 Enrollment ID: I20210123000161 |
| Provider Name | Latesha Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245845684 PECOS PAC ID: 7416361647 Enrollment ID: I20210130000039 |
| Provider Name | Molly Salmonsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356943799 PECOS PAC ID: 1254745367 Enrollment ID: I20210202000807 |
| Provider Name | Christy Janel Joyner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386924702 PECOS PAC ID: 4082020144 Enrollment ID: I20210316000144 |
| Provider Name | Taiwo Adeblola Fubara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518554617 PECOS PAC ID: 5698183168 Enrollment ID: I20210421002902 |
| Provider Name | Joevelino Sabino Raymundo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700461662 PECOS PAC ID: 5698184414 Enrollment ID: I20210507001017 |
| Provider Name | Katherine Claire Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740808617 PECOS PAC ID: 5991114415 Enrollment ID: I20210512001840 |
| Provider Name | Candice Jones Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699364331 PECOS PAC ID: 8426457524 Enrollment ID: I20210521001460 |
| Provider Name | Paul Hans Hooton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760506679 PECOS PAC ID: 4688742398 Enrollment ID: I20210608001671 |
| Provider Name | Meredith Ross Mccall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295314060 PECOS PAC ID: 0648671172 Enrollment ID: I20210622001593 |
| Provider Name | Rachel Welling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881260982 PECOS PAC ID: 5294136545 Enrollment ID: I20210624002071 |
| Provider Name | Jennifer Woodell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639795891 PECOS PAC ID: 7810398724 Enrollment ID: I20210630000362 |
| Provider Name | Nickey Lashae Dimery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407455363 PECOS PAC ID: 3173937083 Enrollment ID: I20210729000815 |
| Provider Name | Caroline Fowler Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962078295 PECOS PAC ID: 0941604748 Enrollment ID: I20210802000314 |
| Provider Name | Melissa R Pridgen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417521253 PECOS PAC ID: 6305240482 Enrollment ID: I20210811002974 |
| Provider Name | Kaitlyn Darlene Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366950883 PECOS PAC ID: 0345659108 Enrollment ID: I20210820000511 |
| Provider Name | Michelle Lafferty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578987954 PECOS PAC ID: 5890190805 Enrollment ID: I20210827002956 |
| Provider Name | Constance Glynn Getsinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700452000 PECOS PAC ID: 2466858352 Enrollment ID: I20210901000023 |
| Provider Name | Danielle Marie Flythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750913521 PECOS PAC ID: 6103248729 Enrollment ID: I20210903002456 |
| Provider Name | John Michael Roegge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528637097 PECOS PAC ID: 7012313182 Enrollment ID: I20210915001755 |
| Provider Name | Valerie Ann Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972188928 PECOS PAC ID: 8224436209 Enrollment ID: I20211005002318 |
| Provider Name | Shamarra Yvonne Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255008405 PECOS PAC ID: 4486052388 Enrollment ID: I20211007000097 |
| Provider Name | Carmetrice Almore Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669146312 PECOS PAC ID: 6204234685 Enrollment ID: I20211015001011 |
| Provider Name | Emily Ann Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942973540 PECOS PAC ID: 2062810468 Enrollment ID: I20211015001873 |
| Provider Name | Ayako Nitani Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194490425 PECOS PAC ID: 5395133672 Enrollment ID: I20211020000554 |
| Provider Name | Emily Suzanne Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073135752 PECOS PAC ID: 3678961661 Enrollment ID: I20211025001144 |
| Provider Name | Ann Elizabeth N'goran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316521040 PECOS PAC ID: 3971991902 Enrollment ID: I20211025002690 |
| Provider Name | Jacqueline Adkins-harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316618051 PECOS PAC ID: 8921496977 Enrollment ID: I20211026000028 |
| Provider Name | Bobbi Jo Schneider Blanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730856063 PECOS PAC ID: 0042608770 Enrollment ID: I20211028001547 |
| Provider Name | Tasha Ivey Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336818012 PECOS PAC ID: 8729476478 Enrollment ID: I20211028002254 |
| Provider Name | Kimberly Marie Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750052155 PECOS PAC ID: 7810385598 Enrollment ID: I20211029000442 |
| Provider Name | Gina B Agostino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962803676 PECOS PAC ID: 8123417516 Enrollment ID: I20211104002184 |
| Provider Name | Tuwana Denise Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821557216 PECOS PAC ID: 1850780750 Enrollment ID: I20211115002834 |
| Provider Name | Johnny Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962825000 PECOS PAC ID: 4587987748 Enrollment ID: I20211117000051 |
| Provider Name | Le Chi Trinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831865682 PECOS PAC ID: 4284023938 Enrollment ID: I20211118000054 |
| Provider Name | Robert Ben Jolley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043269327 PECOS PAC ID: 5698750933 Enrollment ID: I20211129001877 |
| Provider Name | Tiffany Gale Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710642434 PECOS PAC ID: 6305236407 Enrollment ID: I20211203001722 |
| Provider Name | Anna Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679247217 PECOS PAC ID: 7113318791 Enrollment ID: I20211216000658 |
| Provider Name | Joyce Oben Akonchong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427714872 PECOS PAC ID: 3072904598 Enrollment ID: I20211216002691 |
| Provider Name | Gabrielle M Schweigart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073270047 PECOS PAC ID: 8729479977 Enrollment ID: I20211222001405 |
| Provider Name | Karen Ann Paszkiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326706912 PECOS PAC ID: 7012252281 Enrollment ID: I20211230000493 |
| Provider Name | Jennifer Ann Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275209934 PECOS PAC ID: 8426449240 Enrollment ID: I20220104002870 |
| Provider Name | Kia Latea Colleton Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477826451 PECOS PAC ID: 3577723063 Enrollment ID: I20220119000049 |
| Provider Name | Rebekah Lynn Kube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497425102 PECOS PAC ID: 0840683934 Enrollment ID: I20220214001546 |
| Provider Name | Misty Ann Taylor-paladino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386395077 PECOS PAC ID: 3577956440 Enrollment ID: I20220217001301 |
| Provider Name | Angela Gurganus Lancaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265192579 PECOS PAC ID: 5890189658 Enrollment ID: I20220222001406 |
| Provider Name | Emmanuel Adjei Sowah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376205682 PECOS PAC ID: 3870987555 Enrollment ID: I20220222002322 |
| Provider Name | Camille Maria Vaca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164191896 PECOS PAC ID: 0648664326 Enrollment ID: I20220222002578 |
| Provider Name | Dorie Pine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285387977 PECOS PAC ID: 3678967254 Enrollment ID: I20220224001080 |
| Provider Name | L'renda A Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518514686 PECOS PAC ID: 8527452051 Enrollment ID: I20220228001500 |
| Provider Name | Heather Christine Hamlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992464739 PECOS PAC ID: 9830583202 Enrollment ID: I20220301000264 |
| Provider Name | Sarah Burnham Brant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528710407 PECOS PAC ID: 6507250909 Enrollment ID: I20220301001736 |
| Provider Name | Porsche Latonia Coppin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710556857 PECOS PAC ID: 3577957901 Enrollment ID: I20220301002753 |
| Provider Name | Felecia Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225426067 PECOS PAC ID: 8224422365 Enrollment ID: I20220307000448 |
| Provider Name | Milan Karen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730849589 PECOS PAC ID: 5890180665 Enrollment ID: I20220314000276 |
| Provider Name | Cheryl Denise Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740950278 PECOS PAC ID: 1153716832 Enrollment ID: I20220315002775 |
| Provider Name | Mary Beth Lipscomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932866407 PECOS PAC ID: 9133514797 Enrollment ID: I20220317000151 |
| Provider Name | Mandi Danielle Cooke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144869421 PECOS PAC ID: 1850786468 Enrollment ID: I20220317001958 |
| Provider Name | Rachel Teresa Nadeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497417521 PECOS PAC ID: 8123413556 Enrollment ID: I20220321002055 |
| Provider Name | Allison Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982027785 PECOS PAC ID: 0941518187 Enrollment ID: I20220321002495 |
| Provider Name | Catherine Marie Timberlake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821667833 PECOS PAC ID: 0244626331 Enrollment ID: I20220329000730 |
| Provider Name | Nichole Lowery Clontz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912653742 PECOS PAC ID: 0345636783 Enrollment ID: I20220411002485 |
| Provider Name | Brandie Nicole Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386306561 PECOS PAC ID: 3678960622 Enrollment ID: I20220422000123 |
| Provider Name | Delana Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710643309 PECOS PAC ID: 0648667402 Enrollment ID: I20220425002727 |
| Provider Name | Carla Elizabeth Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205589843 PECOS PAC ID: 1153718606 Enrollment ID: I20220502000476 |
| Provider Name | Marisa Anne Lonske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629721626 PECOS PAC ID: 7113314667 Enrollment ID: I20220502000638 |
| Provider Name | Andrea Denise Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710440722 PECOS PAC ID: 1456748953 Enrollment ID: I20220503000046 |
| Provider Name | Jada Kylene Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780335687 PECOS PAC ID: 7416344858 Enrollment ID: I20220503002166 |
| Provider Name | Marlene Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972126795 PECOS PAC ID: 4880081256 Enrollment ID: I20220504000532 |
| Provider Name | Rachel Gagel Risler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932618816 PECOS PAC ID: 1850659582 Enrollment ID: I20220504000728 |
| Provider Name | Lisa Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982134698 PECOS PAC ID: 2961889258 Enrollment ID: I20220505002010 |
| Provider Name | Amy Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477863769 PECOS PAC ID: 6901087436 Enrollment ID: I20220506000771 |
| Provider Name | Nancy Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609279488 PECOS PAC ID: 5597062950 Enrollment ID: I20220506001649 |
| Provider Name | Natalie R Faulkner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396989232 PECOS PAC ID: 1850778986 Enrollment ID: I20220511001469 |
| Provider Name | Meseret Belew Demissie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871234534 PECOS PAC ID: 9032596192 Enrollment ID: I20220512000019 |
| Provider Name | Lindsey Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710636675 PECOS PAC ID: 9739566753 Enrollment ID: I20220512002910 |
| Provider Name | Debbie Cribb Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437827490 PECOS PAC ID: 6204226376 Enrollment ID: I20220524000337 |
| Provider Name | Blake Daniel Koceja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205585874 PECOS PAC ID: 4981082781 Enrollment ID: I20220607002935 |
| Provider Name | Porscha Martin Harvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952532038 PECOS PAC ID: 0143608794 Enrollment ID: I20220609002526 |
| Provider Name | Joan Lavonne Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154697829 PECOS PAC ID: 9830353762 Enrollment ID: I20220630003079 |
| Provider Name | Dejanet Monique Lantion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093338345 PECOS PAC ID: 4385025147 Enrollment ID: I20220726000263 |
| Provider Name | Mckay Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043943459 PECOS PAC ID: 8022499805 Enrollment ID: I20220726001008 |
| Provider Name | Tobechukwu Princeton Onyiriuka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376272716 PECOS PAC ID: 2365824166 Enrollment ID: I20220726002086 |
| Provider Name | Erikah Bohanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205593605 PECOS PAC ID: 1658753470 Enrollment ID: I20220726002928 |
| Provider Name | Min-ji Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295154300 PECOS PAC ID: 1254654601 Enrollment ID: I20220803001489 |
| Provider Name | Erin Patrice Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962160762 PECOS PAC ID: 6103208426 Enrollment ID: I20220803002639 |
| Provider Name | Joseph Koelling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689314478 PECOS PAC ID: 0042694499 Enrollment ID: I20220902000207 |
| Provider Name | Amy Elizabeth Cate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033843388 PECOS PAC ID: 9032593322 Enrollment ID: I20220906002092 |
| Provider Name | Erin Donna Pardini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447828603 PECOS PAC ID: 7214311323 Enrollment ID: I20220908000931 |
| Provider Name | Jennifer Tillman Boney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366109894 PECOS PAC ID: 1557745601 Enrollment ID: I20220908002503 |
| Provider Name | Brooke H Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861129744 PECOS PAC ID: 5597149641 Enrollment ID: I20220908002688 |
| Provider Name | Kandice Di-ann Speight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184343584 PECOS PAC ID: 9830574037 Enrollment ID: I20220923000090 |
| Provider Name | Valerie Blouin-hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194475822 PECOS PAC ID: 1355727447 Enrollment ID: I20220927001280 |
| Provider Name | Kelly Jo Trieglaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508991902 PECOS PAC ID: 2668449539 Enrollment ID: I20221003001974 |
| Provider Name | Naveisha Tanette Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811628670 PECOS PAC ID: 1254707516 Enrollment ID: I20221012001675 |
| Provider Name | Matthew David Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730802935 PECOS PAC ID: 0749656312 Enrollment ID: I20221023000000 |
| Provider Name | Brittany Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669042149 PECOS PAC ID: 0648646000 Enrollment ID: I20221026002319 |
| Provider Name | Tiffany A Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407504582 PECOS PAC ID: 6800265414 Enrollment ID: I20221202001889 |
| Provider Name | Brandy R Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144504101 PECOS PAC ID: 7214199280 Enrollment ID: I20221216000081 |
| Provider Name | Alison Mae Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710694088 PECOS PAC ID: 5496125015 Enrollment ID: I20221222002671 |
| Provider Name | Kongit Achew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487365151 PECOS PAC ID: 9638549207 Enrollment ID: I20221227000162 |
| Provider Name | David Dagostino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801506795 PECOS PAC ID: 2961872379 Enrollment ID: I20221229001926 |
| Provider Name | Cherie De Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003534355 PECOS PAC ID: 3870963762 Enrollment ID: I20230111000518 |
| Provider Name | Caroline Wambui Kinge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013630003 PECOS PAC ID: 5395117212 Enrollment ID: I20230202000775 |
| Provider Name | Ambredawn Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295440162 PECOS PAC ID: 4385016211 Enrollment ID: I20230202000906 |
| Provider Name | Anoop Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407299340 PECOS PAC ID: 3678945516 Enrollment ID: I20230202001265 |
| Provider Name | Shelly Alasti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427762780 PECOS PAC ID: 0143692962 Enrollment ID: I20230203002078 |
| Provider Name | Jessica Lynn Vicic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730703950 PECOS PAC ID: 9335511179 Enrollment ID: I20230204000376 |
| Provider Name | Lori Mcclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124738331 PECOS PAC ID: 1759753189 Enrollment ID: I20230214000639 |
| Provider Name | Solomon Wesseh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912397142 PECOS PAC ID: 4789924341 Enrollment ID: I20230215000317 |
| Provider Name | Salena Antonette Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659088375 PECOS PAC ID: 7517339815 Enrollment ID: I20230215001091 |
| Provider Name | Akosua Owusuah Boakye-yiadom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699493858 PECOS PAC ID: 1254703374 Enrollment ID: I20230217000802 |
| Provider Name | Courtney Ann Brockmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336855428 PECOS PAC ID: 1052783073 Enrollment ID: I20230220002313 |
| Provider Name | Cynthia Beth Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750093282 PECOS PAC ID: 4587037387 Enrollment ID: I20230227000157 |
| Provider Name | Warren Hatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396480851 PECOS PAC ID: 5092185074 Enrollment ID: I20230228002131 |
| Provider Name | Amy Tomko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710156880 PECOS PAC ID: 2961571690 Enrollment ID: I20230301000379 |
| Provider Name | Caroline Wambui Mbugua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265139281 PECOS PAC ID: 2567835168 Enrollment ID: I20230301002565 |
| Provider Name | Anastashia Natasha Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003151697 PECOS PAC ID: 9830562057 Enrollment ID: I20230308001927 |
| Provider Name | Tiffany Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982203733 PECOS PAC ID: 8628441706 Enrollment ID: I20230310002682 |
| Provider Name | Jackie Locklear Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588389480 PECOS PAC ID: 3274908777 Enrollment ID: I20230415000106 |
| Provider Name | Jessica Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164122453 PECOS PAC ID: 9335514793 Enrollment ID: I20230417002554 |
| Provider Name | Jennifer Volpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134873870 PECOS PAC ID: 7416322805 Enrollment ID: I20230418000371 |
| Provider Name | Stephen Thomas Hadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336818319 PECOS PAC ID: 0143685339 Enrollment ID: I20230421001325 |
| Provider Name | Gladys Kerubo Nyaruri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134781511 PECOS PAC ID: 5597120782 Enrollment ID: I20230421001406 |
| Provider Name | Anu Boby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720723000 PECOS PAC ID: 0941665012 Enrollment ID: I20230424002478 |
| Provider Name | Kevin Cliff Edouard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265956197 PECOS PAC ID: 7517323306 Enrollment ID: I20230522000877 |
| Provider Name | Kristy Harlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033808530 PECOS PAC ID: 0547626210 Enrollment ID: I20230523000614 |
| Provider Name | Nicole Lauren Deen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528625456 PECOS PAC ID: 7113383738 Enrollment ID: I20230523002903 |
| Provider Name | Carolyn Johnston Highstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194431239 PECOS PAC ID: 5092172403 Enrollment ID: I20230530002866 |
| Provider Name | Rhode Desauguste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962199604 PECOS PAC ID: 3678930088 Enrollment ID: I20230530003124 |
| Provider Name | Laura Everett Respass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881158293 PECOS PAC ID: 5698132611 Enrollment ID: I20230607001268 |
| Provider Name | Maureen Frances Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437850898 PECOS PAC ID: 9931567948 Enrollment ID: I20230623001596 |
| Provider Name | Summer Hope Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639633563 PECOS PAC ID: 3173982279 Enrollment ID: I20230707001973 |
| Provider Name | Suzanne Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679103162 PECOS PAC ID: 2264891381 Enrollment ID: I20230707002753 |
| Provider Name | Jessica Arce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972964484 PECOS PAC ID: 3577857655 Enrollment ID: I20230718000658 |
| Provider Name | Makulah Schweiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487006987 PECOS PAC ID: 8224316609 Enrollment ID: I20230718002656 |
| Provider Name | Chelsea Amilee Tilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790413391 PECOS PAC ID: 5799145942 Enrollment ID: I20230719001814 |
| Provider Name | Watta Virginia Foray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831876002 PECOS PAC ID: 7911367172 Enrollment ID: I20230719002092 |
| Provider Name | Christal Hayes Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528754314 PECOS PAC ID: 2567824147 Enrollment ID: I20230814002542 |
| Provider Name | Galaxi Elisa Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265112114 PECOS PAC ID: 7810359031 Enrollment ID: I20230818001915 |
| Provider Name | Trinia Lasonia Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720762586 PECOS PAC ID: 3870955016 Enrollment ID: I20230818003336 |
| Provider Name | Kyong Suk Power |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841990231 PECOS PAC ID: 6901269588 Enrollment ID: I20230830000444 |
| Provider Name | Nkwachioma Ugwuezi Nwosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356041420 PECOS PAC ID: 7315300795 Enrollment ID: I20230901000266 |
| Provider Name | Kristi B Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730868183 PECOS PAC ID: 0840653010 Enrollment ID: I20230906000958 |
| Provider Name | Sydney Anne Belton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578163259 PECOS PAC ID: 5395109441 Enrollment ID: I20230908000303 |
| Provider Name | Joseph Floyd Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871276576 PECOS PAC ID: 5991169468 Enrollment ID: I20230918000118 |
| Provider Name | Jennifer Renee Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700660040 PECOS PAC ID: 2365897758 Enrollment ID: I20231004002132 |
| Provider Name | Annie Gaspard Lindor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740960624 PECOS PAC ID: 5294181236 Enrollment ID: I20231026002280 |
| Provider Name | Ashley Blaine Sartain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568240042 PECOS PAC ID: 8426404351 Enrollment ID: I20231027002193 |
| Provider Name | William Robert Carawan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790478931 PECOS PAC ID: 6901253319 Enrollment ID: I20231107001421 |
| Provider Name | Samantha Rose Lamanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679270219 PECOS PAC ID: 4284081647 Enrollment ID: I20231107003931 |
| Provider Name | Jessica Mitchell Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215717525 PECOS PAC ID: 0547617862 Enrollment ID: I20231108002043 |
| Provider Name | Shannon Elizabeth Evans Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174206767 PECOS PAC ID: 9032568142 Enrollment ID: I20231214003299 |
| Provider Name | Ashley Marie Steagall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396425393 PECOS PAC ID: 8325498132 Enrollment ID: I20231220000582 |
| Provider Name | Dawn Demetris Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831595867 PECOS PAC ID: 0840640538 Enrollment ID: I20231220004178 |
| Provider Name | Lindsay Brewer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215511969 PECOS PAC ID: 8921458613 Enrollment ID: I20231220004226 |
| Provider Name | Steffanie Michelle Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023886637 PECOS PAC ID: 2264883479 Enrollment ID: I20240111002051 |
| Provider Name | Mary Linton Kops |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093429367 PECOS PAC ID: 3971954165 Enrollment ID: I20240112000081 |
| Provider Name | Barbra Namfukwe Mugala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447942826 PECOS PAC ID: 5698127561 Enrollment ID: I20240116002820 |
| Provider Name | Rachel Chu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568133916 PECOS PAC ID: 7416333836 Enrollment ID: I20240117004423 |
| Provider Name | Nerissa Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184401648 PECOS PAC ID: 9335591080 Enrollment ID: I20240117004692 |
| Provider Name | Richzer Vincent Chu Villamor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851161830 PECOS PAC ID: 4587008917 Enrollment ID: I20240214000330 |
| Provider Name | John T Kabler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831962802 PECOS PAC ID: 4183060536 Enrollment ID: I20240308000212 |
| Provider Name | Lakisha Yvette Teschemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023715588 PECOS PAC ID: 0345686705 Enrollment ID: I20240308000296 |
| Provider Name | Amanda Kelly Eggleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467221408 PECOS PAC ID: 9830535178 Enrollment ID: I20240309000096 |
| Provider Name | Adassa Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326815820 PECOS PAC ID: 0345687620 Enrollment ID: I20240321003645 |
| Provider Name | Sharmel Yvette Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881021798 PECOS PAC ID: 5597102715 Enrollment ID: I20240325000369 |
| Provider Name | Rebecca Moses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538937644 PECOS PAC ID: 3476990698 Enrollment ID: I20240325000526 |
| Provider Name | Renee Nichole Lamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487429148 PECOS PAC ID: 2062859101 Enrollment ID: I20240325001651 |
| Provider Name | Brittney Sierra Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083485858 PECOS PAC ID: 3072950179 Enrollment ID: I20240325004076 |
| Provider Name | Mercedes Whitworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932972023 PECOS PAC ID: 3971943895 Enrollment ID: I20240425002385 |
| Provider Name | Camille B Winstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639933369 PECOS PAC ID: 0446690846 Enrollment ID: I20240502001663 |
| Provider Name | Casey Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154970879 PECOS PAC ID: 4880925619 Enrollment ID: I20240514004336 |
| Provider Name | Morgan Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528741121 PECOS PAC ID: 5193179232 Enrollment ID: I20240517002104 |
| Provider Name | Gwendolyn Victoria Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174376644 PECOS PAC ID: 1850833807 Enrollment ID: I20240606000924 |
Milestones Of North Carolina Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 84 Church St Ne, Concord, NC 28025 Phone: 704-788-4444 Fax: 704-788-4449 | |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 Spring St Sw, Concord, NC 28025 Phone: 704-786-1539 Fax: 866-790-1485 | |
Northeast Neurology-copperfield Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Copperfield Blvd Ne, Suite 201, Concord, NC 28025 Phone: 704-403-1911 Fax: 704-403-1901 | |
1st Step Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10912 Mccamie Hill Pl, Concord, NC 28025 Phone: 980-319-4357 | |
Great Rose Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Union St S Ste Ll228, Concord, NC 28025 Phone: 704-791-0611 | |
Empowered To Succed Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 Derita Rd, Concord, NC 28027 Phone: 704-788-4511 | |
Victory Family Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11 Union St S Ste 200, Concord, NC 28025 Phone: 704-918-9741 Fax: 704-270-6213 |