| Minuteclinic Telehealth Services Of Texas Association | |
|
1855 Gattis School Rd Round Rock TX 78664-7428 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Minuteclinic Telehealth Services Of Texas Association |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1855 Gattis School Rd, Round Rock, Texas |
| Authorized Official Name and Position | Deborah Jean Pincince (ADMINISTRATOR) |
| Authorized Official Contact | 4017703813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minuteclinic Telehealth Services Of Texas Association 1 Cvs Dr # Mc2295 Woonsocket RI 02895-6146 Ph: (866) 389-2727 | Minuteclinic Telehealth Services Of Texas Association 1855 Gattis School Rd Round Rock TX 78664-7428 Ph: (866) 389-2727 |
| NPI Number | 1922564301 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Medicare PECOS PAC ID | 8921437427 |
|---|---|
| Medicare Enrollment ID | O20200404000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922564301 | NPI | - | NPPES |
| Provider Name | Sandra Horwitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063445492 PECOS PAC ID: 1658352828 Enrollment ID: I20040525001281 |
| Provider Name | Carla Coby Dahms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699761114 PECOS PAC ID: 4688657273 Enrollment ID: I20040613000006 |
| Provider Name | Penne Lyn Jaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700061892 PECOS PAC ID: 9830151901 Enrollment ID: I20041101000486 |
| Provider Name | Teresa L Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093796435 PECOS PAC ID: 8224942941 Enrollment ID: I20050106000523 |
| Provider Name | Jennifer Lynn Lakowsky Brueckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548245004 PECOS PAC ID: 3971522079 Enrollment ID: I20051117000878 |
| Provider Name | Rachel L Hankins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366624652 PECOS PAC ID: 9931113925 Enrollment ID: I20060130000239 |
| Provider Name | Divina Gato-hogno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053505552 PECOS PAC ID: 6406939305 Enrollment ID: I20080215000372 |
| Provider Name | Johnanna Lea Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457496598 PECOS PAC ID: 4486733037 Enrollment ID: I20080507000333 |
| Provider Name | Rani P Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689867657 PECOS PAC ID: 7719057579 Enrollment ID: I20080605000158 |
| Provider Name | Tiffany L Lytle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902060841 PECOS PAC ID: 0749340651 Enrollment ID: I20081122000068 |
| Provider Name | Joseph Hurt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740210905 PECOS PAC ID: 2264421288 Enrollment ID: I20081211000299 |
| Provider Name | June Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770744203 PECOS PAC ID: 8325102858 Enrollment ID: I20090128000577 |
| Provider Name | Debra A Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972573657 PECOS PAC ID: 0446316616 Enrollment ID: I20090313000191 |
| Provider Name | Olubunkanla Ojubayo Kayode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750528246 PECOS PAC ID: 0244397289 Enrollment ID: I20090319000172 |
| Provider Name | Kelly Guillory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730337874 PECOS PAC ID: 9436216025 Enrollment ID: I20090326000187 |
| Provider Name | Lynn M Calvert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043443229 PECOS PAC ID: 0042357964 Enrollment ID: I20091027000146 |
| Provider Name | Monique C Huntley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194059972 PECOS PAC ID: 0042359077 Enrollment ID: I20091203000453 |
| Provider Name | Blen Tesfayesus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922335827 PECOS PAC ID: 8729121942 Enrollment ID: I20100209000801 |
| Provider Name | Margaret C Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235469552 PECOS PAC ID: 3173650017 Enrollment ID: I20100423000484 |
| Provider Name | Greta R Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659676799 PECOS PAC ID: 4880878990 Enrollment ID: I20110414000605 |
| Provider Name | Dora Cisneros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225322787 PECOS PAC ID: 2769660737 Enrollment ID: I20110621000576 |
| Provider Name | Hiroko A Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356649669 PECOS PAC ID: 3678751377 Enrollment ID: I20110628000793 |
| Provider Name | Ashesh Parikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003080375 PECOS PAC ID: 4385776939 Enrollment ID: I20110919000347 |
| Provider Name | Robert Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447566146 PECOS PAC ID: 1456524925 Enrollment ID: I20111027000695 |
| Provider Name | Anita K Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013295336 PECOS PAC ID: 4789857632 Enrollment ID: I20111109000579 |
| Provider Name | Manisha J Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215012000 PECOS PAC ID: 7517120124 Enrollment ID: I20120518000074 |
| Provider Name | Young S Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821362112 PECOS PAC ID: 2163687567 Enrollment ID: I20120710000758 |
| Provider Name | Gladys G Asomani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427304351 PECOS PAC ID: 8224286018 Enrollment ID: I20120920000243 |
| Provider Name | Laxmi D Gautam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396098349 PECOS PAC ID: 3577715895 Enrollment ID: I20121213000468 |
| Provider Name | Donna G Cowart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861745960 PECOS PAC ID: 2365696382 Enrollment ID: I20130129000069 |
| Provider Name | Bina S Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457602492 PECOS PAC ID: 5890940639 Enrollment ID: I20130301000013 |
| Provider Name | Leni T Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710321351 PECOS PAC ID: 4981845815 Enrollment ID: I20130718000635 |
| Provider Name | Phillipa I Modebelu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053647461 PECOS PAC ID: 6305975277 Enrollment ID: I20130809000081 |
| Provider Name | Alana L Merrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093155038 PECOS PAC ID: 7416182993 Enrollment ID: I20131109000333 |
| Provider Name | Leah Y Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598912669 PECOS PAC ID: 3870661556 Enrollment ID: I20140109000706 |
| Provider Name | Chikezie Dike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083049456 PECOS PAC ID: 6608007307 Enrollment ID: I20140321001500 |
| Provider Name | Uchenna Ugochukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821412073 PECOS PAC ID: 1951524776 Enrollment ID: I20140523001979 |
| Provider Name | Oluchi C Ujoatu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700297264 PECOS PAC ID: 3476777483 Enrollment ID: I20140613000777 |
| Provider Name | Dana Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992125678 PECOS PAC ID: 1153547492 Enrollment ID: I20140723001114 |
| Provider Name | Linda N Moghalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558787440 PECOS PAC ID: 4486870631 Enrollment ID: I20140723001920 |
| Provider Name | Stefanie Johnson-sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265855308 PECOS PAC ID: 9436377827 Enrollment ID: I20140827000212 |
| Provider Name | Ritasha K Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285048264 PECOS PAC ID: 5890913297 Enrollment ID: I20140827000512 |
| Provider Name | Brittany Gyorfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386072361 PECOS PAC ID: 5991923955 Enrollment ID: I20140904001549 |
| Provider Name | Yesica Chapa-sobremonte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467747741 PECOS PAC ID: 0042439374 Enrollment ID: I20140917003083 |
| Provider Name | Maria Josefina A Echiverri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316287733 PECOS PAC ID: 8325272289 Enrollment ID: I20140918000894 |
| Provider Name | Olga T Maique |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598009334 PECOS PAC ID: 4284887688 Enrollment ID: I20140919001857 |
| Provider Name | George G Silvosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184918690 PECOS PAC ID: 0749400547 Enrollment ID: I20140929002565 |
| Provider Name | Bina Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730594623 PECOS PAC ID: 0244450344 Enrollment ID: I20141010002129 |
| Provider Name | Sahana Sainju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194152876 PECOS PAC ID: 7719108653 Enrollment ID: I20141018000188 |
| Provider Name | Heather D Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215337605 PECOS PAC ID: 8224250741 Enrollment ID: I20141117000337 |
| Provider Name | Allison J Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861422784 PECOS PAC ID: 3375590235 Enrollment ID: I20141124002176 |
| Provider Name | Jacquana D Dowson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922404516 PECOS PAC ID: 7517280126 Enrollment ID: I20150106000350 |
| Provider Name | Quyen Thi T Trinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386052868 PECOS PAC ID: 9335462993 Enrollment ID: I20150107000102 |
| Provider Name | Shannon K Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427466960 PECOS PAC ID: 8123342631 Enrollment ID: I20150109001349 |
| Provider Name | Akram Mirdamadiha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992135909 PECOS PAC ID: 9739403817 Enrollment ID: I20150120001553 |
| Provider Name | Charnita R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972900181 PECOS PAC ID: 8022332642 Enrollment ID: I20150130000281 |
| Provider Name | Amber Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114326741 PECOS PAC ID: 0446575765 Enrollment ID: I20150209001496 |
| Provider Name | Christiana K Gabbidon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326466855 PECOS PAC ID: 2860717196 Enrollment ID: I20150209001665 |
| Provider Name | Seema Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669704904 PECOS PAC ID: 9638494453 Enrollment ID: I20150218001653 |
| Provider Name | Alexandria P Musick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578963104 PECOS PAC ID: 5597081950 Enrollment ID: I20150302000477 |
| Provider Name | Marykutty Prasad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568854537 PECOS PAC ID: 2163741133 Enrollment ID: I20150427000131 |
| Provider Name | Maritza R Goss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902228836 PECOS PAC ID: 2860711371 Enrollment ID: I20150505002151 |
| Provider Name | Elit J Bernales-alba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629370945 PECOS PAC ID: 1658552054 Enrollment ID: I20150604000834 |
| Provider Name | Ruth O Okpara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598140196 PECOS PAC ID: 2365757135 Enrollment ID: I20150824000804 |
| Provider Name | Ruby Jamison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770960197 PECOS PAC ID: 1456667526 Enrollment ID: I20150903002065 |
| Provider Name | Isabella Bosire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316322662 PECOS PAC ID: 9537477021 Enrollment ID: I20151002000840 |
| Provider Name | Washington O Mitema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154709798 PECOS PAC ID: 4385952530 Enrollment ID: I20151007002723 |
| Provider Name | Stephanie E Machisak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891161089 PECOS PAC ID: 7517277064 Enrollment ID: I20151112001569 |
| Provider Name | Jophy Lonappan Padayatti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639542731 PECOS PAC ID: 5991007155 Enrollment ID: I20160105000744 |
| Provider Name | Kafayat O Ayodele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629445887 PECOS PAC ID: 7719281013 Enrollment ID: I20160208000262 |
| Provider Name | Krystle Y Reddout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568836047 PECOS PAC ID: 8729382965 Enrollment ID: I20160208001842 |
| Provider Name | Edwige Flore Koumfieg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609245430 PECOS PAC ID: 1658678644 Enrollment ID: I20160317001830 |
| Provider Name | Rowena Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174998579 PECOS PAC ID: 6305144890 Enrollment ID: I20160418000458 |
| Provider Name | Patricia F Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629072566 PECOS PAC ID: 6800836537 Enrollment ID: I20160916000168 |
| Provider Name | Barack Austine Otieno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598219222 PECOS PAC ID: 0749577732 Enrollment ID: I20160919001863 |
| Provider Name | Nitha Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205387115 PECOS PAC ID: 7517247810 Enrollment ID: I20161202000540 |
| Provider Name | Tristen Nottage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528513215 PECOS PAC ID: 1254611247 Enrollment ID: I20161208002068 |
| Provider Name | Frances L Jameson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851833248 PECOS PAC ID: 9032490305 Enrollment ID: I20161228000357 |
| Provider Name | Carla Y Deflora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366995722 PECOS PAC ID: 1153603345 Enrollment ID: I20170124000890 |
| Provider Name | Karen Morrissey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669867339 PECOS PAC ID: 6709169360 Enrollment ID: I20170207000254 |
| Provider Name | Scott Pigford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649719535 PECOS PAC ID: 0244515260 Enrollment ID: I20170314000472 |
| Provider Name | Melissa L Rock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588011639 PECOS PAC ID: 5799077038 Enrollment ID: I20170315000849 |
| Provider Name | Amanvir Dhanoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588064497 PECOS PAC ID: 9133349988 Enrollment ID: I20170315002360 |
| Provider Name | Juliette Nsubuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114376613 PECOS PAC ID: 9032495452 Enrollment ID: I20170418002833 |
| Provider Name | Amanda Metcalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831621804 PECOS PAC ID: 9335426238 Enrollment ID: I20170502001609 |
| Provider Name | Daja Carrick Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083079404 PECOS PAC ID: 9436436144 Enrollment ID: I20170508000383 |
| Provider Name | Rashmin A Kadiwal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154858546 PECOS PAC ID: 8921377078 Enrollment ID: I20170705000540 |
| Provider Name | Chigozie Nwokocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326568403 PECOS PAC ID: 8729358908 Enrollment ID: I20170720001497 |
| Provider Name | Emawayesh W Shinge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295269132 PECOS PAC ID: 7719258094 Enrollment ID: I20170804000433 |
| Provider Name | Taresa Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063939403 PECOS PAC ID: 8426323510 Enrollment ID: I20170928002457 |
| Provider Name | Purvi M Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154653871 PECOS PAC ID: 9234253352 Enrollment ID: I20171025003140 |
| Provider Name | Mincy Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962920710 PECOS PAC ID: 2163780131 Enrollment ID: I20171220002076 |
| Provider Name | Marquita Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811360662 PECOS PAC ID: 1759672587 Enrollment ID: I20180103001986 |
| Provider Name | Dency Troy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447762075 PECOS PAC ID: 4082973862 Enrollment ID: I20180124002602 |
| Provider Name | Mireille Dziuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669993473 PECOS PAC ID: 3870853542 Enrollment ID: I20180129002157 |
| Provider Name | Pragya Baral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467900928 PECOS PAC ID: 0840551511 Enrollment ID: I20180221002250 |
| Provider Name | Shenise N Bratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265969380 PECOS PAC ID: 2365703832 Enrollment ID: I20180223001731 |
| Provider Name | Lashica Y Scaife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407162407 PECOS PAC ID: 4082883012 Enrollment ID: I20180305001520 |
| Provider Name | Kusam Lata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922514603 PECOS PAC ID: 4082976303 Enrollment ID: I20180327001736 |
| Provider Name | Jenny Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770938433 PECOS PAC ID: 3779873351 Enrollment ID: I20180404002515 |
| Provider Name | Portia Magaya Tirimboyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063910719 PECOS PAC ID: 4880957778 Enrollment ID: I20180405001476 |
| Provider Name | Lennie Lynn C Basilio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386154995 PECOS PAC ID: 4082977368 Enrollment ID: I20180419001650 |
| Provider Name | Susan Y Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609376797 PECOS PAC ID: 4082977392 Enrollment ID: I20180420000309 |
| Provider Name | Kavita Guragain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891203097 PECOS PAC ID: 6709149818 Enrollment ID: I20180423002959 |
| Provider Name | Arati Pandey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700382959 PECOS PAC ID: 7517221690 Enrollment ID: I20180426001860 |
| Provider Name | Anitha Tanam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629570080 PECOS PAC ID: 6709140122 Enrollment ID: I20180510000488 |
| Provider Name | Erin Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528560455 PECOS PAC ID: 2264797489 Enrollment ID: I20180517001071 |
| Provider Name | Abigail Owunna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922597699 PECOS PAC ID: 6204181555 Enrollment ID: I20180611000570 |
| Provider Name | Geen G John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144765751 PECOS PAC ID: 6901151869 Enrollment ID: I20180618000098 |
| Provider Name | Beverly K Moeller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326548652 PECOS PAC ID: 6002162195 Enrollment ID: I20180703000490 |
| Provider Name | Tricia Agnes Bankas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184138067 PECOS PAC ID: 7517214927 Enrollment ID: I20180717001084 |
| Provider Name | Mark Goleski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720247802 PECOS PAC ID: 3375780570 Enrollment ID: I20180817000982 |
| Provider Name | Cory D Adrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285123299 PECOS PAC ID: 4183973092 Enrollment ID: I20180824002206 |
| Provider Name | Myles Cullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639673379 PECOS PAC ID: 1759631542 Enrollment ID: I20180828003354 |
| Provider Name | Shiney A George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285008805 PECOS PAC ID: 5698066876 Enrollment ID: I20180904002981 |
| Provider Name | Zedeeka A Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073625711 PECOS PAC ID: 5496006462 Enrollment ID: I20181002000400 |
| Provider Name | Lanea Nicole Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134631047 PECOS PAC ID: 7517219397 Enrollment ID: I20181004002903 |
| Provider Name | David Filsoof |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861686354 PECOS PAC ID: 2365698081 Enrollment ID: I20181107003456 |
| Provider Name | Rashmy Thenmadathil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770051641 PECOS PAC ID: 6608110283 Enrollment ID: I20181210000116 |
| Provider Name | Chelsey A Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205292034 PECOS PAC ID: 8224327002 Enrollment ID: I20190109001443 |
| Provider Name | Yvette M Heflin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487155628 PECOS PAC ID: 9335486810 Enrollment ID: I20190122001519 |
| Provider Name | Gina Leonard-ziino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467904607 PECOS PAC ID: 0749528388 Enrollment ID: I20190206002775 |
| Provider Name | Titilayo Ezeji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235682956 PECOS PAC ID: 7810235231 Enrollment ID: I20190211001393 |
| Provider Name | Amy Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861966277 PECOS PAC ID: 7315286267 Enrollment ID: I20190312000143 |
| Provider Name | Israel Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053974212 PECOS PAC ID: 7012259237 Enrollment ID: I20190508001443 |
| Provider Name | Maranda D Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558925230 PECOS PAC ID: 6204161672 Enrollment ID: I20190709000591 |
| Provider Name | Sunita Timilsina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245892421 PECOS PAC ID: 6507192291 Enrollment ID: I20190802000676 |
| Provider Name | Loretta Bennam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518520659 PECOS PAC ID: 6507195781 Enrollment ID: I20190913000493 |
| Provider Name | Morgan Rowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942853775 PECOS PAC ID: 2769712348 Enrollment ID: I20190924003623 |
| Provider Name | Kathleen Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144878232 PECOS PAC ID: 4981936739 Enrollment ID: I20191028000927 |
| Provider Name | Nancy Duong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285115980 PECOS PAC ID: 2567794944 Enrollment ID: I20191105000579 |
| Provider Name | Ayesha Rahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780199745 PECOS PAC ID: 5597198713 Enrollment ID: I20191202002361 |
| Provider Name | Monica Hinojosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982044913 PECOS PAC ID: 1355571357 Enrollment ID: I20191211001287 |
| Provider Name | Kenyatta Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417452889 PECOS PAC ID: 4587098132 Enrollment ID: I20200107002009 |
| Provider Name | Kimberly S Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306485164 PECOS PAC ID: 9133554975 Enrollment ID: I20200124000329 |
| Provider Name | Olivia O Infante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447899679 PECOS PAC ID: 7618303116 Enrollment ID: I20200131000969 |
| Provider Name | Erane Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003331687 PECOS PAC ID: 1153750872 Enrollment ID: I20200401001352 |
| Provider Name | Prudence Oppong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013550037 PECOS PAC ID: 3971932211 Enrollment ID: I20200407002738 |
| Provider Name | Jo A. Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528692290 PECOS PAC ID: 0648609958 Enrollment ID: I20200408003069 |
| Provider Name | Tini T Isaac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699250233 PECOS PAC ID: 0648601765 Enrollment ID: I20200505002095 |
| Provider Name | Areej Nasir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366928921 PECOS PAC ID: 5496186173 Enrollment ID: I20200513001201 |
| Provider Name | Suvashini Khand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356814222 PECOS PAC ID: 2567883556 Enrollment ID: I20200529000554 |
| Provider Name | Sheeba Manayampilly Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740800036 PECOS PAC ID: 4688095409 Enrollment ID: I20200603002642 |
| Provider Name | Shentrell Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598304933 PECOS PAC ID: 6709200074 Enrollment ID: I20200720001517 |
| Provider Name | Patrick Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942864764 PECOS PAC ID: 9830514694 Enrollment ID: I20200811000368 |
| Provider Name | Tamika Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003356379 PECOS PAC ID: 9537586292 Enrollment ID: I20200827000330 |
| Provider Name | Johnelle Cooper-lassiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194370668 PECOS PAC ID: 6305263914 Enrollment ID: I20200827002360 |
| Provider Name | Susan Kinyanjui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881195337 PECOS PAC ID: 6406118116 Enrollment ID: I20200831002419 |
| Provider Name | Merlendi Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225651219 PECOS PAC ID: 2365860475 Enrollment ID: I20200921003195 |
| Provider Name | Latoya S Chamberlain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376187484 PECOS PAC ID: 7810323987 Enrollment ID: I20201020003580 |
| Provider Name | Lyra Np Hosford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396251112 PECOS PAC ID: 7315367901 Enrollment ID: I20201020003879 |
| Provider Name | Obiageli Durousseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538792072 PECOS PAC ID: 3779903380 Enrollment ID: I20201021000720 |
| Provider Name | Bryttany Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598325623 PECOS PAC ID: 8022428374 Enrollment ID: I20201028000507 |
| Provider Name | Tecklar Machaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285268839 PECOS PAC ID: 2668882515 Enrollment ID: I20201103002952 |
| Provider Name | Lauren Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083230320 PECOS PAC ID: 5092125963 Enrollment ID: I20201104000408 |
| Provider Name | Samantha Collinsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255989240 PECOS PAC ID: 9931430154 Enrollment ID: I20201109001701 |
| Provider Name | Lorraine Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417598046 PECOS PAC ID: 3375953847 Enrollment ID: I20201112000776 |
| Provider Name | Bianca Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548750136 PECOS PAC ID: 2163833575 Enrollment ID: I20201116001087 |
| Provider Name | Sarah A Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477188373 PECOS PAC ID: 0547671570 Enrollment ID: I20201124001530 |
| Provider Name | Ameralena L Rappold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194365452 PECOS PAC ID: 4789096389 Enrollment ID: I20201223000215 |
| Provider Name | Sumair Sachwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700437795 PECOS PAC ID: 6406260439 Enrollment ID: I20210202001940 |
| Provider Name | Cassaundra C Gerhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114530490 PECOS PAC ID: 8123432119 Enrollment ID: I20210203000780 |
| Provider Name | Shybi Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285270991 PECOS PAC ID: 4688088545 Enrollment ID: I20210204001363 |
| Provider Name | Nishi H Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821435876 PECOS PAC ID: 1052620465 Enrollment ID: I20210211000627 |
| Provider Name | Sherika Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811509565 PECOS PAC ID: 6709291388 Enrollment ID: I20210211001984 |
| Provider Name | Rons Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104431261 PECOS PAC ID: 5294141867 Enrollment ID: I20210305000122 |
| Provider Name | John P Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033749585 PECOS PAC ID: 6305252784 Enrollment ID: I20210310000036 |
| Provider Name | Avani Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083246540 PECOS PAC ID: 5799192472 Enrollment ID: I20210324002362 |
| Provider Name | Clara Anyaso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235778432 PECOS PAC ID: 6800203316 Enrollment ID: I20210330001562 |
| Provider Name | Peter Louis Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700352317 PECOS PAC ID: 3476892175 Enrollment ID: I20210526000584 |
| Provider Name | Glory Onuoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558988766 PECOS PAC ID: 2466855226 Enrollment ID: I20210730002220 |
| Provider Name | Monisola T. Sobamowo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700482528 PECOS PAC ID: 0345644142 Enrollment ID: I20210802000216 |
| Provider Name | Megan Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780249821 PECOS PAC ID: 8527462530 Enrollment ID: I20210812000145 |
| Provider Name | Simy Chandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932632866 PECOS PAC ID: 6608143086 Enrollment ID: I20210820001259 |
| Provider Name | Macqualine Triplett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649817784 PECOS PAC ID: 6103221569 Enrollment ID: I20210823002704 |
| Provider Name | Anne Kimberly Louangpho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205302544 PECOS PAC ID: 3971909565 Enrollment ID: I20210907003003 |
| Provider Name | Tracy L Quosig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003580614 PECOS PAC ID: 9133526825 Enrollment ID: I20210922003407 |
| Provider Name | Alma Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376149153 PECOS PAC ID: 9931511672 Enrollment ID: I20211028002476 |
| Provider Name | Vy T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386319317 PECOS PAC ID: 1850789272 Enrollment ID: I20211103002442 |
| Provider Name | Jennifer T Doan-pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962179911 PECOS PAC ID: 9234527680 Enrollment ID: I20211104000332 |
| Provider Name | Martha F Agada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184119711 PECOS PAC ID: 9739439308 Enrollment ID: I20211105000049 |
| Provider Name | Eva Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083200687 PECOS PAC ID: 5193114312 Enrollment ID: I20211109003348 |
| Provider Name | Casey D Landreneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669054474 PECOS PAC ID: 6002206539 Enrollment ID: I20211124000266 |
| Provider Name | Kathleen Forr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245889203 PECOS PAC ID: 8426448770 Enrollment ID: I20211201001056 |
| Provider Name | Kimberly Tope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801562756 PECOS PAC ID: 7113317165 Enrollment ID: I20211206001401 |
| Provider Name | Amber Lee Baines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699011270 PECOS PAC ID: 7810387768 Enrollment ID: I20211208000419 |
| Provider Name | Rachel Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851831861 PECOS PAC ID: 9638569478 Enrollment ID: I20211209000898 |
| Provider Name | Adeleye O Ogunlade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891262838 PECOS PAC ID: 5193066918 Enrollment ID: I20211216001132 |
| Provider Name | Vicky Jiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649840604 PECOS PAC ID: 5092106351 Enrollment ID: I20211221000155 |
| Provider Name | Kimberly Jumpp-mehta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962900241 PECOS PAC ID: 4284980806 Enrollment ID: I20211229001567 |
| Provider Name | Nirmala Dhungana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053905950 PECOS PAC ID: 2860883881 Enrollment ID: I20211230001962 |
| Provider Name | Gina Morny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316609274 PECOS PAC ID: 1850782707 Enrollment ID: I20220103001624 |
| Provider Name | Heather Stratmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033872734 PECOS PAC ID: 3678965365 Enrollment ID: I20220107001652 |
| Provider Name | Analene Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306500020 PECOS PAC ID: 0749672368 Enrollment ID: I20220111002102 |
| Provider Name | Theresa Kieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962836064 PECOS PAC ID: 7618102112 Enrollment ID: I20220112001768 |
| Provider Name | Reny Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942844121 PECOS PAC ID: 6507258456 Enrollment ID: I20220126002192 |
| Provider Name | Elisabeth Hari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881004968 PECOS PAC ID: 1254556699 Enrollment ID: I20220201001302 |
| Provider Name | Hajnalka Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992253058 PECOS PAC ID: 5496043432 Enrollment ID: I20220210001442 |
| Provider Name | Paul A Jokisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821754136 PECOS PAC ID: 9830582766 Enrollment ID: I20220216002604 |
| Provider Name | Derek Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871244533 PECOS PAC ID: 1254725997 Enrollment ID: I20220223002086 |
| Provider Name | Ankit Bharatkumar Upadhyay |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376934059 PECOS PAC ID: 3779977152 Enrollment ID: I20220301000941 |
| Provider Name | Margaret Eme Bassey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609435643 PECOS PAC ID: 9537553953 Enrollment ID: I20220301002453 |
| Provider Name | Leonie Hall-james |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114405016 PECOS PAC ID: 4183018468 Enrollment ID: I20220302002208 |
| Provider Name | Tanya Champion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598331001 PECOS PAC ID: 7012301021 Enrollment ID: I20220308000591 |
| Provider Name | Tracy Do |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386138774 PECOS PAC ID: 0244624203 Enrollment ID: I20220308002631 |
| Provider Name | Doreen Adeeko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588281596 PECOS PAC ID: 2163817198 Enrollment ID: I20220309002743 |
| Provider Name | Lacy Castleberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386397487 PECOS PAC ID: 9537554886 Enrollment ID: I20220323001025 |
| Provider Name | Ame Orzechowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174278121 PECOS PAC ID: 7113313875 Enrollment ID: I20220405002100 |
| Provider Name | Rocia Reyna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538814389 PECOS PAC ID: 3173919305 Enrollment ID: I20220414002401 |
| Provider Name | Leslie Dee De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386303667 PECOS PAC ID: 3375930589 Enrollment ID: I20220418001185 |
| Provider Name | Michael D Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205181054 PECOS PAC ID: 4688826373 Enrollment ID: I20220516000059 |
| Provider Name | Dana L Knoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518460484 PECOS PAC ID: 3870841638 Enrollment ID: I20220516001148 |
| Provider Name | Melissa Hallum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760924153 PECOS PAC ID: 5193006005 Enrollment ID: I20220524001216 |
| Provider Name | Katherine Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578097390 PECOS PAC ID: 6901173673 Enrollment ID: I20220607000081 |
| Provider Name | Anna Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174177224 PECOS PAC ID: 0547598682 Enrollment ID: I20220628002943 |
| Provider Name | Connie Fredrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366106791 PECOS PAC ID: 4688054620 Enrollment ID: I20220707002759 |
| Provider Name | Lori Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972526499 PECOS PAC ID: 5193743326 Enrollment ID: I20220713001094 |
| Provider Name | Amanda Debner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831838721 PECOS PAC ID: 7618358201 Enrollment ID: I20220713002686 |
| Provider Name | Lisa Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033511738 PECOS PAC ID: 2961891866 Enrollment ID: I20220720002008 |
| Provider Name | Tamara Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568422970 PECOS PAC ID: 1658260450 Enrollment ID: I20220720002687 |
| Provider Name | Robin Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912167263 PECOS PAC ID: 7517030885 Enrollment ID: I20220720003951 |
| Provider Name | Icelind Gallardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427588797 PECOS PAC ID: 5991187247 Enrollment ID: I20220802003689 |
| Provider Name | Ashlye Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003424284 PECOS PAC ID: 8426432683 Enrollment ID: I20220907002433 |
| Provider Name | Carrie Crumbley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629701057 PECOS PAC ID: 8628453974 Enrollment ID: I20220922001386 |
| Provider Name | Jamie Wadas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033624648 PECOS PAC ID: 0143589820 Enrollment ID: I20220928000672 |
| Provider Name | Rachel R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700518644 PECOS PAC ID: 9032595053 Enrollment ID: I20220928002954 |
| Provider Name | Britney Holton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194335729 PECOS PAC ID: 5395121610 Enrollment ID: I20221010002246 |
| Provider Name | Larry Ong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194287300 PECOS PAC ID: 0648323543 Enrollment ID: I20221018000486 |
| Provider Name | Yvonne Agunsoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518584382 PECOS PAC ID: 0547637902 Enrollment ID: I20221028000199 |
| Provider Name | Maureen Kurgat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821674276 PECOS PAC ID: 6204203508 Enrollment ID: I20221028002345 |
| Provider Name | Matthew Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235851817 PECOS PAC ID: 6608243878 Enrollment ID: I20221031002234 |
| Provider Name | Brandon Loftus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255055836 PECOS PAC ID: 1850768557 Enrollment ID: I20221109002953 |
| Provider Name | Adebowale Salako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013580240 PECOS PAC ID: 1759758451 Enrollment ID: I20221109002972 |
| Provider Name | Sheila Agim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508516949 PECOS PAC ID: 5092183384 Enrollment ID: I20221117000490 |
| Provider Name | Chidinma Njoku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770250227 PECOS PAC ID: 4082082375 Enrollment ID: I20221117000523 |
| Provider Name | Olusola Agboola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508532227 PECOS PAC ID: 8921476193 Enrollment ID: I20221118000969 |
| Provider Name | Lacey Rea Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700501004 PECOS PAC ID: 9133597347 Enrollment ID: I20221119000033 |
| Provider Name | Afroz Zyaei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497340061 PECOS PAC ID: 8729474390 Enrollment ID: I20221122001547 |
| Provider Name | Robert James Beto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346309267 PECOS PAC ID: 5890735021 Enrollment ID: I20221129000803 |
| Provider Name | Jennifer Congdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811546237 PECOS PAC ID: 8426427022 Enrollment ID: I20221202001448 |
| Provider Name | Kristy Knife Chief |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063135218 PECOS PAC ID: 7618346982 Enrollment ID: I20221208000023 |
| Provider Name | Erin C Matheny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952993818 PECOS PAC ID: 4789090150 Enrollment ID: I20221209000856 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508594722 PECOS PAC ID: 8426427329 Enrollment ID: I20221215003139 |
| Provider Name | Norma Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407516735 PECOS PAC ID: 6901276161 Enrollment ID: I20230106000110 |
| Provider Name | Anam Maredia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750021473 PECOS PAC ID: 2567832504 Enrollment ID: I20230109000155 |
| Provider Name | Holly Jamie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538836374 PECOS PAC ID: 2769852631 Enrollment ID: I20230110003107 |
| Provider Name | Melissa Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437748357 PECOS PAC ID: 4688044407 Enrollment ID: I20230111002801 |
| Provider Name | Tisha Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275175069 PECOS PAC ID: 8820469349 Enrollment ID: I20230120000673 |
| Provider Name | Crystal George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417526153 PECOS PAC ID: 0345611380 Enrollment ID: I20230130001408 |
| Provider Name | Monica Dianga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871174979 PECOS PAC ID: 4183095086 Enrollment ID: I20230131002192 |
| Provider Name | Christina Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073224895 PECOS PAC ID: 6507238342 Enrollment ID: I20230204000451 |
| Provider Name | Silvianne Ngueya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154964807 PECOS PAC ID: 3870926272 Enrollment ID: I20230207000445 |
| Provider Name | Megan A Ezzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154802353 PECOS PAC ID: 0143655266 Enrollment ID: I20230208000524 |
| Provider Name | Ma Fe Talamor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861119729 PECOS PAC ID: 1951773209 Enrollment ID: I20230214002099 |
| Provider Name | Margaret Wooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033821913 PECOS PAC ID: 0941672182 Enrollment ID: I20230215003214 |
| Provider Name | Olaitan Sonuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891049292 PECOS PAC ID: 5698991842 Enrollment ID: I20230216000453 |
| Provider Name | Vandrikha Wint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356825277 PECOS PAC ID: 5395117048 Enrollment ID: I20230216000477 |
| Provider Name | Elizabeth Perchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518678523 PECOS PAC ID: 9436521648 Enrollment ID: I20230216002989 |
| Provider Name | Belinda Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679290936 PECOS PAC ID: 6406220532 Enrollment ID: I20230313001797 |
| Provider Name | Katrina Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881367977 PECOS PAC ID: 6608240767 Enrollment ID: I20230314000224 |
| Provider Name | Anjana Timalsina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235731159 PECOS PAC ID: 9436523412 Enrollment ID: I20230314001042 |
| Provider Name | Elizabeth Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508578428 PECOS PAC ID: 9830563493 Enrollment ID: I20230322000190 |
| Provider Name | Arielle J Granvold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669179784 PECOS PAC ID: 7113391707 Enrollment ID: I20230322001132 |
| Provider Name | Joslyn Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326612136 PECOS PAC ID: 9335539402 Enrollment ID: I20230330002881 |
| Provider Name | Salihah Akinretoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386352920 PECOS PAC ID: 0042685141 Enrollment ID: I20230403001367 |
| Provider Name | Edidiong Akpan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053896233 PECOS PAC ID: 7618342767 Enrollment ID: I20230404000781 |
| Provider Name | Katelyn Kretzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568177624 PECOS PAC ID: 7517332398 Enrollment ID: I20230410000248 |
| Provider Name | Shelby Gunby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790328946 PECOS PAC ID: 9335514124 Enrollment ID: I20230410000725 |
| Provider Name | Allison Mcelroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003515354 PECOS PAC ID: 1759756331 Enrollment ID: I20230413000097 |
| Provider Name | Jose Damian Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447963350 PECOS PAC ID: 9638544190 Enrollment ID: I20230414000597 |
| Provider Name | Christina D Tate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871212852 PECOS PAC ID: 4880069350 Enrollment ID: I20230414001240 |
| Provider Name | Uche Ohabughiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477193688 PECOS PAC ID: 1456716679 Enrollment ID: I20230422000116 |
| Provider Name | Jacquilyn Aniscol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851025514 PECOS PAC ID: 2264897057 Enrollment ID: I20230501001282 |
| Provider Name | Samantha Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235830555 PECOS PAC ID: 8921463464 Enrollment ID: I20230504003258 |
| Provider Name | Athena Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396193348 PECOS PAC ID: 8022474337 Enrollment ID: I20230511001640 |
| Provider Name | Susan L Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992081012 PECOS PAC ID: 8325348741 Enrollment ID: I20230518000203 |
| Provider Name | Chona Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023620143 PECOS PAC ID: 2365862919 Enrollment ID: I20230518002488 |
| Provider Name | Charmaine Pulvinar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033826300 PECOS PAC ID: 6204292097 Enrollment ID: I20230522000661 |
| Provider Name | Jackline Lydia Maina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740950369 PECOS PAC ID: 2769878339 Enrollment ID: I20230529000044 |
| Provider Name | Kanisha Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619683018 PECOS PAC ID: 4284091661 Enrollment ID: I20230530001851 |
| Provider Name | Young Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780399451 PECOS PAC ID: 8729446224 Enrollment ID: I20230615000133 |
| Provider Name | Tatianna Natalia Mai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972183895 PECOS PAC ID: 3971961806 Enrollment ID: I20230623002831 |
| Provider Name | Laura Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083348312 PECOS PAC ID: 8224498720 Enrollment ID: I20230715000449 |
| Provider Name | Ngono Zoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659915320 PECOS PAC ID: 6305254509 Enrollment ID: I20230717001607 |
| Provider Name | Diana Blanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558011064 PECOS PAC ID: 4688035462 Enrollment ID: I20230726000930 |
| Provider Name | Michelle Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881378305 PECOS PAC ID: 4284096140 Enrollment ID: I20230810000072 |
| Provider Name | Beverly A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467549139 PECOS PAC ID: 6608877931 Enrollment ID: I20230810001817 |
| Provider Name | Rochelle Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861116691 PECOS PAC ID: 1658742945 Enrollment ID: I20230814000821 |
| Provider Name | Shekoufeh Shadpour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144890021 PECOS PAC ID: 7618372715 Enrollment ID: I20230815000063 |
| Provider Name | Lemmishea Crenshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851865810 PECOS PAC ID: 1052773538 Enrollment ID: I20230815003804 |
| Provider Name | Mary Yanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548940034 PECOS PAC ID: 6305209875 Enrollment ID: I20230831000187 |
| Provider Name | Sydney Waldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760952873 PECOS PAC ID: 6901142777 Enrollment ID: I20230831000907 |
| Provider Name | Lindsey Larkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194398743 PECOS PAC ID: 7810389442 Enrollment ID: I20230906001268 |
| Provider Name | Jeremy Vancour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437884731 PECOS PAC ID: 9234506536 Enrollment ID: I20230914003013 |
| Provider Name | Lanh Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164208989 PECOS PAC ID: 5698129468 Enrollment ID: I20230927002688 |
| Provider Name | Robert Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154000586 PECOS PAC ID: 9335596824 Enrollment ID: I20231106000027 |
| Provider Name | Huihui Sun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225798309 PECOS PAC ID: 8224423280 Enrollment ID: I20231121001712 |
| Provider Name | Michelle Bryan-franklyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982485777 PECOS PAC ID: 1052769148 Enrollment ID: I20231130000712 |
| Provider Name | Tauvia Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871201665 PECOS PAC ID: 9436507456 Enrollment ID: I20231130001976 |
| Provider Name | Janal Kono-boelter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376013540 PECOS PAC ID: 3476892449 Enrollment ID: I20231130003402 |
| Provider Name | Crystal Edic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245908060 PECOS PAC ID: 3678922697 Enrollment ID: I20231215000129 |
| Provider Name | Melissa Wilkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306365382 PECOS PAC ID: 1355604240 Enrollment ID: I20231222000007 |
| Provider Name | Shannon Fives Stringer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255806121 PECOS PAC ID: 0143670737 Enrollment ID: I20231222000066 |
| Provider Name | Carmen Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952021289 PECOS PAC ID: 2365893252 Enrollment ID: I20240104002186 |
| Provider Name | Tamara Renae Cheek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144847328 PECOS PAC ID: 7113337940 Enrollment ID: I20240104004821 |
| Provider Name | Jennifer Matthew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740056407 PECOS PAC ID: 4981056827 Enrollment ID: I20240117000575 |
| Provider Name | Jamia Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801459672 PECOS PAC ID: 1557714714 Enrollment ID: I20240124003217 |
| Provider Name | Paras Seehar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841942455 PECOS PAC ID: 2264875244 Enrollment ID: I20240206004513 |
| Provider Name | Dorianne Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992080139 PECOS PAC ID: 3476720921 Enrollment ID: I20240219001644 |
| Provider Name | Katie J Kmiecik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629461280 PECOS PAC ID: 7810215688 Enrollment ID: I20240302000037 |
| Provider Name | Deanna Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548032840 PECOS PAC ID: 6507205960 Enrollment ID: I20240417003725 |
| Provider Name | Delarenta Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952979593 PECOS PAC ID: 8527407865 Enrollment ID: I20240418002950 |
| Provider Name | Techa Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801666243 PECOS PAC ID: 4385083633 Enrollment ID: I20240418003612 |
| Provider Name | Kaitlin Kavanagh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801529995 PECOS PAC ID: 7618343666 Enrollment ID: I20240516001887 |
| Provider Name | Matthew Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356107551 PECOS PAC ID: 3476995382 Enrollment ID: I20240523001912 |
| Provider Name | Alyssa Race |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538761903 PECOS PAC ID: 1951747559 Enrollment ID: I20240603001225 |
Infinite Potential Counseling, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1000 Gattis School Rd Ste 410, Round Rock, TX 78664 Phone: 512-230-3740 | |
Community Health And Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Chisholm Trail Rd Ste 450, Round Rock, TX 78681 Phone: 512-961-5316 | |
Life In Motion Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1311 Chisholm Trl, Ste 301, Round Rock, TX 78681 Phone: 512-799-4875 | |
Counseling Forward, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Rusk Rd, Round Rock, TX 78665 Phone: 832-523-3700 Fax: 737-205-6966 | |
Elevate Metal Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 Joe Dimaggio Blvd Ste 900b, Round Rock, TX 78665 Phone: 512-729-1800 | |
Brooke D. Peplinski, Lpc, Ncc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Round Rock West Drive #305, Round Rock, TX 78681 Phone: 262-853-7752 | |
Redesigning Lives, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Hidden Valley Dr Apt 1521, Round Rock, TX 78665 Phone: 225-590-5051 Fax: 833-967-1840 |