| Adventhealth Centra Care | |
|
2600 Westhall Lane Maitland FL 32751 | |
| (407) 200-2300 | |
| (407) 200-1353 |
| Full Name | Adventhealth Centra Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2600 Westhall Lane, Maitland, Florida |
| Authorized Official Name and Position | Scott C Brady (PRESIDENT/CEO) |
| Authorized Official Contact | 4072002300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventhealth Centra Care 2600 Westhall Lane Box 300 Maitland FL 32751 Ph: (407) 200-2300 | Adventhealth Centra Care 2600 Westhall Lane Maitland FL 32751 Ph: (407) 200-2300 |
| NPI Number | 1073565610 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 04/20/2023 |
| Medicare PECOS PAC ID | 6406849256 |
|---|---|
| Medicare Enrollment ID | O20040406001849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073565610 | NPI | - | NPPES |
| 013961700 | Medicaid | FL |
| Provider Name | Bettye A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558458729 PECOS PAC ID: 1052212727 Enrollment ID: I20040115000936 |
| Provider Name | Norman L Carlos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366467342 PECOS PAC ID: 7911990510 Enrollment ID: I20040407001692 |
| Provider Name | Nicholas Q Trinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245349364 PECOS PAC ID: 8921091430 Enrollment ID: I20040408000156 |
| Provider Name | Tara Ann A Bouzianis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811983570 PECOS PAC ID: 0244226215 Enrollment ID: I20040423000971 |
| Provider Name | Linda M Harvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689685851 PECOS PAC ID: 5890784292 Enrollment ID: I20040511000379 |
| Provider Name | Franz G Ritucci Chinni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740210624 PECOS PAC ID: 8325038086 Enrollment ID: I20040514000395 |
| Provider Name | Nkemdilim J Uzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558322230 PECOS PAC ID: 5294725925 Enrollment ID: I20040514000857 |
| Provider Name | Joshua Kolanko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821086745 PECOS PAC ID: 8224029608 Enrollment ID: I20040524000595 |
| Provider Name | Kathy Vasque Goodman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861480923 PECOS PAC ID: 1850360819 Enrollment ID: I20040928000212 |
| Provider Name | Michael S Melton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609850775 PECOS PAC ID: 9436111382 Enrollment ID: I20041102000837 |
| Provider Name | Kathleen L Todd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013983865 PECOS PAC ID: 5496709586 Enrollment ID: I20050314000697 |
| Provider Name | Mary Josephine Cunningham Laube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699706010 PECOS PAC ID: 2769438738 Enrollment ID: I20050323000955 |
| Provider Name | Harry F Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063456663 PECOS PAC ID: 0345281606 Enrollment ID: I20050517000443 |
| Provider Name | Steven W Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518018142 PECOS PAC ID: 5395781215 Enrollment ID: I20050630000887 |
| Provider Name | Robert J Buck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881692838 PECOS PAC ID: 9234155698 Enrollment ID: I20051015000030 |
| Provider Name | Pamela R Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609848506 PECOS PAC ID: 5890712467 Enrollment ID: I20051102000351 |
| Provider Name | Rhonda D Ringer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871548891 PECOS PAC ID: 4587685136 Enrollment ID: I20051212000500 |
| Provider Name | Shea A Humphrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174543565 PECOS PAC ID: 0143242537 Enrollment ID: I20051229000149 |
| Provider Name | Amber P Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881622389 PECOS PAC ID: 4183634546 Enrollment ID: I20060428000417 |
| Provider Name | Mechele L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184676405 PECOS PAC ID: 7810996691 Enrollment ID: I20061205000101 |
| Provider Name | Carlos A Ramirez Blessing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093759219 PECOS PAC ID: 3072615202 Enrollment ID: I20070219000587 |
| Provider Name | John Q Dao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881640050 PECOS PAC ID: 6406950815 Enrollment ID: I20070323000536 |
| Provider Name | Margaret R Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932165719 PECOS PAC ID: 9032213665 Enrollment ID: I20070409000364 |
| Provider Name | Olivia N Dennis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548474273 PECOS PAC ID: 5092801480 Enrollment ID: I20071017000089 |
| Provider Name | Craig Joseph Glaser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407075633 PECOS PAC ID: 2860581550 Enrollment ID: I20071204000017 |
| Provider Name | Angela Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942258272 PECOS PAC ID: 0547339277 Enrollment ID: I20080520000834 |
| Provider Name | William E Oakley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629077482 PECOS PAC ID: 5799857025 Enrollment ID: I20080702000271 |
| Provider Name | Jason R Swineford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295936300 PECOS PAC ID: 7911072475 Enrollment ID: I20080818000559 |
| Provider Name | Craig S Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447443411 PECOS PAC ID: 5597826479 Enrollment ID: I20081210000643 |
| Provider Name | Zhandra Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528217346 PECOS PAC ID: 9931264603 Enrollment ID: I20090212000139 |
| Provider Name | Nicola S Archie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336393735 PECOS PAC ID: 6002971777 Enrollment ID: I20090212000159 |
| Provider Name | Glenn A Pederson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811171408 PECOS PAC ID: 2163584939 Enrollment ID: I20090311000319 |
| Provider Name | Michael Anthony Hawks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881896108 PECOS PAC ID: 9830243005 Enrollment ID: I20090822000025 |
| Provider Name | Kar Yee Ng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891941704 PECOS PAC ID: 3173681574 Enrollment ID: I20091016000404 |
| Provider Name | Danny A Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578705224 PECOS PAC ID: 7214078187 Enrollment ID: I20100114000332 |
| Provider Name | Timothy W Hendrix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851405401 PECOS PAC ID: 4789708587 Enrollment ID: I20100831000865 |
| Provider Name | Scott Brady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942232566 PECOS PAC ID: 5395714000 Enrollment ID: I20100910000789 |
| Provider Name | Babak Boroujerdi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538149562 PECOS PAC ID: 7416072038 Enrollment ID: I20100920000057 |
| Provider Name | Eric M Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396830535 PECOS PAC ID: 0042335515 Enrollment ID: I20100921000802 |
| Provider Name | Stanley B. Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609943174 PECOS PAC ID: 2567588619 Enrollment ID: I20100925000293 |
| Provider Name | Kenneth Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467483867 PECOS PAC ID: 0547386252 Enrollment ID: I20100929001612 |
| Provider Name | Barry F. Portnoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396768826 PECOS PAC ID: 2769674019 Enrollment ID: I20101005001311 |
| Provider Name | Jennifer E Angell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689894149 PECOS PAC ID: 2668565177 Enrollment ID: I20101008001119 |
| Provider Name | John P Feenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851323638 PECOS PAC ID: 2668664236 Enrollment ID: I20101014000696 |
| Provider Name | Joanne V Davson-sterling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861709610 PECOS PAC ID: 1850584814 Enrollment ID: I20101022000156 |
| Provider Name | Holly M Lindberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124055157 PECOS PAC ID: 1355534116 Enrollment ID: I20101025001006 |
| Provider Name | Shawn Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457346827 PECOS PAC ID: 3274590146 Enrollment ID: I20101028000321 |
| Provider Name | Mark Mckenzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427076447 PECOS PAC ID: 0547455636 Enrollment ID: I20101115001096 |
| Provider Name | Vicki K Friend |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639167398 PECOS PAC ID: 6103014295 Enrollment ID: I20101215000980 |
| Provider Name | Bruce M Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548244700 PECOS PAC ID: 5496935512 Enrollment ID: I20110207000885 |
| Provider Name | Frank Cortese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407188535 PECOS PAC ID: 0840477881 Enrollment ID: I20110531000600 |
| Provider Name | Yasmin Yunus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639265804 PECOS PAC ID: 4688842628 Enrollment ID: I20110719000456 |
| Provider Name | Noel Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447560040 PECOS PAC ID: 8426227307 Enrollment ID: I20110810000325 |
| Provider Name | Houman Bolourian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124150396 PECOS PAC ID: 5991871600 Enrollment ID: I20120716000450 |
| Provider Name | Carol L Geddes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740417518 PECOS PAC ID: 2860642014 Enrollment ID: I20121024000109 |
| Provider Name | Miriam C Carnemolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235465162 PECOS PAC ID: 8123279072 Enrollment ID: I20121127000288 |
| Provider Name | Ana L Castoro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376707786 PECOS PAC ID: 7214073600 Enrollment ID: I20121219000116 |
| Provider Name | Jessica Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053658617 PECOS PAC ID: 5294980124 Enrollment ID: I20130227000023 |
| Provider Name | William T Brinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154677938 PECOS PAC ID: 4688810872 Enrollment ID: I20130412000400 |
| Provider Name | Sridevi R Davalath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841519311 PECOS PAC ID: 0941498083 Enrollment ID: I20130624000448 |
| Provider Name | Rachel M Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164861951 PECOS PAC ID: 7113169566 Enrollment ID: I20130814000362 |
| Provider Name | Jaimie Plumey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639507262 PECOS PAC ID: 0244465193 Enrollment ID: I20131030000851 |
| Provider Name | William Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467693358 PECOS PAC ID: 4789810771 Enrollment ID: I20131121001467 |
| Provider Name | Jennifer Lynn Walkinshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578994497 PECOS PAC ID: 5698903060 Enrollment ID: I20140109000835 |
| Provider Name | D-ann Weller Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124013362 PECOS PAC ID: 3476522962 Enrollment ID: I20140210001684 |
| Provider Name | Oyinkansola Mary Adeogun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245511500 PECOS PAC ID: 7113158122 Enrollment ID: I20140314001300 |
| Provider Name | Scott William Vanlue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174649412 PECOS PAC ID: 4385867985 Enrollment ID: I20140529001699 |
| Provider Name | Phrancesca Desauguste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881826527 PECOS PAC ID: 4880812478 Enrollment ID: I20140822001604 |
| Provider Name | Nalini Gumbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053722843 PECOS PAC ID: 5991923591 Enrollment ID: I20140822001930 |
| Provider Name | Opeyemi Aina White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528491370 PECOS PAC ID: 5698994309 Enrollment ID: I20140911000969 |
| Provider Name | Debbie-ann P Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467851493 PECOS PAC ID: 8921228255 Enrollment ID: I20141008000969 |
| Provider Name | Jodi L Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164826731 PECOS PAC ID: 4880916949 Enrollment ID: I20141201001791 |
| Provider Name | Tracy R Hauke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497859110 PECOS PAC ID: 7810948577 Enrollment ID: I20150127000339 |
| Provider Name | Barbara A Thomason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891198206 PECOS PAC ID: 2668798026 Enrollment ID: I20150302000548 |
| Provider Name | Maria M Estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821311697 PECOS PAC ID: 9335468412 Enrollment ID: I20150512002304 |
| Provider Name | Sharron Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659631315 PECOS PAC ID: 4183935034 Enrollment ID: I20150618000803 |
| Provider Name | Maria A Posch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275913022 PECOS PAC ID: 8426361411 Enrollment ID: I20150720003142 |
| Provider Name | Jessica R Curry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275894743 PECOS PAC ID: 9830323393 Enrollment ID: I20150722005350 |
| Provider Name | Marilyn Chavannes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972970374 PECOS PAC ID: 6507175700 Enrollment ID: I20151028001651 |
| Provider Name | Patricia Elizabeth Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720030547 PECOS PAC ID: 4688984990 Enrollment ID: I20151116002456 |
| Provider Name | Nwamaka Ilonzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740651272 PECOS PAC ID: 8921308297 Enrollment ID: I20151118003094 |
| Provider Name | Vanessa Philman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093189300 PECOS PAC ID: 9436452570 Enrollment ID: I20160122000773 |
| Provider Name | Tuesday D Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982076709 PECOS PAC ID: 2567765670 Enrollment ID: I20160125000545 |
| Provider Name | Michael G Dilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861863037 PECOS PAC ID: 9931402906 Enrollment ID: I20160125002746 |
| Provider Name | Sally A Huey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205200623 PECOS PAC ID: 7012211618 Enrollment ID: I20160202000956 |
| Provider Name | Sreeja Nandakumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740659440 PECOS PAC ID: 4789989419 Enrollment ID: I20160218000202 |
| Provider Name | Alexia M Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821455320 PECOS PAC ID: 4587960141 Enrollment ID: I20160309002769 |
| Provider Name | Teresa M Imperiale-westerfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821147455 PECOS PAC ID: 3072535129 Enrollment ID: I20160415001227 |
| Provider Name | William S Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093065369 PECOS PAC ID: 6204156185 Enrollment ID: I20160719000263 |
| Provider Name | Md Saif Al Haque |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104256171 PECOS PAC ID: 2668767153 Enrollment ID: I20160823001506 |
| Provider Name | Holly S Slatinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912351040 PECOS PAC ID: 7911294699 Enrollment ID: I20160923000100 |
| Provider Name | Deborah L Messier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487001210 PECOS PAC ID: 4688952823 Enrollment ID: I20161024000648 |
| Provider Name | Cheryl S Newcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265821771 PECOS PAC ID: 5698056950 Enrollment ID: I20161227002026 |
| Provider Name | Ryan A Durfee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023338449 PECOS PAC ID: 3476798240 Enrollment ID: I20170118002879 |
| Provider Name | Kyle Moody Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508284431 PECOS PAC ID: 2466735915 Enrollment ID: I20170208001495 |
| Provider Name | Keith Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013074715 PECOS PAC ID: 8224262845 Enrollment ID: I20170216002818 |
| Provider Name | Shari Lynn Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518319128 PECOS PAC ID: 3678858602 Enrollment ID: I20170314001058 |
| Provider Name | Jonathan Allan Nowak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790236453 PECOS PAC ID: 4981989563 Enrollment ID: I20170322000679 |
| Provider Name | Maria Cherry G Coronel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538597786 PECOS PAC ID: 9537445010 Enrollment ID: I20170418000849 |
| Provider Name | Grace Sumulong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891236543 PECOS PAC ID: 1951688548 Enrollment ID: I20170509001014 |
| Provider Name | Beenu Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851744072 PECOS PAC ID: 9133496763 Enrollment ID: I20170601001486 |
| Provider Name | Maria Altare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689118580 PECOS PAC ID: 6305114604 Enrollment ID: I20170609000208 |
| Provider Name | Jeanine Nicole Jones-donald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336687748 PECOS PAC ID: 4789952938 Enrollment ID: I20170613000987 |
| Provider Name | Danielle Frink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407243553 PECOS PAC ID: 9335460997 Enrollment ID: I20170615000431 |
| Provider Name | Patricia Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366782203 PECOS PAC ID: 2567609779 Enrollment ID: I20170616000901 |
| Provider Name | Pauline J Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861936296 PECOS PAC ID: 4688943145 Enrollment ID: I20170627002073 |
| Provider Name | Paula Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063959203 PECOS PAC ID: 6103195409 Enrollment ID: I20170629001716 |
| Provider Name | Amber Then |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548714835 PECOS PAC ID: 8426338559 Enrollment ID: I20170705000476 |
| Provider Name | Tracy Shibla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881132249 PECOS PAC ID: 1658641105 Enrollment ID: I20170717002473 |
| Provider Name | Shannon Badger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770005548 PECOS PAC ID: 2567732654 Enrollment ID: I20170722000009 |
| Provider Name | Debra Waddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134366156 PECOS PAC ID: 0143545640 Enrollment ID: I20170825002382 |
| Provider Name | Stephen Desouza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285014712 PECOS PAC ID: 0446523856 Enrollment ID: I20170907000525 |
| Provider Name | Katherine P Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366965519 PECOS PAC ID: 5890060354 Enrollment ID: I20171009003296 |
| Provider Name | Brandon Ivey Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831627652 PECOS PAC ID: 0244599884 Enrollment ID: I20180105000868 |
| Provider Name | Rebekah L Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366952111 PECOS PAC ID: 9032478045 Enrollment ID: I20180122000385 |
| Provider Name | Kelly Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871009712 PECOS PAC ID: 2860752482 Enrollment ID: I20180130002235 |
| Provider Name | Klaireece Fitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922489590 PECOS PAC ID: 6305106733 Enrollment ID: I20180215001814 |
| Provider Name | Carrie Jo Pappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093815151 PECOS PAC ID: 8426294828 Enrollment ID: I20180305002294 |
| Provider Name | Rachelle L Alejandro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508248584 PECOS PAC ID: 3678865144 Enrollment ID: I20180306001912 |
| Provider Name | Diane G Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275072142 PECOS PAC ID: 2365705142 Enrollment ID: I20180409000460 |
| Provider Name | Vivienne Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184146656 PECOS PAC ID: 1951664788 Enrollment ID: I20180409002690 |
| Provider Name | Julie A Bearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609013531 PECOS PAC ID: 9638228026 Enrollment ID: I20180416000099 |
| Provider Name | Kelly S Omalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639587702 PECOS PAC ID: 9537381256 Enrollment ID: I20180420000031 |
| Provider Name | Akhil Singhal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962796284 PECOS PAC ID: 5193016343 Enrollment ID: I20180511001289 |
| Provider Name | Eldon Hugh Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538665336 PECOS PAC ID: 4587919840 Enrollment ID: I20180611001037 |
| Provider Name | Laura Elizabeth Deetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790287316 PECOS PAC ID: 9638425184 Enrollment ID: I20180717003510 |
| Provider Name | Gemma M Villapando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659884534 PECOS PAC ID: 7719235738 Enrollment ID: I20180808002047 |
| Provider Name | Lakeshia Necole Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568914232 PECOS PAC ID: 5597013300 Enrollment ID: I20180809004617 |
| Provider Name | Christy Marie Chong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104271444 PECOS PAC ID: 3870860018 Enrollment ID: I20180911001109 |
| Provider Name | Diego Heraud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538505060 PECOS PAC ID: 4284867128 Enrollment ID: I20181106002455 |
| Provider Name | Pegah Yaghoubi Yeganeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518444397 PECOS PAC ID: 8224382122 Enrollment ID: I20181113000589 |
| Provider Name | Alexandra Y Rigaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457866857 PECOS PAC ID: 9739433525 Enrollment ID: I20181114001153 |
| Provider Name | Lindsey L Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962994046 PECOS PAC ID: 0547514333 Enrollment ID: I20181114001187 |
| Provider Name | Arsheema Abdurahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548745060 PECOS PAC ID: 3173868973 Enrollment ID: I20181226001321 |
| Provider Name | Cam T Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407101884 PECOS PAC ID: 6608026026 Enrollment ID: I20181228000450 |
| Provider Name | Mary Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639654122 PECOS PAC ID: 1759627177 Enrollment ID: I20190107000693 |
| Provider Name | Matthew Ryan Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780150367 PECOS PAC ID: 7315994407 Enrollment ID: I20190110000190 |
| Provider Name | Meagan Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891261863 PECOS PAC ID: 6103163787 Enrollment ID: I20190122001332 |
| Provider Name | Claudine George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659850212 PECOS PAC ID: 6204173511 Enrollment ID: I20190124001890 |
| Provider Name | Lonnie Samantha-gaither Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578063780 PECOS PAC ID: 1052672136 Enrollment ID: I20190206003091 |
| Provider Name | David R Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881169555 PECOS PAC ID: 7517205883 Enrollment ID: I20190212000700 |
| Provider Name | Melissa Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629540075 PECOS PAC ID: 2668710930 Enrollment ID: I20190212000894 |
| Provider Name | Daniel Patrick Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558836668 PECOS PAC ID: 8022356922 Enrollment ID: I20190220000289 |
| Provider Name | Jessica O Romeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497222160 PECOS PAC ID: 3971842709 Enrollment ID: I20190222000297 |
| Provider Name | Michelle N Pozsonyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801366984 PECOS PAC ID: 7517207707 Enrollment ID: I20190326002170 |
| Provider Name | James Evan Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396256616 PECOS PAC ID: 3375803455 Enrollment ID: I20190329000039 |
| Provider Name | Tamara Coleburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609334531 PECOS PAC ID: 8628318615 Enrollment ID: I20190329001890 |
| Provider Name | Princess Valentin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134664451 PECOS PAC ID: 0941542732 Enrollment ID: I20190426000833 |
| Provider Name | Samantha D Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093196800 PECOS PAC ID: 6305188830 Enrollment ID: I20190501003195 |
| Provider Name | Anitta Janosh Purackal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326545047 PECOS PAC ID: 0840532057 Enrollment ID: I20190508000965 |
| Provider Name | Kyle Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346710472 PECOS PAC ID: 8729321609 Enrollment ID: I20190516000226 |
| Provider Name | Laura Cordoba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255995858 PECOS PAC ID: 8527301811 Enrollment ID: I20190530002003 |
| Provider Name | Shinumol Sabu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518425131 PECOS PAC ID: 8628301280 Enrollment ID: I20190613000946 |
| Provider Name | Beverly Texidor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235696386 PECOS PAC ID: 0749516706 Enrollment ID: I20190729002063 |
| Provider Name | Wesley Kramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225483803 PECOS PAC ID: 3779810478 Enrollment ID: I20190802001707 |
| Provider Name | Maria Isabel Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518424514 PECOS PAC ID: 7214264308 Enrollment ID: I20190813000381 |
| Provider Name | Dora Catherine Ottati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295299154 PECOS PAC ID: 8527397116 Enrollment ID: I20190906001890 |
| Provider Name | David Kramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932527553 PECOS PAC ID: 3375761455 Enrollment ID: I20190918002006 |
| Provider Name | Jill M Huntzinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336686534 PECOS PAC ID: 8729357108 Enrollment ID: I20191010002628 |
| Provider Name | Alisha Ottati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568927200 PECOS PAC ID: 8224369483 Enrollment ID: I20191018002719 |
| Provider Name | Surujdai Pooransingh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457822066 PECOS PAC ID: 7911239744 Enrollment ID: I20191029001408 |
| Provider Name | Alethea Scherer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588217863 PECOS PAC ID: 0648502369 Enrollment ID: I20191030002064 |
| Provider Name | Vickie L Sorrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306114483 PECOS PAC ID: 7911146667 Enrollment ID: I20191031000901 |
| Provider Name | Steven L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134771025 PECOS PAC ID: 7618300872 Enrollment ID: I20191203000770 |
| Provider Name | Jeffrey L Bevan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700992898 PECOS PAC ID: 1951300136 Enrollment ID: I20200117001891 |
| Provider Name | Jamie R Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770131351 PECOS PAC ID: 7719312602 Enrollment ID: I20200123000995 |
| Provider Name | Emily S Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528609443 PECOS PAC ID: 7719313501 Enrollment ID: I20200217000096 |
| Provider Name | Anne Esther Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083188445 PECOS PAC ID: 2466889142 Enrollment ID: I20200218002060 |
| Provider Name | June Steinvorth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003849019 PECOS PAC ID: 0244252955 Enrollment ID: I20200220002595 |
| Provider Name | Tiffany Dawn Westbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033741970 PECOS PAC ID: 2961830849 Enrollment ID: I20200309001376 |
| Provider Name | Savita S Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902436991 PECOS PAC ID: 4587092366 Enrollment ID: I20200309001967 |
| Provider Name | Doris E Scruggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477115798 PECOS PAC ID: 6103254982 Enrollment ID: I20200309002053 |
| Provider Name | Kerri Al Quinones Lumsden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871125278 PECOS PAC ID: 2769812106 Enrollment ID: I20200425000162 |
| Provider Name | David W Heidelberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891049755 PECOS PAC ID: 4183879323 Enrollment ID: I20200601001816 |
| Provider Name | Theava Ismarella Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568001774 PECOS PAC ID: 9234550617 Enrollment ID: I20200611000750 |
| Provider Name | Rohinie Hereman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598307548 PECOS PAC ID: 3072935311 Enrollment ID: I20200616000049 |
| Provider Name | Lindsay Taylor Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659900181 PECOS PAC ID: 2163846569 Enrollment ID: I20200717002128 |
| Provider Name | Adam Sparkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750909420 PECOS PAC ID: 6901221308 Enrollment ID: I20200803000039 |
| Provider Name | Petit Louis Augustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407226475 PECOS PAC ID: 3779909288 Enrollment ID: I20200814000788 |
| Provider Name | Rizwana Yakub Ismail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962971044 PECOS PAC ID: 8022434380 Enrollment ID: I20200817003475 |
| Provider Name | Osmani Placencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760982185 PECOS PAC ID: 0345324323 Enrollment ID: I20200825002298 |
| Provider Name | Kristine Schnacke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508484445 PECOS PAC ID: 2961820170 Enrollment ID: I20200918001745 |
| Provider Name | Charmaine G Etienne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114461902 PECOS PAC ID: 0648521039 Enrollment ID: I20200929000490 |
| Provider Name | Tracey Soper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033681655 PECOS PAC ID: 2466789854 Enrollment ID: I20201012002887 |
| Provider Name | Faith Select Zolfaghari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386269017 PECOS PAC ID: 4587074919 Enrollment ID: I20201113000576 |
| Provider Name | Wesley Dean Gooch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366054611 PECOS PAC ID: 7315358322 Enrollment ID: I20201124000359 |
| Provider Name | Kathleen Jones Garnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528515681 PECOS PAC ID: 6901187913 Enrollment ID: I20201125000438 |
| Provider Name | Michelle Suriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891397998 PECOS PAC ID: 7810309556 Enrollment ID: I20201222000382 |
| Provider Name | Kumarie Davie Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730786468 PECOS PAC ID: 4183037914 Enrollment ID: I20210115000040 |
| Provider Name | Allison R Echevarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821686635 PECOS PAC ID: 0648684019 Enrollment ID: I20210126001269 |
| Provider Name | Rhonda Lee Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578815080 PECOS PAC ID: 1052617727 Enrollment ID: I20210201001404 |
| Provider Name | Atif K Ahmed |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184981789 PECOS PAC ID: 6800167107 Enrollment ID: I20210311000958 |
| Provider Name | Jared Christopher Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205469491 PECOS PAC ID: 1456767417 Enrollment ID: I20210317001256 |
| Provider Name | Nicole Marie Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902401557 PECOS PAC ID: 3870901978 Enrollment ID: I20210408002011 |
| Provider Name | Kristen G Girard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750891271 PECOS PAC ID: 3476961632 Enrollment ID: I20210428000983 |
| Provider Name | Collin Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487269957 PECOS PAC ID: 7315346483 Enrollment ID: I20210521000213 |
| Provider Name | Matthew Vern Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215563564 PECOS PAC ID: 4284033960 Enrollment ID: I20210528002398 |
| Provider Name | Ermite Caris-barlatier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083185169 PECOS PAC ID: 8527469485 Enrollment ID: I20210629002631 |
| Provider Name | Alison Marie Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891367538 PECOS PAC ID: 2466855697 Enrollment ID: I20210727000367 |
| Provider Name | Melissa S Nicoletti |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1821483942 PECOS PAC ID: 8628326840 Enrollment ID: I20210812002740 |
| Provider Name | Jesika Meghan Florin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124639539 PECOS PAC ID: 1850705484 Enrollment ID: I20210819001917 |
| Provider Name | Teresa Jean Babbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982379012 PECOS PAC ID: 1850796814 Enrollment ID: I20210830001047 |
| Provider Name | Lynette Whaley Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003464215 PECOS PAC ID: 9931505708 Enrollment ID: I20210901003504 |
| Provider Name | Hillary Elizabeth Brunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558037820 PECOS PAC ID: 3971909714 Enrollment ID: I20210902002340 |
| Provider Name | Olivia Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508539099 PECOS PAC ID: 4082010137 Enrollment ID: I20210915000931 |
| Provider Name | Mary Elizabeth Hafele-kott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225603038 PECOS PAC ID: 2860899978 Enrollment ID: I20210916000158 |
| Provider Name | Janadra Dean Greenidge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881233526 PECOS PAC ID: 3072910900 Enrollment ID: I20210921000125 |
| Provider Name | Loren E Gomes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972277622 PECOS PAC ID: 4385041052 Enrollment ID: I20210922002565 |
| Provider Name | Casey Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104591726 PECOS PAC ID: 0941607394 Enrollment ID: I20210928000570 |
| Provider Name | Marcello Alevato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669045373 PECOS PAC ID: 5597162883 Enrollment ID: I20210929002613 |
| Provider Name | Jessica Cabrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861165524 PECOS PAC ID: 3870981632 Enrollment ID: I20211027001807 |
| Provider Name | Elizabeth Matey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508436957 PECOS PAC ID: 6901294651 Enrollment ID: I20211028002276 |
| Provider Name | Jerry Lee Lemley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134892623 PECOS PAC ID: 4082002746 Enrollment ID: I20211028002795 |
| Provider Name | Joalize Marie Kuhlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427693464 PECOS PAC ID: 7618366485 Enrollment ID: I20211116003090 |
| Provider Name | Ruth Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356007579 PECOS PAC ID: 6305235029 Enrollment ID: I20211117002424 |
| Provider Name | Sara Belz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184388647 PECOS PAC ID: 2860882362 Enrollment ID: I20211123002483 |
| Provider Name | Porscha Shantell Kimbro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831780014 PECOS PAC ID: 1951791649 Enrollment ID: I20211213001472 |
| Provider Name | Gurpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841959343 PECOS PAC ID: 9638561848 Enrollment ID: I20220120002367 |
| Provider Name | Debra Lynn Eiermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871199240 PECOS PAC ID: 0042602161 Enrollment ID: I20220124001519 |
| Provider Name | Sapana Dahal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457012031 PECOS PAC ID: 7214329291 Enrollment ID: I20220125001633 |
| Provider Name | Jacqueline Y Spence-thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326671504 PECOS PAC ID: 6507258589 Enrollment ID: I20220125001950 |
| Provider Name | Lindsey Nicole Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124789797 PECOS PAC ID: 9032501960 Enrollment ID: I20220126001289 |
| Provider Name | Monica A Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437818747 PECOS PAC ID: 3779976568 Enrollment ID: I20220129000014 |
| Provider Name | Ketena D Louine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578224150 PECOS PAC ID: 9638562424 Enrollment ID: I20220129000263 |
| Provider Name | Blair Heinke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366609604 PECOS PAC ID: 0042480717 Enrollment ID: I20220207002573 |
| Provider Name | Francesca Nicole Pinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982112868 PECOS PAC ID: 6507259736 Enrollment ID: I20220210000296 |
| Provider Name | Jane Dumont Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073156394 PECOS PAC ID: 9537553433 Enrollment ID: I20220217002617 |
| Provider Name | Tuyen N Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053063123 PECOS PAC ID: 1759775109 Enrollment ID: I20220228002601 |
| Provider Name | Kira Elana Peterman-diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043852593 PECOS PAC ID: 9537554555 Enrollment ID: I20220309002165 |
| Provider Name | Alisha Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043802531 PECOS PAC ID: 0345635074 Enrollment ID: I20220316002596 |
| Provider Name | Lindsey T Thilmony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831847888 PECOS PAC ID: 0345636874 Enrollment ID: I20220408000397 |
| Provider Name | Matthew Fintan Herreran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942941281 PECOS PAC ID: 7810384492 Enrollment ID: I20220429000044 |
| Provider Name | Diane Boicourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366089112 PECOS PAC ID: 1951782333 Enrollment ID: I20220715002246 |
| Provider Name | Tiffany R Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720612146 PECOS PAC ID: 3173904406 Enrollment ID: I20220719000514 |
| Provider Name | Dakohta Gaskin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487239273 PECOS PAC ID: 9234511999 Enrollment ID: I20220728000768 |
| Provider Name | Gladys Peguero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689317893 PECOS PAC ID: 7517349152 Enrollment ID: I20220729001028 |
| Provider Name | Patrick J King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801207238 PECOS PAC ID: 2860613304 Enrollment ID: I20220812002140 |
| Provider Name | Dmitry Aleks Drapach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669487542 PECOS PAC ID: 9032205331 Enrollment ID: I20220830000398 |
| Provider Name | Jesus John Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780269928 PECOS PAC ID: 3577948330 Enrollment ID: I20220914001652 |
| Provider Name | Jennifer Gayle Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255054847 PECOS PAC ID: 4284010109 Enrollment ID: I20220929003748 |
| Provider Name | Marian A Maldonado Soler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295460053 PECOS PAC ID: 9436525144 Enrollment ID: I20221021000372 |
| Provider Name | Miranda Saint-louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922484898 PECOS PAC ID: 2365731676 Enrollment ID: I20221026002276 |
| Provider Name | Jessica Lee Taddeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104546019 PECOS PAC ID: 1759759699 Enrollment ID: I20221123002909 |
| Provider Name | Tamika Alena Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023743929 PECOS PAC ID: 7315316510 Enrollment ID: I20221209002783 |
| Provider Name | Joy Prinsell Brothers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851050777 PECOS PAC ID: 7416328927 Enrollment ID: I20230120000463 |
| Provider Name | Shea Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487367785 PECOS PAC ID: 7012388499 Enrollment ID: I20230123000502 |
| Provider Name | Mily George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346978707 PECOS PAC ID: 8224409354 Enrollment ID: I20230126003553 |
| Provider Name | Kristin Nichole Darby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083376453 PECOS PAC ID: 1153793658 Enrollment ID: I20230209002147 |
| Provider Name | Kishma N Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811286123 PECOS PAC ID: 5395086284 Enrollment ID: I20230227001151 |
| Provider Name | Maria Decastro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861849085 PECOS PAC ID: 6709295512 Enrollment ID: I20230420000707 |
| Provider Name | Grisset Rivera Diaz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235361999 PECOS PAC ID: 6204128085 Enrollment ID: I20230531003725 |
| Provider Name | Grayson Shea Verity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770275406 PECOS PAC ID: 7416317110 Enrollment ID: I20230712004790 |
| Provider Name | Alyssa Holte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114642261 PECOS PAC ID: 2961870274 Enrollment ID: I20230731000148 |
| Provider Name | Christelle Alerte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841073251 PECOS PAC ID: 3274996889 Enrollment ID: I20230830001760 |
| Provider Name | Molly Weidenhamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164208906 PECOS PAC ID: 6901250950 Enrollment ID: I20230926001632 |
| Provider Name | Kimberly Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457138307 PECOS PAC ID: 7719331628 Enrollment ID: I20230926004438 |
| Provider Name | Lidisy Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821776923 PECOS PAC ID: 0648629212 Enrollment ID: I20231207001973 |
| Provider Name | Antoinette Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811572290 PECOS PAC ID: 1456794072 Enrollment ID: I20240209002910 |
| Provider Name | Tera L Foust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346002615 PECOS PAC ID: 5597108076 Enrollment ID: I20240212003504 |
| Provider Name | Dana R Mongelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245018415 PECOS PAC ID: 2860839396 Enrollment ID: I20240320001263 |
| Provider Name | David N Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588429294 PECOS PAC ID: 5395184105 Enrollment ID: I20240412002231 |
Orlando Freedom Medical Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 N Maitland Ave Ste D2, Maitland, FL 32751 Phone: 407-636-4100 Fax: 407-636-4126 | |
Orlando Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 N Maitland Ave Ste 103, Maitland, FL 32751 Phone: 407-660-7011 | |
Doctor's Associates Of Orlando , Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 670 N Orlando Ave Ste 1012, Maitland, FL 32751 Phone: 407-790-7870 Fax: 407-790-7872 | |
Orlando Advanced Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 331 N Maitland Ave, Suite C-1, Maitland, FL 32751 Phone: 407-644-2218 Fax: 407-644-9260 | |
Center For Acupuncture And Integrative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 668 N Orlando Ave, Ste 1018, Maitland, FL 32751 Phone: 818-571-7296 | |
Hickory Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1700 Monroe Ave, Maitland, FL 32751 Phone: 407-647-2092 |