| Healthpoint | |
|
403 E Meeker St, Ste 200, Kent, WA 98030-5904 | |
| (253) 852-2866 | |
| (253) 852-3102 |
| Full Name | Healthpoint |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 403 E Meeker St, Kent, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831199454 | NPI | - | NPPES |
| 000150900 | Other | WA | MEDICARE PART B |
| 501841 | Other | WA | MEDICARE PART A |
| Provider Name | John C Olson |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1679512487 PECOS PAC ID: 0042205106 Enrollment ID: I20040417000495 |
| Provider Name | Marcus T Rempel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821108275 PECOS PAC ID: 1456340538 Enrollment ID: I20040512000764 |
| Provider Name | Kelly R Barbour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982671913 PECOS PAC ID: 2567443393 Enrollment ID: I20040527000704 |
| Provider Name | Alaro M Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629078548 PECOS PAC ID: 1951377282 Enrollment ID: I20040908000386 |
| Provider Name | Judith A Featherstone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265425946 PECOS PAC ID: 6800834292 Enrollment ID: I20050418000306 |
| Provider Name | Evan M Oakes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740273424 PECOS PAC ID: 5395783708 Enrollment ID: I20050418000487 |
| Provider Name | Sara A Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245224609 PECOS PAC ID: 9234179417 Enrollment ID: I20050506000318 |
| Provider Name | Preeti V Aski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629019013 PECOS PAC ID: 6406882836 Enrollment ID: I20050715001023 |
| Provider Name | Karen A Rongren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598758328 PECOS PAC ID: 1951320910 Enrollment ID: I20051118000336 |
| Provider Name | Jill C Fuller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871576744 PECOS PAC ID: 7012900616 Enrollment ID: I20051222000632 |
| Provider Name | Xiomara V Munoz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255429817 PECOS PAC ID: 7416961586 Enrollment ID: I20060127000145 |
| Provider Name | Sabrina T Hart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285795823 PECOS PAC ID: 4183630577 Enrollment ID: I20060222000258 |
| Provider Name | Chiyong Byun |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508974643 PECOS PAC ID: 5991711137 Enrollment ID: I20060227000176 |
| Provider Name | Jonathan L Scheffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386696060 PECOS PAC ID: 4385695352 Enrollment ID: I20060605000245 |
| Provider Name | Cristina M Covert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184640856 PECOS PAC ID: 7012920382 Enrollment ID: I20060803000382 |
| Provider Name | Liza A Perpuse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265401145 PECOS PAC ID: 6204839095 Enrollment ID: I20060816000589 |
| Provider Name | Erin J Longley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295727881 PECOS PAC ID: 0042216681 Enrollment ID: I20061004000677 |
| Provider Name | Molly Hong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265485353 PECOS PAC ID: 4385608322 Enrollment ID: I20070105000393 |
| Provider Name | Carolyn Halley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699803502 PECOS PAC ID: 0446342315 Enrollment ID: I20070823000073 |
| Provider Name | Ruth J Michaelis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982698320 PECOS PAC ID: 2062505563 Enrollment ID: I20070829000376 |
| Provider Name | Lillian Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851398770 PECOS PAC ID: 2365536612 Enrollment ID: I20070918000606 |
| Provider Name | Thomas M Chin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477553394 PECOS PAC ID: 9133214117 Enrollment ID: I20071005000260 |
| Provider Name | Kimberly Mcdermott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437159209 PECOS PAC ID: 1658467311 Enrollment ID: I20071011000413 |
| Provider Name | Yaowanit Balangue |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356486625 PECOS PAC ID: 7911079587 Enrollment ID: I20080626000723 |
| Provider Name | Jon E Woo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821060674 PECOS PAC ID: 0941267942 Enrollment ID: I20080724000818 |
| Provider Name | Sukhdip Dhillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932359551 PECOS PAC ID: 6709948979 Enrollment ID: I20081222000578 |
| Provider Name | Dinelle M Pineda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972720043 PECOS PAC ID: 7416013081 Enrollment ID: I20090305000564 |
| Provider Name | Neville M Antia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669690483 PECOS PAC ID: 6507918968 Enrollment ID: I20090715000465 |
| Provider Name | Xandra E Rarden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447331780 PECOS PAC ID: 4385782416 Enrollment ID: I20091111000138 |
| Provider Name | Jolene G Beitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770818379 PECOS PAC ID: 6305987702 Enrollment ID: I20100107000366 |
| Provider Name | Elizabeth R Mccarthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427047109 PECOS PAC ID: 7618010463 Enrollment ID: I20100202000980 |
| Provider Name | James L Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649263161 PECOS PAC ID: 5395737589 Enrollment ID: I20100514000379 |
| Provider Name | Christina Marie Lindell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295815074 PECOS PAC ID: 0749288728 Enrollment ID: I20100811000333 |
| Provider Name | Jinny Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063669604 PECOS PAC ID: 3678697950 Enrollment ID: I20100824000977 |
| Provider Name | Suzanne M Laurel |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1699772434 PECOS PAC ID: 5496940306 Enrollment ID: I20101117000282 |
| Provider Name | Nirav Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215977202 PECOS PAC ID: 8628159308 Enrollment ID: I20101118000368 |
| Provider Name | Patricia Mladenov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083881288 PECOS PAC ID: 6204022635 Enrollment ID: I20101127000011 |
| Provider Name | Sierra L Swing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063641041 PECOS PAC ID: 3072701648 Enrollment ID: I20101223000206 |
| Provider Name | David K Mcfarland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497839104 PECOS PAC ID: 6507038932 Enrollment ID: I20111007000240 |
| Provider Name | Suzanna M Parle Perchera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487883252 PECOS PAC ID: 1658544788 Enrollment ID: I20111104000295 |
| Provider Name | Brianne N Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396907085 PECOS PAC ID: 2365618717 Enrollment ID: I20120105000828 |
| Provider Name | Julia B Rapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114280476 PECOS PAC ID: 6305094103 Enrollment ID: I20120920000362 |
| Provider Name | Alhasan Juhani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467410647 PECOS PAC ID: 9830134931 Enrollment ID: I20121005000533 |
| Provider Name | Kimberly B Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912131913 PECOS PAC ID: 1658521877 Enrollment ID: I20121025000033 |
| Provider Name | Caitlin A Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396972154 PECOS PAC ID: 7618127614 Enrollment ID: I20121029000724 |
| Provider Name | Kathleen E Tubridy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124258876 PECOS PAC ID: 6002061363 Enrollment ID: I20130313000101 |
| Provider Name | Eunice D Soh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417293853 PECOS PAC ID: 3173761004 Enrollment ID: I20130604000509 |
| Provider Name | Kurt G Velguth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467612077 PECOS PAC ID: 1355577123 Enrollment ID: I20131127000118 |
| Provider Name | Matthew Messerschmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962630152 PECOS PAC ID: 8426282179 Enrollment ID: I20131203001316 |
| Provider Name | Queen Wahiwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508183104 PECOS PAC ID: 3779710298 Enrollment ID: I20131209000332 |
| Provider Name | Laura Marie Macpherson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386989804 PECOS PAC ID: 2466684899 Enrollment ID: I20140416002373 |
| Provider Name | Elizabeth Wytychak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861748832 PECOS PAC ID: 3971741729 Enrollment ID: I20140421001407 |
| Provider Name | Daniel Buffington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801022389 PECOS PAC ID: 9931365335 Enrollment ID: I20140520002317 |
| Provider Name | Cindy Kiefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003232794 PECOS PAC ID: 5496979049 Enrollment ID: I20140623000120 |
| Provider Name | Amanda S Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578853032 PECOS PAC ID: 2860636339 Enrollment ID: I20140823000359 |
| Provider Name | Elizabeth V Schuringa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891022869 PECOS PAC ID: 8820242365 Enrollment ID: I20141031000066 |
| Provider Name | Stephanie D Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548676752 PECOS PAC ID: 0648592303 Enrollment ID: I20141208001203 |
| Provider Name | Shaifali Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851670327 PECOS PAC ID: 3375866650 Enrollment ID: I20141217000923 |
| Provider Name | Alena Droze |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407257124 PECOS PAC ID: 5698090512 Enrollment ID: I20150217000036 |
| Provider Name | Mark G Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629129168 PECOS PAC ID: 2466469341 Enrollment ID: I20150225002305 |
| Provider Name | Jeffrey Dassel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619068970 PECOS PAC ID: 7113929878 Enrollment ID: I20150317002758 |
| Provider Name | Benjamin Fasbinder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710118567 PECOS PAC ID: 6901050954 Enrollment ID: I20150330000294 |
| Provider Name | Daniel A Delgado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699738237 PECOS PAC ID: 7911225818 Enrollment ID: I20150404000009 |
| Provider Name | Shoshana C Aleinikoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639439474 PECOS PAC ID: 4284945924 Enrollment ID: I20150714001883 |
| Provider Name | Jaime Leigh Klippert Fajardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285993071 PECOS PAC ID: 3173762168 Enrollment ID: I20150714002993 |
| Provider Name | Esther Miriam Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023305380 PECOS PAC ID: 1557674504 Enrollment ID: I20150720002000 |
| Provider Name | Galena Kolchugina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588915896 PECOS PAC ID: 1355655101 Enrollment ID: I20150806011838 |
| Provider Name | Gretchen M Mjelde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669732400 PECOS PAC ID: 5799006961 Enrollment ID: I20150806012564 |
| Provider Name | Gayatri Menon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366604340 PECOS PAC ID: 2769655364 Enrollment ID: I20150811003960 |
| Provider Name | Gayoung Hong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194072876 PECOS PAC ID: 7113174954 Enrollment ID: I20150811004352 |
| Provider Name | John A Roegner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700979937 PECOS PAC ID: 5597829911 Enrollment ID: I20150820012583 |
| Provider Name | Katherine A Wertin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720348154 PECOS PAC ID: 4981845310 Enrollment ID: I20150821014415 |
| Provider Name | Genesis E Juat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851646707 PECOS PAC ID: 7719110469 Enrollment ID: I20150825003442 |
| Provider Name | Colette Demonte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932494416 PECOS PAC ID: 9931416815 Enrollment ID: I20150910001278 |
| Provider Name | Shea Welsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134483233 PECOS PAC ID: 1456581545 Enrollment ID: I20150916002574 |
| Provider Name | Taran Engelbart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043555709 PECOS PAC ID: 9436391646 Enrollment ID: I20150917001506 |
| Provider Name | Jessica J Karp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538429402 PECOS PAC ID: 3678894854 Enrollment ID: I20150925001918 |
| Provider Name | Blanca Zuniga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336457258 PECOS PAC ID: 5991947384 Enrollment ID: I20150928000939 |
| Provider Name | Injune Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154446300 PECOS PAC ID: 9032292065 Enrollment ID: I20151124002669 |
| Provider Name | Melissa Baker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508016866 PECOS PAC ID: 9638471733 Enrollment ID: I20160106002150 |
| Provider Name | Amanda Foster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316335243 PECOS PAC ID: 2163724287 Enrollment ID: I20160106002881 |
| Provider Name | Shaunnacy Blood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720272891 PECOS PAC ID: 4880996479 Enrollment ID: I20160114000208 |
| Provider Name | Valory P Delucia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144584269 PECOS PAC ID: 7113247248 Enrollment ID: I20160114002547 |
| Provider Name | Ann Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649505876 PECOS PAC ID: 8729381108 Enrollment ID: I20160119000630 |
| Provider Name | Kristin Tiernan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427336395 PECOS PAC ID: 5395048516 Enrollment ID: I20160121002737 |
| Provider Name | Cara Dalbey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043442833 PECOS PAC ID: 2365745494 Enrollment ID: I20160125001387 |
| Provider Name | Margaret Chiu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972596682 PECOS PAC ID: 0143523381 Enrollment ID: I20160205000532 |
| Provider Name | Melanie Garcia |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1255746830 PECOS PAC ID: 6204139421 Enrollment ID: I20160205000764 |
| Provider Name | Heather Hillinger |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1346351889 PECOS PAC ID: 5193028330 Enrollment ID: I20160205000842 |
| Provider Name | Kristen Napoleone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922350065 PECOS PAC ID: 4981900180 Enrollment ID: I20160315001413 |
| Provider Name | Anya Zimberoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952637217 PECOS PAC ID: 5890092100 Enrollment ID: I20160331002713 |
| Provider Name | Anna Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699134213 PECOS PAC ID: 7214235076 Enrollment ID: I20160411001730 |
| Provider Name | Rebecca B Nolan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912290636 PECOS PAC ID: 6204069875 Enrollment ID: I20160726001155 |
| Provider Name | Krystina Boyko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932530623 PECOS PAC ID: 4385937325 Enrollment ID: I20160728000048 |
| Provider Name | Tuan M Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518253491 PECOS PAC ID: 2860794765 Enrollment ID: I20160805002146 |
| Provider Name | Jessica Pogachar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811239965 PECOS PAC ID: 7911292685 Enrollment ID: I20160818002865 |
| Provider Name | Maria Theresa Thekkekandam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295174977 PECOS PAC ID: 6507151768 Enrollment ID: I20160826001144 |
| Provider Name | Mimi N Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063754075 PECOS PAC ID: 2365760766 Enrollment ID: I20160831000339 |
| Provider Name | Rachel Bodansky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043767767 PECOS PAC ID: 5597052001 Enrollment ID: I20160927003113 |
| Provider Name | Elizabeth Brooks Loft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558707760 PECOS PAC ID: 7911228093 Enrollment ID: I20161003001383 |
| Provider Name | Sara Baird |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457671547 PECOS PAC ID: 3577799915 Enrollment ID: I20161006002274 |
| Provider Name | Robert Allred |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831564053 PECOS PAC ID: 5890083588 Enrollment ID: I20161012002349 |
| Provider Name | Nathan L Kittle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649615121 PECOS PAC ID: 1850602590 Enrollment ID: I20161012002509 |
| Provider Name | Lynne Tempest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710330808 PECOS PAC ID: 9830487537 Enrollment ID: I20161012002583 |
| Provider Name | Carrie A Claus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669854998 PECOS PAC ID: 9234417551 Enrollment ID: I20161020001516 |
| Provider Name | Anne M Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972053650 PECOS PAC ID: 3870871882 Enrollment ID: I20161026001578 |
| Provider Name | Robie Sterling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710282199 PECOS PAC ID: 9133352891 Enrollment ID: I20161026002940 |
| Provider Name | Lauren K Smrcina |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912305574 PECOS PAC ID: 8123301926 Enrollment ID: I20170201001178 |
| Provider Name | Shafeen Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902149966 PECOS PAC ID: 8729362231 Enrollment ID: I20170301001001 |
| Provider Name | Erik K Haley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578018636 PECOS PAC ID: 0648558833 Enrollment ID: I20170404001481 |
| Provider Name | John Hardin Hawes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205102407 PECOS PAC ID: 0840509303 Enrollment ID: I20170622000681 |
| Provider Name | Ronan J Cahill |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1871939520 PECOS PAC ID: 9234450313 Enrollment ID: I20170705003411 |
| Provider Name | Puja Dalal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326468299 PECOS PAC ID: 9234457722 Enrollment ID: I20170707001526 |
| Provider Name | Jayne T Gaubatz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669884664 PECOS PAC ID: 6103132055 Enrollment ID: I20170710001444 |
| Provider Name | Neil S Kalsi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699017376 PECOS PAC ID: 3577871847 Enrollment ID: I20170710002393 |
| Provider Name | Juliet R Bliss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578974911 PECOS PAC ID: 9436451887 Enrollment ID: I20170815004190 |
| Provider Name | Mark Turpin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134533144 PECOS PAC ID: 0143506279 Enrollment ID: I20170915001755 |
| Provider Name | Bowhee S Gwak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366856569 PECOS PAC ID: 2860766631 Enrollment ID: I20170918000573 |
| Provider Name | Jessica H Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699187781 PECOS PAC ID: 6204157480 Enrollment ID: I20170921002184 |
| Provider Name | Shannon K Duffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215454574 PECOS PAC ID: 8325312853 Enrollment ID: I20170922000864 |
| Provider Name | Leah C Griffiths |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437674686 PECOS PAC ID: 2961777073 Enrollment ID: I20170928003550 |
| Provider Name | Amber Schwed Maratas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952627317 PECOS PAC ID: 5294979407 Enrollment ID: I20171004003231 |
| Provider Name | Manoj J Easaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548672553 PECOS PAC ID: 1557636925 Enrollment ID: I20171011001109 |
| Provider Name | Anna M Mcluen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174936082 PECOS PAC ID: 0941524235 Enrollment ID: I20171012002652 |
| Provider Name | Elijah John Strong Lotz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437542446 PECOS PAC ID: 7416223383 Enrollment ID: I20171019002735 |
| Provider Name | Roshan Najafi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427461821 PECOS PAC ID: 6709152002 Enrollment ID: I20171031001668 |
| Provider Name | Maegan Ashworth Dirac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477972453 PECOS PAC ID: 1557689825 Enrollment ID: I20180124000233 |
| Provider Name | Freddy E Chavez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417186982 PECOS PAC ID: 4486882172 Enrollment ID: I20180209001510 |
| Provider Name | Tara Gennette Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982033205 PECOS PAC ID: 1658683214 Enrollment ID: I20180705002100 |
| Provider Name | Tahana R Salvadalena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922513258 PECOS PAC ID: 7012268204 Enrollment ID: I20180927001351 |
| Provider Name | Phyllis Ying |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407218647 PECOS PAC ID: 4486946118 Enrollment ID: I20181226000268 |
| Provider Name | Rebecca E Fino-fugate |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336658368 PECOS PAC ID: 2062752058 Enrollment ID: I20190329001566 |
| Provider Name | Louisa P Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578033494 PECOS PAC ID: 9133467822 Enrollment ID: I20190502000352 |
| Provider Name | Gail K Crosby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689887770 PECOS PAC ID: 3870630262 Enrollment ID: I20190627001725 |
| Provider Name | Meagan Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568818227 PECOS PAC ID: 3779858352 Enrollment ID: I20190627003060 |
| Provider Name | Minnie E Spindler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912355769 PECOS PAC ID: 1759674500 Enrollment ID: I20190823002457 |
| Provider Name | Tim Tsz-man Ng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154718377 PECOS PAC ID: 0345538286 Enrollment ID: I20190906001426 |
| Provider Name | Laura R Colman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154783819 PECOS PAC ID: 3577858679 Enrollment ID: I20190909004103 |
| Provider Name | Shawna K Okamoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215468749 PECOS PAC ID: 1355619453 Enrollment ID: I20190918002814 |
| Provider Name | Pnina Strasbourger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508212200 PECOS PAC ID: 4688949258 Enrollment ID: I20190919001315 |
| Provider Name | Christina J Lierman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346658838 PECOS PAC ID: 2567758725 Enrollment ID: I20191009000181 |
| Provider Name | Lisa Shea Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578570743 PECOS PAC ID: 7719142876 Enrollment ID: I20191024001505 |
| Provider Name | Lauren Buckham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033773049 PECOS PAC ID: 2264764687 Enrollment ID: I20191104001623 |
| Provider Name | Kristin T Tang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053775015 PECOS PAC ID: 5890021513 Enrollment ID: I20191114000078 |
| Provider Name | Kiran Master |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326485848 PECOS PAC ID: 2062703135 Enrollment ID: I20191126001646 |
| Provider Name | Serena Y Shung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740634245 PECOS PAC ID: 8426345000 Enrollment ID: I20191202001612 |
| Provider Name | Lamin Y Ceesay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386175891 PECOS PAC ID: 0345517199 Enrollment ID: I20191226001918 |
| Provider Name | Jacob Ethan Nettleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245659812 PECOS PAC ID: 3375860786 Enrollment ID: I20191227000587 |
| Provider Name | Dane S Nimako |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699120303 PECOS PAC ID: 1052687993 Enrollment ID: I20200102002658 |
| Provider Name | Lisa M Soehren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760860647 PECOS PAC ID: 4789987892 Enrollment ID: I20200103001767 |
| Provider Name | Adam A Nishimura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699172163 PECOS PAC ID: 9638462757 Enrollment ID: I20200103002257 |
| Provider Name | Lamya Khoury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881081644 PECOS PAC ID: 0143533596 Enrollment ID: I20200106002739 |
| Provider Name | Heather E Marancenbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528073384 PECOS PAC ID: 7618997198 Enrollment ID: I20200107000592 |
| Provider Name | Nicola M Hyde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851788558 PECOS PAC ID: 6507191061 Enrollment ID: I20200107000678 |
| Provider Name | Jeannie Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063899979 PECOS PAC ID: 7416250204 Enrollment ID: I20200107003555 |
| Provider Name | Joy Rochell Thurman-nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477084077 PECOS PAC ID: 5698043776 Enrollment ID: I20200108001393 |
| Provider Name | Arash Mirzaie Amirabadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750679767 PECOS PAC ID: 8325219090 Enrollment ID: I20200115001989 |
| Provider Name | Barbara Dalton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992740864 PECOS PAC ID: 1951290832 Enrollment ID: I20200116001267 |
| Provider Name | Kirsten Rose Hansen Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861856585 PECOS PAC ID: 7810283959 Enrollment ID: I20200116001362 |
| Provider Name | Soliman Yaqub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699063016 PECOS PAC ID: 6507086493 Enrollment ID: I20200121001868 |
| Provider Name | Geetha Sridharan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801277983 PECOS PAC ID: 4183928823 Enrollment ID: I20200121002156 |
| Provider Name | Bill Toukan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881058469 PECOS PAC ID: 0446543383 Enrollment ID: I20200123001794 |
| Provider Name | An Thien Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871973305 PECOS PAC ID: 3476988296 Enrollment ID: I20200123002830 |
| Provider Name | Sam Waltos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154702868 PECOS PAC ID: 7012208044 Enrollment ID: I20200131001326 |
| Provider Name | Sidra Saeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275944787 PECOS PAC ID: 0749616985 Enrollment ID: I20200205003120 |
| Provider Name | Alexander Ianto West |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396206421 PECOS PAC ID: 8325475353 Enrollment ID: I20200303001915 |
| Provider Name | Vidhi Tyagi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700230950 PECOS PAC ID: 8921436759 Enrollment ID: I20200310000947 |
| Provider Name | Alana R Scheibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508419920 PECOS PAC ID: 7618305178 Enrollment ID: I20200316000954 |
| Provider Name | Wendy Mironov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184199242 PECOS PAC ID: 8325476815 Enrollment ID: I20200316002313 |
| Provider Name | Minh Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881954469 PECOS PAC ID: 5092023846 Enrollment ID: I20200323002774 |
| Provider Name | Wendell Sylvester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992255459 PECOS PAC ID: 8426487323 Enrollment ID: I20200330001272 |
| Provider Name | Lisa James Hammon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467921361 PECOS PAC ID: 8820427503 Enrollment ID: I20200331002940 |
| Provider Name | Emily Burch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972138725 PECOS PAC ID: 4880023423 Enrollment ID: I20200402003650 |
| Provider Name | Lena A Ismail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376027789 PECOS PAC ID: 6507295805 Enrollment ID: I20200408001589 |
| Provider Name | Michael M H Duong |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1922482975 PECOS PAC ID: 4082920350 Enrollment ID: I20200408003062 |
| Provider Name | Megan Christina Breuer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1972988459 PECOS PAC ID: 6901235126 Enrollment ID: I20200408003777 |
| Provider Name | Khac On Lai Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982055521 PECOS PAC ID: 9335470970 Enrollment ID: I20200408004544 |
| Provider Name | Kully L Woodruff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750624813 PECOS PAC ID: 3779826607 Enrollment ID: I20200409001493 |
| Provider Name | Eric E Arbuckle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114372901 PECOS PAC ID: 3274892104 Enrollment ID: I20200413003463 |
| Provider Name | Yuliana Garcia Al-kaabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336789551 PECOS PAC ID: 9739519810 Enrollment ID: I20200414002698 |
| Provider Name | Daniel Low |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801328919 PECOS PAC ID: 8224307251 Enrollment ID: I20200515001637 |
| Provider Name | Ryan E Kartheiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225569734 PECOS PAC ID: 5193097301 Enrollment ID: I20200515001767 |
| Provider Name | Nasya Nicole Sierra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871909283 PECOS PAC ID: 2163791310 Enrollment ID: I20200519002985 |
| Provider Name | Lindsey Youngquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235661216 PECOS PAC ID: 7911276985 Enrollment ID: I20200521002633 |
| Provider Name | Samantha Masaki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710419304 PECOS PAC ID: 8123397700 Enrollment ID: I20200526001048 |
| Provider Name | Nidhi Goel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669859286 PECOS PAC ID: 2062727712 Enrollment ID: I20200603002743 |
| Provider Name | Chia-yi Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083195226 PECOS PAC ID: 9133540792 Enrollment ID: I20200608000296 |
| Provider Name | Sydney Nicole Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780115014 PECOS PAC ID: 9133499825 Enrollment ID: I20200608000779 |
| Provider Name | Alison Bailey Shely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639792757 PECOS PAC ID: 2365863701 Enrollment ID: I20200610002567 |
| Provider Name | Elizabeth L York |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902992936 PECOS PAC ID: 2860456324 Enrollment ID: I20200612001048 |
| Provider Name | Aline Sengchannavong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790168243 PECOS PAC ID: 8820410954 Enrollment ID: I20200618002602 |
| Provider Name | Julia N Stella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598296014 PECOS PAC ID: 6002188562 Enrollment ID: I20200702000507 |
| Provider Name | Rashid Daud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568471621 PECOS PAC ID: 6608978317 Enrollment ID: I20200721003368 |
| Provider Name | Lucas Boyle-milroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902338502 PECOS PAC ID: 9436416237 Enrollment ID: I20200805001411 |
| Provider Name | Safa Fehri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104447598 PECOS PAC ID: 5395160741 Enrollment ID: I20200807000879 |
| Provider Name | Chelsea Rose Del Rosso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861923195 PECOS PAC ID: 6204104458 Enrollment ID: I20200812001622 |
| Provider Name | Varsha Raghavan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730612508 PECOS PAC ID: 1355610627 Enrollment ID: I20200916001392 |
| Provider Name | Katharine M Won |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902337058 PECOS PAC ID: 9436421906 Enrollment ID: I20200930000187 |
| Provider Name | Peter Metzger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124482781 PECOS PAC ID: 3173813375 Enrollment ID: I20200930001653 |
| Provider Name | Brooke Biglow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093341208 PECOS PAC ID: 7214357821 Enrollment ID: I20201021000728 |
| Provider Name | Neil Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558561282 PECOS PAC ID: 8628226255 Enrollment ID: I20201021002270 |
| Provider Name | Teresa Kerbawy |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1033600879 PECOS PAC ID: 0345650743 Enrollment ID: I20201112002321 |
| Provider Name | Krysta Byrnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073027942 PECOS PAC ID: 1456689314 Enrollment ID: I20201203001263 |
| Provider Name | Briana Larson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407491509 PECOS PAC ID: 8123439718 Enrollment ID: I20201203001490 |
| Provider Name | Shivesh Verma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609238708 PECOS PAC ID: 4981991528 Enrollment ID: I20201217001263 |
| Provider Name | Helena Laubach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033710207 PECOS PAC ID: 6204248065 Enrollment ID: I20201218002342 |
| Provider Name | Jessica Villaruz Serrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275159865 PECOS PAC ID: 5991118366 Enrollment ID: I20201231000755 |
| Provider Name | Phuong-anh Nguyen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699176024 PECOS PAC ID: 2163725359 Enrollment ID: I20210115001718 |
| Provider Name | Kyle James Kung |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1013362847 PECOS PAC ID: 7012322134 Enrollment ID: I20210222003015 |
| Provider Name | Farah Karim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1679032676 PECOS PAC ID: 9234545047 Enrollment ID: I20210302002789 |
| Provider Name | Mamatha Chenepalli |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225295009 PECOS PAC ID: 3173930310 Enrollment ID: I20210406000106 |
| Provider Name | Sarah Tien |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1639547946 PECOS PAC ID: 3072802719 Enrollment ID: I20210611000582 |
| Provider Name | Olivia Andrea Domini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376121491 PECOS PAC ID: 8921408873 Enrollment ID: I20210614003143 |
| Provider Name | Jessica Lu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023512134 PECOS PAC ID: 3173870235 Enrollment ID: I20210615001751 |
| Provider Name | Pirahatai Chamnongvongse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386995983 PECOS PAC ID: 6406008317 Enrollment ID: I20210624000376 |
| Provider Name | Lara Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780188771 PECOS PAC ID: 3870842552 Enrollment ID: I20210628001534 |
| Provider Name | Emily Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508361833 PECOS PAC ID: 5597011510 Enrollment ID: I20210628003403 |
| Provider Name | Amanda Carnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275852105 PECOS PAC ID: 3870818750 Enrollment ID: I20210629000799 |
| Provider Name | Jose Carlos Flores Rodarte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043715907 PECOS PAC ID: 2365790862 Enrollment ID: I20210629001623 |
| Provider Name | Allison G Yeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770088049 PECOS PAC ID: 4082963665 Enrollment ID: I20210702000145 |
| Provider Name | Mohamed Elameen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1336720762 PECOS PAC ID: 3173925351 Enrollment ID: I20210709002454 |
| Provider Name | Alan Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922505973 PECOS PAC ID: 7719239540 Enrollment ID: I20210713003425 |
| Provider Name | Anushree Nair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972090314 PECOS PAC ID: 7012310394 Enrollment ID: I20210723001736 |
| Provider Name | Navdeep Kaur Malhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316512932 PECOS PAC ID: 3971906033 Enrollment ID: I20210727001853 |
| Provider Name | Kim Chi Cheuck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811484702 PECOS PAC ID: 3173877602 Enrollment ID: I20210804003480 |
| Provider Name | Adamma Muodeme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427552009 PECOS PAC ID: 9234533423 Enrollment ID: I20210810003468 |
| Provider Name | Jessica Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821481557 PECOS PAC ID: 1951659994 Enrollment ID: I20210812001057 |
| Provider Name | Cameron Michael Ingram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700375888 PECOS PAC ID: 6901200815 Enrollment ID: I20210813000771 |
| Provider Name | Grace T Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164991188 PECOS PAC ID: 1658776455 Enrollment ID: I20210817002130 |
| Provider Name | Bryan Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205205879 PECOS PAC ID: 9537564208 Enrollment ID: I20210818000809 |
| Provider Name | Nicholas Swenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982109195 PECOS PAC ID: 8426300716 Enrollment ID: I20210820001593 |
| Provider Name | Nitin Bajaj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063916484 PECOS PAC ID: 2961807441 Enrollment ID: I20210820002643 |
| Provider Name | Meghan Alys Brombach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093219230 PECOS PAC ID: 3870998388 Enrollment ID: I20210823000236 |
| Provider Name | Alexis Nicole David |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1598393456 PECOS PAC ID: 2668877069 Enrollment ID: I20210824000569 |
| Provider Name | Jaime Eleazar Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851897672 PECOS PAC ID: 9537564547 Enrollment ID: I20210827002896 |
| Provider Name | Ann Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134689995 PECOS PAC ID: 7517292394 Enrollment ID: I20210917002732 |
| Provider Name | Jasmine Brar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659048593 PECOS PAC ID: 6002214129 Enrollment ID: I20211004002681 |
| Provider Name | Crystal Jean Hua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033647938 PECOS PAC ID: 5698173235 Enrollment ID: I20211012001026 |
| Provider Name | Eduardo Varela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073192076 PECOS PAC ID: 6800294158 Enrollment ID: I20211018001478 |
| Provider Name | Kendall C Shibuya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013399781 PECOS PAC ID: 1355690033 Enrollment ID: I20211129000755 |
| Provider Name | Hamdi Abdirahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811410244 PECOS PAC ID: 9234541129 Enrollment ID: I20211130001585 |
| Provider Name | Faith Rachelle Agduyeng Sairez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134882467 PECOS PAC ID: 1153712708 Enrollment ID: I20211215002695 |
| Provider Name | Fransiska Lauren Lee |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1306445671 PECOS PAC ID: 1254724826 Enrollment ID: I20220202001859 |
| Provider Name | Jennifer Sveund |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952584039 PECOS PAC ID: 7810382439 Enrollment ID: I20220317002546 |
| Provider Name | Emory Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073044483 PECOS PAC ID: 8224302807 Enrollment ID: I20220322001854 |
| Provider Name | Luz Aurora Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730672486 PECOS PAC ID: 7911253240 Enrollment ID: I20220406002222 |
| Provider Name | Nadia Jafari |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164915823 PECOS PAC ID: 0143616375 Enrollment ID: I20220414002564 |
| Provider Name | Kathryn Mcclain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053818013 PECOS PAC ID: 5395093678 Enrollment ID: I20220525002499 |
| Provider Name | Rebecca Bykowski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588301162 PECOS PAC ID: 4587042007 Enrollment ID: I20220610002573 |
| Provider Name | Karsten Lee Schick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497294995 PECOS PAC ID: 6608254131 Enrollment ID: I20220611000315 |
| Provider Name | Reshma Hitesh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922560812 PECOS PAC ID: 4587043609 Enrollment ID: I20220621001699 |
| Provider Name | Stephanie Tran |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982132478 PECOS PAC ID: 6901286335 Enrollment ID: I20220701001806 |
| Provider Name | Heather A Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750844742 PECOS PAC ID: 4688901432 Enrollment ID: I20220713003061 |
| Provider Name | Jessica Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619608528 PECOS PAC ID: 3678954294 Enrollment ID: I20220713004010 |
| Provider Name | Benjamin A Van Pratt Levin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619438330 PECOS PAC ID: 9830570803 Enrollment ID: I20220721003099 |
| Provider Name | Paul H Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316180037 PECOS PAC ID: 6204060510 Enrollment ID: I20220722000603 |
| Provider Name | Andre Oliver |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1174532923 PECOS PAC ID: 6204217136 Enrollment ID: I20220722002074 |
| Provider Name | James Mcallister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942769328 PECOS PAC ID: 8820328982 Enrollment ID: I20220803002841 |
| Provider Name | Ashley E Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548630916 PECOS PAC ID: 2062760010 Enrollment ID: I20220817002978 |
| Provider Name | Amelia Gallaher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982267050 PECOS PAC ID: 0547597304 Enrollment ID: I20220818002773 |
| Provider Name | John Raymond Brinjak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699335851 PECOS PAC ID: 7517292352 Enrollment ID: I20220829003030 |
| Provider Name | Clare Donahue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215590021 PECOS PAC ID: 7719213818 Enrollment ID: I20220907003320 |
| Provider Name | Terigray Nnanabu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760077127 PECOS PAC ID: 1759766793 Enrollment ID: I20220912003332 |
| Provider Name | Emma Lieuwen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386374171 PECOS PAC ID: 1557746484 Enrollment ID: I20220913004052 |
| Provider Name | Cassandra Mia Bonitto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184298598 PECOS PAC ID: 4587049903 Enrollment ID: I20220920003357 |
| Provider Name | Yujin Lin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508211350 PECOS PAC ID: 2163700444 Enrollment ID: I20220923001031 |
| Provider Name | Ai-lien Ngoc Sperry |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1487799334 PECOS PAC ID: 3577939867 Enrollment ID: I20221011001590 |
| Provider Name | Sarah J Michaels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265938021 PECOS PAC ID: 8921355801 Enrollment ID: I20221109000894 |
| Provider Name | Karenpreet Kaur Bal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609504125 PECOS PAC ID: 2365819844 Enrollment ID: I20221114001677 |
| Provider Name | Carlie Robin Mzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376023358 PECOS PAC ID: 2961871264 Enrollment ID: I20221208001275 |
| Provider Name | Jestine Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033777503 PECOS PAC ID: 6305172586 Enrollment ID: I20221209002771 |
| Provider Name | Gabriela Depusoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215651641 PECOS PAC ID: 4486023504 Enrollment ID: I20221213001211 |
| Provider Name | Steven A Pifer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477013118 PECOS PAC ID: 2365770351 Enrollment ID: I20221221002997 |
| Provider Name | Mallory L Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508324005 PECOS PAC ID: 1658609581 Enrollment ID: I20221229001980 |
| Provider Name | Hayley T Hemphill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124553508 PECOS PAC ID: 2769852755 Enrollment ID: I20230109002039 |
| Provider Name | Danielle R Fiore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538687249 PECOS PAC ID: 9638549645 Enrollment ID: I20230110000137 |
| Provider Name | Melanie Sklar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528529518 PECOS PAC ID: 1153791959 Enrollment ID: I20230111001724 |
| Provider Name | Shawnna Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336866391 PECOS PAC ID: 2961873757 Enrollment ID: I20230112002807 |
| Provider Name | Arielle Jacob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922664424 PECOS PAC ID: 9133457625 Enrollment ID: I20230113002385 |
| Provider Name | Julie J Odonnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780144659 PECOS PAC ID: 2769891696 Enrollment ID: I20230118002533 |
| Provider Name | Kathryn E Rooney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871051300 PECOS PAC ID: 2668709502 Enrollment ID: I20230130000463 |
| Provider Name | Courtney Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861951162 PECOS PAC ID: 6103157292 Enrollment ID: I20230314000694 |
| Provider Name | Nawaf B Alfaouri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023716818 PECOS PAC ID: 0446624407 Enrollment ID: I20230315001247 |
| Provider Name | Albert Wong |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1265018204 PECOS PAC ID: 3274908751 Enrollment ID: I20230414001465 |
| Provider Name | Chelsea Sumida Gipson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659833473 PECOS PAC ID: 5193180222 Enrollment ID: I20230425001798 |
| Provider Name | Philippa Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831685528 PECOS PAC ID: 5991110488 Enrollment ID: I20230502000749 |
| Provider Name | Martina Sczesny-aleshnick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467557918 PECOS PAC ID: 2466479621 Enrollment ID: I20230504000672 |
| Provider Name | Alisha Amin Bhimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205501970 PECOS PAC ID: 9133585524 Enrollment ID: I20230509001571 |
| Provider Name | Daniel The Huynh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1942957840 PECOS PAC ID: 7719344274 Enrollment ID: I20230530000434 |
| Provider Name | Meagan Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346826989 PECOS PAC ID: 9638537434 Enrollment ID: I20230627002075 |
| Provider Name | Magdalena L Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316138597 PECOS PAC ID: 5496814014 Enrollment ID: I20230628001747 |
| Provider Name | Elina Chun Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366146938 PECOS PAC ID: 9739548413 Enrollment ID: I20230629001120 |
| Provider Name | Gurkirat Brar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801453998 PECOS PAC ID: 8325407901 Enrollment ID: I20230629001296 |
| Provider Name | Amir A Rezayat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124655709 PECOS PAC ID: 7618392515 Enrollment ID: I20230706001986 |
| Provider Name | Joseph Martin Barron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689228694 PECOS PAC ID: 7810356011 Enrollment ID: I20230706002277 |
| Provider Name | Sartaj S Brar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396362034 PECOS PAC ID: 8325407331 Enrollment ID: I20230710001236 |
| Provider Name | Frederique Messier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306521810 PECOS PAC ID: 3870953037 Enrollment ID: I20230719002339 |
| Provider Name | William Ndegwa Rennebohm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104396241 PECOS PAC ID: 6901222587 Enrollment ID: I20230731003132 |
| Provider Name | Amelia M Strauss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710677208 PECOS PAC ID: 6406217827 Enrollment ID: I20230802000816 |
| Provider Name | Joshua Son |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326500794 PECOS PAC ID: 3577899459 Enrollment ID: I20230802001104 |
| Provider Name | Joshua Doppelt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275161770 PECOS PAC ID: 8628497989 Enrollment ID: I20230821001076 |
| Provider Name | Ana Haberman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578139960 PECOS PAC ID: 0547622615 Enrollment ID: I20230822001594 |
| Provider Name | Angela Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558977843 PECOS PAC ID: 6002279924 Enrollment ID: I20230825000054 |
| Provider Name | Cecilia C Gilmore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164187167 PECOS PAC ID: 0648633081 Enrollment ID: I20230831003372 |
| Provider Name | Kara Lueneburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639856487 PECOS PAC ID: 0345603510 Enrollment ID: I20230906001136 |
| Provider Name | Marie Roderick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992484794 PECOS PAC ID: 2264896885 Enrollment ID: I20230915001498 |
| Provider Name | Lindsey Rae Gardner |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891104584 PECOS PAC ID: 9436503877 Enrollment ID: I20231003003703 |
| Provider Name | Ellen Solis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447454194 PECOS PAC ID: 5991890253 Enrollment ID: I20231005001275 |
| Provider Name | Karyl Bental |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548322985 PECOS PAC ID: 9032341300 Enrollment ID: I20231018002943 |
| Provider Name | Adele Secrest |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053192633 PECOS PAC ID: 0042666240 Enrollment ID: I20231024003571 |
| Provider Name | Satthea Khay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477058980 PECOS PAC ID: 6305293846 Enrollment ID: I20231106001860 |
| Provider Name | Ashley Sparks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396234506 PECOS PAC ID: 8729406046 Enrollment ID: I20231108002581 |
| Provider Name | Julie Duncan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952891947 PECOS PAC ID: 7012265556 Enrollment ID: I20231128001535 |
| Provider Name | Zafina Ahsan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285211235 PECOS PAC ID: 9335597590 Enrollment ID: I20231128003001 |
| Provider Name | Joanna Poceta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639707417 PECOS PAC ID: 5092131813 Enrollment ID: I20231129002157 |
| Provider Name | Jamieson Hunter Burr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215426176 PECOS PAC ID: 1052769932 Enrollment ID: I20231204000734 |
| Provider Name | Michael Allison |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1194055616 PECOS PAC ID: 8729359013 Enrollment ID: I20231205002029 |
| Provider Name | Sade Benjamin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932736782 PECOS PAC ID: 4981026622 Enrollment ID: I20231211001727 |
| Provider Name | Cristina Leon-pineda |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962754358 PECOS PAC ID: 8628375540 Enrollment ID: I20231218003820 |
| Provider Name | Gurjeet K Sidhu |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346490869 PECOS PAC ID: 1456702646 Enrollment ID: I20240112000326 |
| Provider Name | Catherine Son |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801424726 PECOS PAC ID: 8921424755 Enrollment ID: I20240129002689 |
| Provider Name | Moses Joseph Syldort |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912526823 PECOS PAC ID: 6709239254 Enrollment ID: I20240131002849 |
| Provider Name | Ryan Michael Varian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821587791 PECOS PAC ID: 3173961000 Enrollment ID: I20240410003080 |
| Provider Name | Haley Parsley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689201121 PECOS PAC ID: 4688013154 Enrollment ID: I20240416004139 |
| Provider Name | Dominick Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366935157 PECOS PAC ID: 3577818939 Enrollment ID: I20240425003213 |
| Provider Name | Hemlal Acharya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659146231 PECOS PAC ID: 7810337946 Enrollment ID: I20240506003677 |
| Provider Name | Kyla King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053887968 PECOS PAC ID: 4587005574 Enrollment ID: I20240508001177 |
| Provider Name | Eduardo Mondragon M |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114536653 PECOS PAC ID: 4385055169 Enrollment ID: I20240522003859 |
| Provider Name | Yoko Shibata |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093113730 PECOS PAC ID: 3971046012 Enrollment ID: I20240618001783 |
| Provider Name | Caroline Guirguis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548835622 PECOS PAC ID: 6103361209 Enrollment ID: I20240712003117 |
| Provider Name | Julia Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760010482 PECOS PAC ID: 6204259096 Enrollment ID: I20240719002400 |
| Provider Name | Ariahnna Croskey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023647302 PECOS PAC ID: 7719388354 Enrollment ID: I20240719002999 |
| Provider Name | Enne Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184203127 PECOS PAC ID: 1456897412 Enrollment ID: I20240725004085 |
| Provider Name | Cheryl Haston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063087310 PECOS PAC ID: 1759784408 Enrollment ID: I20240802000623 |
| Provider Name | Kavya Timmireddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174187892 PECOS PAC ID: 0840694980 Enrollment ID: I20240809002006 |
| Provider Name | Joe Jordan Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558949636 PECOS PAC ID: 0547708299 Enrollment ID: I20240813003838 |
| Provider Name | Jennifer Lilley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043891690 PECOS PAC ID: 5092117549 Enrollment ID: I20240814003800 |
| Provider Name | Eleah Sunde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053094813 PECOS PAC ID: 9739627035 Enrollment ID: I20240819000604 |
| Provider Name | Yousaf Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336721950 PECOS PAC ID: 4880132893 Enrollment ID: I20240821000972 |
| Provider Name | Soura Alaa Mustapha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487268009 PECOS PAC ID: 0941657324 Enrollment ID: I20240827003528 |
| Provider Name | Maines Vierck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528814134 PECOS PAC ID: 8527508589 Enrollment ID: I20240905003011 |
| Provider Name | Felicia Lucas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093128076 PECOS PAC ID: 1052667912 Enrollment ID: I20240920003155 |
| Provider Name | Kristina Sandquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043896608 PECOS PAC ID: 5193123164 Enrollment ID: I20240920003353 |
| Provider Name | Sharif Shadi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396493441 PECOS PAC ID: 1254863103 Enrollment ID: I20241016002091 |
| Provider Name | Susan Greenman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053948752 PECOS PAC ID: 9739556309 Enrollment ID: I20241108001922 |
| Provider Name | Kilia Shanklin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386226454 PECOS PAC ID: 9638579287 Enrollment ID: I20241126000620 |
| Provider Name | Alexandra Neenan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649913823 PECOS PAC ID: 8426584558 Enrollment ID: I20241211004744 |
| Provider Name | Freshta Engel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326625393 PECOS PAC ID: 9032587746 Enrollment ID: I20241213002829 |
| Provider Name | Serena Dion Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740647569 PECOS PAC ID: 1254868102 Enrollment ID: I20241217002453 |
| Provider Name | Merissa Jean Mcewan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952914830 PECOS PAC ID: 8729515283 Enrollment ID: I20241220003445 |
| Provider Name | Richard Eccles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053525014 PECOS PAC ID: 1052581501 Enrollment ID: I20241226002147 |
| Provider Name | Stephanie Egwuatu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538747415 PECOS PAC ID: 3779010731 Enrollment ID: I20250102002826 |
| Provider Name | Nicole C Labban |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467026617 PECOS PAC ID: 3173929338 Enrollment ID: I20250203003176 |
| Provider Name | Yardley Volcy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972184034 PECOS PAC ID: 1759811870 Enrollment ID: I20250205000134 |
| Provider Name | Guille Freschl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306423694 PECOS PAC ID: 6204277726 Enrollment ID: I20250206000772 |
| Provider Name | Maria Arganoza-priess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336179415 PECOS PAC ID: 3971508532 Enrollment ID: I20250325003466 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthpoint 955 Powell Ave Sw, Renton, WA 98057-2908 Ph: (425) 277-1311 | Healthpoint 403 E Meeker St, Ste 200, Kent, WA 98030-5904 Ph: (253) 852-2866 |