| Children's Hospital | |
| 
					200 Henry Clay Ave New Orleans LA 70118-5720  | |
| (504) 896-9511 | |
| (504) 896-2772 | 
| Full Name | Children's Hospital | 
|---|---|
| Speciality | Specialist | 
| Location | 200 Henry Clay Ave, New Orleans, Louisiana | 
| Authorized Official Name and Position | Lucio Fragoso (CEO) | 
| Authorized Official Contact | 5048969511 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Children's Hospital 200 Henry Clay Ave New Orleans LA 70118-5720 Ph: (504) 896-9511  | Children's Hospital 200 Henry Clay Ave New Orleans LA 70118-5720 Ph: (504) 896-9511  | 
| NPI Number | 1306156138 | 
|---|---|
| Provider Enumeration Date | 10/14/2010 | 
| Last Update Date | 03/06/2025 | 
| Certification Date | 03/06/2025 | 
| Medicare PECOS PAC ID | 8022207745 | 
|---|---|
| Medicare Enrollment ID | O20110112000288 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306156138 | NPI | - | NPPES | 
| 2134485 | Medicaid | LA | 
| Provider Name | George S Ellis | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1700828613 PECOS PAC ID: 0547168593 Enrollment ID: I20031229000607  | 
| Provider Name | Leron Finger | 
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) | 
| Provider Identifiers | NPI Number: 1801885892 PECOS PAC ID: 1557325644 Enrollment ID: I20041118000150  | 
| Provider Name | Laura C Williams | 
|---|---|
| Provider Type | Practitioner - Dermatology | 
| Provider Identifiers | NPI Number: 1548330202 PECOS PAC ID: 7113926254 Enrollment ID: I20061219000060  | 
| Provider Name | Joseph Gonzales | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1003901539 PECOS PAC ID: 5193825438 Enrollment ID: I20070716000232  | 
| Provider Name | Angela Warner-smith | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1366637464 PECOS PAC ID: 6608962873 Enrollment ID: I20071018000720  | 
| Provider Name | Howard P Ragland | 
|---|---|
| Provider Type | Practitioner - Dermatology | 
| Provider Identifiers | NPI Number: 1649482738 PECOS PAC ID: 4082706668 Enrollment ID: I20071113000409  | 
| Provider Name | Carsten Pennier | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1497934384 PECOS PAC ID: 7113017088 Enrollment ID: I20071214000638  | 
| Provider Name | Tammy A Francipane | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1003099664 PECOS PAC ID: 7618057498 Enrollment ID: I20080107000251  | 
| Provider Name | Stephanie H Bush | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1659541233 PECOS PAC ID: 9830275890 Enrollment ID: I20080401000139  | 
| Provider Name | Michelle M Fabacher | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1205009560 PECOS PAC ID: 7618047739 Enrollment ID: I20080602000488  | 
| Provider Name | Erin Elizabeth Boh | 
|---|---|
| Provider Type | Practitioner - Dermatology | 
| Provider Identifiers | NPI Number: 1790797454 PECOS PAC ID: 8527083963 Enrollment ID: I20080613000441  | 
| Provider Name | Mayling G Walker | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1154413847 PECOS PAC ID: 9537210018 Enrollment ID: I20090623000369  | 
| Provider Name | Sherry Langston | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1396977617 PECOS PAC ID: 9436296522 Enrollment ID: I20091021000849  | 
| Provider Name | Randall D Craver | 
|---|---|
| Provider Type | Practitioner - Pathology | 
| Provider Identifiers | NPI Number: 1629091665 PECOS PAC ID: 0840335840 Enrollment ID: I20100302000521  | 
| Provider Name | Brittany J Stumpf | 
|---|---|
| Provider Type | Practitioner - Dermatology | 
| Provider Identifiers | NPI Number: 1982872925 PECOS PAC ID: 2567597610 Enrollment ID: I20100316000079  | 
| Provider Name | Alejandro Leon | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1104019645 PECOS PAC ID: 8123199239 Enrollment ID: I20101208000018  | 
| Provider Name | Stephen M Lindsey | 
|---|---|
| Provider Type | Practitioner - Rheumatology | 
| Provider Identifiers | NPI Number: 1558386839 PECOS PAC ID: 9436338589 Enrollment ID: I20110121000742  | 
| Provider Name | Diane Franz | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1104954841 PECOS PAC ID: 8527242700 Enrollment ID: I20110413000142  | 
| Provider Name | Robert J Balkan | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1790725737 PECOS PAC ID: 4385825439 Enrollment ID: I20110816000122  | 
| Provider Name | Amy M Henke | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1720390842 PECOS PAC ID: 7315117405 Enrollment ID: I20110829000236  | 
| Provider Name | Melissa L Curth | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1962442889 PECOS PAC ID: 4688762750 Enrollment ID: I20111109000184  | 
| Provider Name | Jodi Kamps | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1013066547 PECOS PAC ID: 1153598875 Enrollment ID: I20120120000700  | 
| Provider Name | Richard Stewart Hill | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1346482486 PECOS PAC ID: 8325203466 Enrollment ID: I20120622000494  | 
| Provider Name | Scott L Macicek | 
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) | 
| Provider Identifiers | NPI Number: 1134442049 PECOS PAC ID: 1355528563 Enrollment ID: I20121005000568  | 
| Provider Name | Rebecca G Rothbaum | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1245500404 PECOS PAC ID: 5496906059 Enrollment ID: I20121108000484  | 
| Provider Name | Jennifer L Vitellaro | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1427309400 PECOS PAC ID: 7012162928 Enrollment ID: I20130226000431  | 
| Provider Name | Yakelis O Anzola | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1912205998 PECOS PAC ID: 3779738364 Enrollment ID: I20130305000509  | 
| Provider Name | Neha H Mehta | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1316930365 PECOS PAC ID: 7012180425 Enrollment ID: I20130314000322  | 
| Provider Name | Shane C Landreaux | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1104022011 PECOS PAC ID: 5890930515 Enrollment ID: I20130401000224  | 
| Provider Name | Monique A Cerise | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1689910705 PECOS PAC ID: 1254577059 Enrollment ID: I20130424000430  | 
| Provider Name | Catherine B Kiracofe | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1336419597 PECOS PAC ID: 3971740093 Enrollment ID: I20130509000440  | 
| Provider Name | Laycie R Falcon | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1609116995 PECOS PAC ID: 5193965838 Enrollment ID: I20130701000519  | 
| Provider Name | Scott C Schultz | 
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation | 
| Provider Identifiers | NPI Number: 1043467368 PECOS PAC ID: 1355538745 Enrollment ID: I20140710000645  | 
| Provider Name | Kelly W Smith | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1356558555 PECOS PAC ID: 6800110651 Enrollment ID: I20150127000307  | 
| Provider Name | Theresa A Kent | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1760882872 PECOS PAC ID: 4385968023 Enrollment ID: I20150128001461  | 
| Provider Name | Patricio A Arias | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1366793374 PECOS PAC ID: 1658681739 Enrollment ID: I20151102000499  | 
| Provider Name | Jennifer A Mccain | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1457730947 PECOS PAC ID: 0840598322 Enrollment ID: I20160418000096  | 
| Provider Name | Lyndi J Relle | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1982063574 PECOS PAC ID: 5991003410 Enrollment ID: I20160418001470  | 
| Provider Name | Emily K Turner | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1871952457 PECOS PAC ID: 3072812734 Enrollment ID: I20160502000247  | 
| Provider Name | Lena Al-dujaili | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1720353006 PECOS PAC ID: 3577850619 Enrollment ID: I20160917000032  | 
| Provider Name | Brandy S Keller | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1720530314 PECOS PAC ID: 7810272580 Enrollment ID: I20170320001164  | 
| Provider Name | Katherine W Gill | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1013457258 PECOS PAC ID: 1658656855 Enrollment ID: I20170331000236  | 
| Provider Name | Lindsay T Elliott | 
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation | 
| Provider Identifiers | NPI Number: 1144511650 PECOS PAC ID: 0941521975 Enrollment ID: I20170928000300  | 
| Provider Name | Camille C Detrinis | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1770071375 PECOS PAC ID: 2961767884 Enrollment ID: I20180524001739  | 
| Provider Name | Amira S Soliman | 
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) | 
| Provider Identifiers | NPI Number: 1699054163 PECOS PAC ID: 6002154846 Enrollment ID: I20190220002412  | 
| Provider Name | Kristen M Lindsey | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1922532605 PECOS PAC ID: 9032459672 Enrollment ID: I20190319001445  | 
| Provider Name | Matthew J Bolton | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1992199129 PECOS PAC ID: 6204114630 Enrollment ID: I20190620002997  | 
| Provider Name | Russell F Zwiener | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1194012187 PECOS PAC ID: 1254666365 Enrollment ID: I20190711002483  | 
| Provider Name | Stephanie C Guidry | 
|---|---|
| Provider Type | Practitioner - Pathology | 
| Provider Identifiers | NPI Number: 1356761977 PECOS PAC ID: 2567790959 Enrollment ID: I20190822003200  | 
| Provider Name | Jill Leblanc | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1265735757 PECOS PAC ID: 5799933990 Enrollment ID: I20190826001512  | 
| Provider Name | Kaitlin Hastings | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1063974582 PECOS PAC ID: 9739418567 Enrollment ID: I20190904001580  | 
| Provider Name | Elizabeth Aline Williamson | 
|---|---|
| Provider Type | Practitioner - Dermatology | 
| Provider Identifiers | NPI Number: 1558757898 PECOS PAC ID: 5597096487 Enrollment ID: I20191007003482  | 
| Provider Name | Hillary Becker | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1013471739 PECOS PAC ID: 8921339409 Enrollment ID: I20191015000514  | 
| Provider Name | Nichole Palmisano | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1356840268 PECOS PAC ID: 4789915968 Enrollment ID: I20191021000550  | 
| Provider Name | Jennifer Tyson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1164846838 PECOS PAC ID: 3274966601 Enrollment ID: I20191125002958  | 
| Provider Name | Nicole C Remont | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1114587698 PECOS PAC ID: 2365875259 Enrollment ID: I20191206001815  | 
| Provider Name | Eric Michael Bankert | 
|---|---|
| Provider Type | Practitioner - Sports Medicine | 
| Provider Identifiers | NPI Number: 1073993911 PECOS PAC ID: 6103133079 Enrollment ID: I20191210000388  | 
| Provider Name | Ashley Keifer Autrey | 
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care | 
| Provider Identifiers | NPI Number: 1114304086 PECOS PAC ID: 5193036648 Enrollment ID: I20191218002943  | 
| Provider Name | Paige A Culotta | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1740548965 PECOS PAC ID: 3173957362 Enrollment ID: I20191220001826  | 
| Provider Name | Dale M Sanderson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1659643054 PECOS PAC ID: 5890120117 Enrollment ID: I20200115000653  | 
| Provider Name | Kjoy Simms | 
|---|---|
| Provider Type | Practitioner - Nephrology | 
| Provider Identifiers | NPI Number: 1114362977 PECOS PAC ID: 2365878857 Enrollment ID: I20200131000399  | 
| Provider Name | India M Hill | 
|---|---|
| Provider Type | Practitioner - Dermatology | 
| Provider Identifiers | NPI Number: 1245675834 PECOS PAC ID: 8628202967 Enrollment ID: I20200221001772  | 
| Provider Name | Rebecca Wallace | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1114472735 PECOS PAC ID: 5092097915 Enrollment ID: I20200327001263  | 
| Provider Name | Matthew Warner Stark | 
|---|---|
| Provider Type | Practitioner - Pathology | 
| Provider Identifiers | NPI Number: 1437331758 PECOS PAC ID: 0446680557 Enrollment ID: I20200413002681  | 
| Provider Name | Abby Walker | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1760010755 PECOS PAC ID: 9234569773 Enrollment ID: I20200423001501  | 
| Provider Name | Calli Bodin | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1689119919 PECOS PAC ID: 0244651826 Enrollment ID: I20200608001237  | 
| Provider Name | Shelley Maureen Clapp | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1558869925 PECOS PAC ID: 6103249354 Enrollment ID: I20200707003093  | 
| Provider Name | Aimee Breland Barrois | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1033663539 PECOS PAC ID: 4183048325 Enrollment ID: I20200722000003  | 
| Provider Name | Eugenie G Killian | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1174854095 PECOS PAC ID: 7911321070 Enrollment ID: I20200722000533  | 
| Provider Name | Leah B Guepet | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1356745921 PECOS PAC ID: 6002231438 Enrollment ID: I20200803001151  | 
| Provider Name | Dana L Barr | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1568965085 PECOS PAC ID: 4688090491 Enrollment ID: I20200811002343  | 
| Provider Name | Jessica Lynn Meister | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1427604511 PECOS PAC ID: 4486073384 Enrollment ID: I20200925002039  | 
| Provider Name | David Miguel Hinkle | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1760477624 PECOS PAC ID: 3678538477 Enrollment ID: I20210108001160  | 
| Provider Name | Mandy Rae Carmouche | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1184217770 PECOS PAC ID: 2466869904 Enrollment ID: I20210329001387  | 
| Provider Name | Kristy Smith Broussard | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1689234726 PECOS PAC ID: 6103221759 Enrollment ID: I20210820000908  | 
| Provider Name | Gabrielle Letort | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1508539941 PECOS PAC ID: 0244629574 Enrollment ID: I20211108002036  | 
| Provider Name | Christie Marie Witherell | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1407523376 PECOS PAC ID: 9032506621 Enrollment ID: I20220429000283  | 
| Provider Name | Natalie Weil | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1124331376 PECOS PAC ID: 5395963847 Enrollment ID: I20220429001369  | 
| Provider Name | Courtney Danielle Finnegan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1184397481 PECOS PAC ID: 7517345051 Enrollment ID: I20220613000146  | 
| Provider Name | Jamie Posseno | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1548933849 PECOS PAC ID: 5193104156 Enrollment ID: I20220622000057  | 
| Provider Name | Margaret Theriot Coleman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1194358341 PECOS PAC ID: 4082078712 Enrollment ID: I20230914001353  | 
| Provider Name | Camille Alyce Mcintyre | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1659062404 PECOS PAC ID: 6305281262 Enrollment ID: I20240301000312  | 
| Provider Name | Felicia Ann Baham | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1972195881 PECOS PAC ID: 9830536267 Enrollment ID: I20240321001265  | 
| Provider Name | Laura Victoria Waguespack | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1053183467 PECOS PAC ID: 2466899513 Enrollment ID: I20240325001967  | 
| Provider Name | Megan Anne Williams | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1174141303 PECOS PAC ID: 9537570171 Enrollment ID: I20240325003783  | 
| Provider Name | Allie Knight | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1720643125 PECOS PAC ID: 5991135188 Enrollment ID: I20240327002056  | 
| Provider Name | Pamela Teresa Moore | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1982979977 PECOS PAC ID: 0345688453 Enrollment ID: I20240409003106  | 
| Provider Name | Cassie Henderson Lavigne | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1245939784 PECOS PAC ID: 8628417987 Enrollment ID: I20240418003757  | 
| Provider Name | Rebecca Ann Melancon | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1013243104 PECOS PAC ID: 8224479696 Enrollment ID: I20240516000982  | 
| Provider Name | Celeste Perry Collins | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1164433694 PECOS PAC ID: 8921542911 Enrollment ID: I20240701004080  | 
| Provider Name | Emily Michelle Laurent | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1316574643 PECOS PAC ID: 9830635697 Enrollment ID: I20240729002502  | 
| Provider Name | Courtney Herbst | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1093552002 PECOS PAC ID: 1951848191 Enrollment ID: I20240805004135  | 
| Provider Name | Leela Raju | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1972705069 PECOS PAC ID: 4789721481 Enrollment ID: I20240815004723  | 
| Provider Name | Lauren M Caponegro | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1386379527 PECOS PAC ID: 9032659479 Enrollment ID: I20240911003895  | 
| Provider Name | Julie Deviney | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1760610588 PECOS PAC ID: 9739620899 Enrollment ID: I20240917003459  | 
| Provider Name | Malinda S Ferrell | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1891093886 PECOS PAC ID: 4880135748 Enrollment ID: I20240918002997  | 
| Provider Name | Mallory Lassalle | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1730856204 PECOS PAC ID: 6901347889 Enrollment ID: I20240918003758  | 
| Provider Name | Katy G Carter | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1467181594 PECOS PAC ID: 4981145653 Enrollment ID: I20240920002829  | 
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