| Minuteclinic Diagnostic Of North Carolina Pc | |
|
2340 Spring Forest Rd Raleigh NC 27615-7528 | |
| (866) 389-2727 | |
| (401) 406-3539 |
| Full Name | Minuteclinic Diagnostic Of North Carolina Pc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2340 Spring Forest Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Deborah Jean Pincince (ADMINISTRATOR) |
| Authorized Official Contact | 4017703813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minuteclinic Diagnostic Of North Carolina Pc Po Box 772 Minuteclinic Credentialing-mc2295 Woonsocket RI 02895-0784 Ph: (866) 389-2727 | Minuteclinic Diagnostic Of North Carolina Pc 2340 Spring Forest Rd Raleigh NC 27615-7528 Ph: (866) 389-2727 |
| NPI Number | 1699748608 |
|---|---|
| Provider Enumeration Date | 02/09/2006 |
| Last Update Date | 08/01/2023 |
| Certification Date | 08/01/2023 |
| Medicare PECOS PAC ID | 6002837572 |
|---|---|
| Medicare Enrollment ID | O20051212000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699748608 | NPI | - | NPPES |
| Provider Name | Julie T Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679572275 PECOS PAC ID: 0941101711 Enrollment ID: I20040115000365 |
| Provider Name | Darren Thomas Absher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427039155 PECOS PAC ID: 2668422080 Enrollment ID: I20050202000803 |
| Provider Name | Courtney W Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043309198 PECOS PAC ID: 2668426768 Enrollment ID: I20050311000148 |
| Provider Name | Terrence D Morton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295847705 PECOS PAC ID: 8820017973 Enrollment ID: I20051117000366 |
| Provider Name | Marlar Anne Vollbrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104828516 PECOS PAC ID: 7911928601 Enrollment ID: I20051208000998 |
| Provider Name | Rhonda R Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215927082 PECOS PAC ID: 4486675741 Enrollment ID: I20051214000474 |
| Provider Name | James T Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427036672 PECOS PAC ID: 3072524446 Enrollment ID: I20060523000064 |
| Provider Name | Christine Lupienski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851475438 PECOS PAC ID: 2668570060 Enrollment ID: I20070608000192 |
| Provider Name | Melissa M Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750402418 PECOS PAC ID: 6507965100 Enrollment ID: I20070622000202 |
| Provider Name | Dew Matasha Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750462461 PECOS PAC ID: 8628178571 Enrollment ID: I20070709000127 |
| Provider Name | Deborah O Speaks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003838632 PECOS PAC ID: 9133210453 Enrollment ID: I20070801000141 |
| Provider Name | Melissa Ann Presley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457370546 PECOS PAC ID: 2062488695 Enrollment ID: I20070822001296 |
| Provider Name | Glenda P Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073703211 PECOS PAC ID: 6406940485 Enrollment ID: I20070921000153 |
| Provider Name | Deborah A Hupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053500363 PECOS PAC ID: 5193815215 Enrollment ID: I20071213000143 |
| Provider Name | Susanne N Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619063773 PECOS PAC ID: 5698871226 Enrollment ID: I20080207000102 |
| Provider Name | Anne F Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053391409 PECOS PAC ID: 4082786710 Enrollment ID: I20080711000383 |
| Provider Name | L'anita R Newby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417126897 PECOS PAC ID: 5799859252 Enrollment ID: I20080731000376 |
| Provider Name | Lindsey Coble Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710137351 PECOS PAC ID: 7618035569 Enrollment ID: I20081021000451 |
| Provider Name | Sherri L Cuddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679753552 PECOS PAC ID: 1658444377 Enrollment ID: I20081217000651 |
| Provider Name | Shirley Lynn Aycoth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275596199 PECOS PAC ID: 8022042951 Enrollment ID: I20090421000314 |
| Provider Name | Heather F Kuhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700948411 PECOS PAC ID: 0042363665 Enrollment ID: I20090729000837 |
| Provider Name | Tabitha M Hollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043449911 PECOS PAC ID: 8022162403 Enrollment ID: I20090819000666 |
| Provider Name | Zoe M Comer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871722538 PECOS PAC ID: 3173679461 Enrollment ID: I20090929000476 |
| Provider Name | Donna Fraser Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215165907 PECOS PAC ID: 7315080041 Enrollment ID: I20100203000688 |
| Provider Name | Christina Natale Condon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962684514 PECOS PAC ID: 4284790007 Enrollment ID: I20100219000508 |
| Provider Name | Maryann Z Newell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598971921 PECOS PAC ID: 0941344543 Enrollment ID: I20100220000100 |
| Provider Name | Marianne Mclissa Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518297225 PECOS PAC ID: 6608911649 Enrollment ID: I20100302000903 |
| Provider Name | Tiffany D Tyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497071153 PECOS PAC ID: 3173652997 Enrollment ID: I20100603000321 |
| Provider Name | Lisa M Suddreth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033434519 PECOS PAC ID: 4284764077 Enrollment ID: I20100604000357 |
| Provider Name | Kellie H Ohara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316066079 PECOS PAC ID: 6103959176 Enrollment ID: I20100728000964 |
| Provider Name | Lindsey N Ricci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760617401 PECOS PAC ID: 7012062482 Enrollment ID: I20101227000363 |
| Provider Name | Shan D Bynum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043512924 PECOS PAC ID: 9830387323 Enrollment ID: I20101228000580 |
| Provider Name | Kim Renae English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659476240 PECOS PAC ID: 7113106311 Enrollment ID: I20110120000156 |
| Provider Name | Melissa Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740569532 PECOS PAC ID: 2567633738 Enrollment ID: I20110920000116 |
| Provider Name | Charles Shore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932486222 PECOS PAC ID: 6901071158 Enrollment ID: I20111216000141 |
| Provider Name | Ivonne Draughon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861752701 PECOS PAC ID: 1153586540 Enrollment ID: I20120710000660 |
| Provider Name | Lakeisha P Pressley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710249420 PECOS PAC ID: 0749436624 Enrollment ID: I20120808000583 |
| Provider Name | Kimberly Channel Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679828495 PECOS PAC ID: 1254588775 Enrollment ID: I20120905000557 |
| Provider Name | Julia Lynne Mabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861772121 PECOS PAC ID: 3476701210 Enrollment ID: I20120919000691 |
| Provider Name | Laura Howell Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841549664 PECOS PAC ID: 2860641123 Enrollment ID: I20121001000322 |
| Provider Name | Kelly Duvall Nestel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184976441 PECOS PAC ID: 3779735634 Enrollment ID: I20121129000147 |
| Provider Name | Deborah B Gessner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811241722 PECOS PAC ID: 7416109178 Enrollment ID: I20121204000481 |
| Provider Name | Brad S Stansberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477743490 PECOS PAC ID: 5294827044 Enrollment ID: I20121213000162 |
| Provider Name | Brandon C Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346584927 PECOS PAC ID: 8224280334 Enrollment ID: I20121218000004 |
| Provider Name | Catherine M Belk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609112721 PECOS PAC ID: 9032363866 Enrollment ID: I20130204000081 |
| Provider Name | Jeffrey O Krings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104161421 PECOS PAC ID: 1759535495 Enrollment ID: I20130206000202 |
| Provider Name | Sheila M Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518295880 PECOS PAC ID: 2365579398 Enrollment ID: I20130226000668 |
| Provider Name | Jennifer Susann Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780924001 PECOS PAC ID: 3779728530 Enrollment ID: I20130326000646 |
| Provider Name | Christy W Welborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598006975 PECOS PAC ID: 1153569454 Enrollment ID: I20130528000567 |
| Provider Name | Suzanne M Paszkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275550113 PECOS PAC ID: 7012018088 Enrollment ID: I20130604000654 |
| Provider Name | Jennifer K Chimera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104268663 PECOS PAC ID: 1456594308 Enrollment ID: I20130826000583 |
| Provider Name | Rachel M Mcinerney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063852176 PECOS PAC ID: 6901040476 Enrollment ID: I20130924000162 |
| Provider Name | Tonica N Toppin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841630084 PECOS PAC ID: 3274767322 Enrollment ID: I20131004000087 |
| Provider Name | Juwairiyah Foxx |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316244106 PECOS PAC ID: 2567635840 Enrollment ID: I20131016000643 |
| Provider Name | Katy S Emmert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124339783 PECOS PAC ID: 4183850506 Enrollment ID: I20131113001025 |
| Provider Name | Lauren M Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538598461 PECOS PAC ID: 3072741347 Enrollment ID: I20140113000487 |
| Provider Name | Michael E Sollie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609121110 PECOS PAC ID: 1052568490 Enrollment ID: I20140428001424 |
| Provider Name | Jena Lynn Welch Coltrane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174948046 PECOS PAC ID: 8820221120 Enrollment ID: I20140512000209 |
| Provider Name | Laurie Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023435831 PECOS PAC ID: 8224251418 Enrollment ID: I20140515000409 |
| Provider Name | Marshel Yvette Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851716286 PECOS PAC ID: 2769605724 Enrollment ID: I20140520000136 |
| Provider Name | Vera Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619396272 PECOS PAC ID: 5799900080 Enrollment ID: I20140630000498 |
| Provider Name | Deneda T Daye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033455191 PECOS PAC ID: 1254558695 Enrollment ID: I20140808001410 |
| Provider Name | Meagan Wallace Puckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851707962 PECOS PAC ID: 0749400513 Enrollment ID: I20140929001655 |
| Provider Name | Lori A Elmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639581325 PECOS PAC ID: 0446472658 Enrollment ID: I20141103001901 |
| Provider Name | Deborah S Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881095792 PECOS PAC ID: 1153543731 Enrollment ID: I20141114001839 |
| Provider Name | Ashley A Houk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548676505 PECOS PAC ID: 1355563867 Enrollment ID: I20141118002531 |
| Provider Name | Melissa Marie Fike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558763615 PECOS PAC ID: 1052633070 Enrollment ID: I20141202002326 |
| Provider Name | Beata Jermakowicz-chuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215339213 PECOS PAC ID: 3476875428 Enrollment ID: I20141203000687 |
| Provider Name | Natalie Amason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083015689 PECOS PAC ID: 8426370370 Enrollment ID: I20141203000903 |
| Provider Name | Brittany M Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811398787 PECOS PAC ID: 8224351325 Enrollment ID: I20141222001293 |
| Provider Name | Maggie Whitt Mazurek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376968487 PECOS PAC ID: 2466675822 Enrollment ID: I20150127000563 |
| Provider Name | Jacqueline Ploszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649678624 PECOS PAC ID: 5395060511 Enrollment ID: I20150211000568 |
| Provider Name | Kristine Heather Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104129113 PECOS PAC ID: 8921281486 Enrollment ID: I20150224001147 |
| Provider Name | Pa H Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861899601 PECOS PAC ID: 6507182953 Enrollment ID: I20150303001238 |
| Provider Name | Jennifer H Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083039010 PECOS PAC ID: 8527384528 Enrollment ID: I20150311000353 |
| Provider Name | Meghann M Mccain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407163165 PECOS PAC ID: 2365626199 Enrollment ID: I20150312001464 |
| Provider Name | Angela J Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811385354 PECOS PAC ID: 8527385897 Enrollment ID: I20150325001458 |
| Provider Name | Elizabeth S Fowle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164818837 PECOS PAC ID: 2769794932 Enrollment ID: I20150630002020 |
| Provider Name | Hilary Karabin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801172184 PECOS PAC ID: 0446484042 Enrollment ID: I20150929002974 |
| Provider Name | Tara N Heidel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962882944 PECOS PAC ID: 4385952001 Enrollment ID: I20150930000709 |
| Provider Name | Tracy Lynn Foland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316906431 PECOS PAC ID: 8224064191 Enrollment ID: I20150930001328 |
| Provider Name | Carrie M L Chun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760863112 PECOS PAC ID: 4082922638 Enrollment ID: I20150930002002 |
| Provider Name | Angela C Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851768352 PECOS PAC ID: 8921316381 Enrollment ID: I20151005000727 |
| Provider Name | James P Robson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184009797 PECOS PAC ID: 6800105768 Enrollment ID: I20151016001224 |
| Provider Name | Sarah E Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891100988 PECOS PAC ID: 8426275355 Enrollment ID: I20151118001620 |
| Provider Name | Tiffany Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922499151 PECOS PAC ID: 6901106970 Enrollment ID: I20151123001882 |
| Provider Name | Kathryn Roush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114395423 PECOS PAC ID: 6103126024 Enrollment ID: I20151125002055 |
| Provider Name | Kelley N Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750761821 PECOS PAC ID: 0446551634 Enrollment ID: I20151211001666 |
| Provider Name | Stacey L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407220684 PECOS PAC ID: 3476855891 Enrollment ID: I20151231000772 |
| Provider Name | India Linise Addison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932573680 PECOS PAC ID: 0244532026 Enrollment ID: I20160111002516 |
| Provider Name | Linda G Royston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053786558 PECOS PAC ID: 1951605195 Enrollment ID: I20160208001702 |
| Provider Name | Nadirah N Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437411436 PECOS PAC ID: 5890941744 Enrollment ID: I20160502000808 |
| Provider Name | Mary Beth Dowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912322900 PECOS PAC ID: 9638392384 Enrollment ID: I20160712000560 |
| Provider Name | Elana Jane Ratliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669827978 PECOS PAC ID: 9537454012 Enrollment ID: I20160823001302 |
| Provider Name | Shana C W Brye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740514355 PECOS PAC ID: 2264729714 Enrollment ID: I20160927000930 |
| Provider Name | Amy Michelle Swiney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710337910 PECOS PAC ID: 6608164827 Enrollment ID: I20161004000899 |
| Provider Name | Christy Michelle Cassas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043600638 PECOS PAC ID: 7012237225 Enrollment ID: I20161024001640 |
| Provider Name | Laura H Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003360405 PECOS PAC ID: 1254610249 Enrollment ID: I20161115001477 |
| Provider Name | Melissa A Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407391733 PECOS PAC ID: 5799061750 Enrollment ID: I20170406000802 |
| Provider Name | Lori Orndorff Cobern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972574176 PECOS PAC ID: 5597653048 Enrollment ID: I20170420002707 |
| Provider Name | Taylor C Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821535600 PECOS PAC ID: 6608153671 Enrollment ID: I20170428000620 |
| Provider Name | Melissa Dammann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366754012 PECOS PAC ID: 3274721576 Enrollment ID: I20170712001142 |
| Provider Name | Annie M Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518488147 PECOS PAC ID: 6507139870 Enrollment ID: I20170907003494 |
| Provider Name | Drew P Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659806412 PECOS PAC ID: 7517231525 Enrollment ID: I20170914001272 |
| Provider Name | Lisa Carlyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689186322 PECOS PAC ID: 1153681879 Enrollment ID: I20180129000056 |
| Provider Name | Jennifer Sue Lepkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962912055 PECOS PAC ID: 4587926829 Enrollment ID: I20180326000966 |
| Provider Name | Prina P Edralin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306351564 PECOS PAC ID: 3476815473 Enrollment ID: I20180402000635 |
| Provider Name | Macy Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033618848 PECOS PAC ID: 3779847173 Enrollment ID: I20180511001354 |
| Provider Name | Lauren A Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003324500 PECOS PAC ID: 4688938855 Enrollment ID: I20180516001272 |
| Provider Name | Ashley T Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447764469 PECOS PAC ID: 5092070060 Enrollment ID: I20180522000376 |
| Provider Name | Ketan Ramji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821501461 PECOS PAC ID: 8022373430 Enrollment ID: I20180605001608 |
| Provider Name | Cassandra Restrepo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225527617 PECOS PAC ID: 8628326717 Enrollment ID: I20180806003357 |
| Provider Name | Tisha Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104303361 PECOS PAC ID: 6002169950 Enrollment ID: I20181023003638 |
| Provider Name | Elizabeth Laney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215410139 PECOS PAC ID: 1759635477 Enrollment ID: I20181116000196 |
| Provider Name | Donna Marie Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336623248 PECOS PAC ID: 6305181710 Enrollment ID: I20181212003330 |
| Provider Name | Lindsay N Barney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477028264 PECOS PAC ID: 2062757669 Enrollment ID: I20190102000439 |
| Provider Name | David D Sanjurjo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255773644 PECOS PAC ID: 2264656222 Enrollment ID: I20190204000610 |
| Provider Name | Crystal Ammons Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457590507 PECOS PAC ID: 5698013639 Enrollment ID: I20190215002724 |
| Provider Name | Sadie R Abboud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558767046 PECOS PAC ID: 7416270723 Enrollment ID: I20190314001404 |
| Provider Name | Jamie Elyce Treiber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871094706 PECOS PAC ID: 3072854355 Enrollment ID: I20190415002015 |
| Provider Name | Subbulakshmi Settu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639733900 PECOS PAC ID: 9335475409 Enrollment ID: I20190726001446 |
| Provider Name | Martha Barbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366097859 PECOS PAC ID: 5294066056 Enrollment ID: I20191008003742 |
| Provider Name | Kassidy Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740838853 PECOS PAC ID: 5193158020 Enrollment ID: I20191209000460 |
| Provider Name | Angela S.l. Amico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932758190 PECOS PAC ID: 1850724659 Enrollment ID: I20191210000367 |
| Provider Name | Jabelle Quebrado Millares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871138396 PECOS PAC ID: 5193159234 Enrollment ID: I20191226002168 |
| Provider Name | Erin Turk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619527835 PECOS PAC ID: 9537593447 Enrollment ID: I20200102000142 |
| Provider Name | Felista Njoroge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730724014 PECOS PAC ID: 3173957941 Enrollment ID: I20200102002772 |
| Provider Name | Alyson Leigh Huling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427609718 PECOS PAC ID: 4587098165 Enrollment ID: I20200107003579 |
| Provider Name | Chelsea Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962046607 PECOS PAC ID: 2062846652 Enrollment ID: I20200108000283 |
| Provider Name | Rebecca S Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558903781 PECOS PAC ID: 4284060989 Enrollment ID: I20200128001970 |
| Provider Name | Candice Elyse Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326540410 PECOS PAC ID: 5092079012 Enrollment ID: I20200210002449 |
| Provider Name | Betty M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083246177 PECOS PAC ID: 2567891369 Enrollment ID: I20200330002835 |
| Provider Name | Kathleen M Lawn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841835428 PECOS PAC ID: 8022447150 Enrollment ID: I20200410001206 |
| Provider Name | Tina Louise Kinney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548529050 PECOS PAC ID: 5991961500 Enrollment ID: I20200428001259 |
| Provider Name | Kimberly Elizabeth Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073147393 PECOS PAC ID: 5395175509 Enrollment ID: I20200430000305 |
| Provider Name | Alexis C Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699309211 PECOS PAC ID: 4981025533 Enrollment ID: I20200605002417 |
| Provider Name | Susan Rutkowski Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669090783 PECOS PAC ID: 9537587456 Enrollment ID: I20200909002204 |
| Provider Name | Alexandria Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871104513 PECOS PAC ID: 3173943396 Enrollment ID: I20201008002836 |
| Provider Name | Sude Abdulahi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538673470 PECOS PAC ID: 4688094501 Enrollment ID: I20201014003912 |
| Provider Name | Rita Tabron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477011302 PECOS PAC ID: 9234540634 Enrollment ID: I20201116000694 |
| Provider Name | Tiffany T Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770018095 PECOS PAC ID: 0941611008 Enrollment ID: I20201120000223 |
| Provider Name | Brittni Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053927582 PECOS PAC ID: 3678985785 Enrollment ID: I20201215000515 |
| Provider Name | Amy Vongvilath Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477149730 PECOS PAC ID: 3072929538 Enrollment ID: I20210308001285 |
| Provider Name | Kimberly Alves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346865417 PECOS PAC ID: 3476969528 Enrollment ID: I20210315002529 |
| Provider Name | Lauren Hasspacher Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427673607 PECOS PAC ID: 1254747223 Enrollment ID: I20210317001781 |
| Provider Name | Shanna Mago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689918849 PECOS PAC ID: 0143471250 Enrollment ID: I20210317003043 |
| Provider Name | Samantha Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245761758 PECOS PAC ID: 4183033400 Enrollment ID: I20210517001320 |
| Provider Name | Michelle Mcnair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699368274 PECOS PAC ID: 3577963578 Enrollment ID: I20210614000623 |
| Provider Name | Taylor Barahona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871171892 PECOS PAC ID: 5294132304 Enrollment ID: I20210916000311 |
| Provider Name | Sandra St Louis Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013525310 PECOS PAC ID: 1759786460 Enrollment ID: I20211013002215 |
| Provider Name | Razu Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114505757 PECOS PAC ID: 3072911361 Enrollment ID: I20211018002893 |
| Provider Name | Nancy Thao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700460276 PECOS PAC ID: 7810385879 Enrollment ID: I20211023000224 |
| Provider Name | Tuwana Denise Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821557216 PECOS PAC ID: 1850780750 Enrollment ID: I20211115002834 |
| Provider Name | Animesh Petkar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417121054 PECOS PAC ID: 5799948782 Enrollment ID: I20211117002854 |
| Provider Name | Le Chi Trinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831865682 PECOS PAC ID: 4284023938 Enrollment ID: I20211118000054 |
| Provider Name | Edward Chaum |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023075868 PECOS PAC ID: 6406898493 Enrollment ID: I20211123001969 |
| Provider Name | Jayshree Rathod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457943144 PECOS PAC ID: 7810387149 Enrollment ID: I20211201000480 |
| Provider Name | Kim Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245907104 PECOS PAC ID: 0648660225 Enrollment ID: I20211214002798 |
| Provider Name | Lisa Teachnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346597515 PECOS PAC ID: 2668623042 Enrollment ID: I20220120000587 |
| Provider Name | Tauscha Gerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972103232 PECOS PAC ID: 3678965738 Enrollment ID: I20220121001899 |
| Provider Name | Teri G Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417627266 PECOS PAC ID: 4880087535 Enrollment ID: I20220202001096 |
| Provider Name | Laurence Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528723491 PECOS PAC ID: 1557754967 Enrollment ID: I20220208000830 |
| Provider Name | Rachelle Maureen Rigos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316555675 PECOS PAC ID: 2668865718 Enrollment ID: I20220214000206 |
| Provider Name | Jonita Newkirt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932867405 PECOS PAC ID: 0749674356 Enrollment ID: I20220224002170 |
| Provider Name | Chelsea Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336890144 PECOS PAC ID: 1254727688 Enrollment ID: I20220411002041 |
| Provider Name | Marisa Anne Lonske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629721626 PECOS PAC ID: 7113314667 Enrollment ID: I20220502000638 |
| Provider Name | Skye Critchley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689153959 PECOS PAC ID: 1557748431 Enrollment ID: I20220514000185 |
| Provider Name | Olga Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770238719 PECOS PAC ID: 3072991181 Enrollment ID: I20220601003148 |
| Provider Name | Crystal Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578210928 PECOS PAC ID: 0648658633 Enrollment ID: I20220602003137 |
| Provider Name | Brent Halsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043965981 PECOS PAC ID: 6608255757 Enrollment ID: I20220620001092 |
| Provider Name | Molly M Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285975961 PECOS PAC ID: 8921245598 Enrollment ID: I20220624002527 |
| Provider Name | Hannah Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821730219 PECOS PAC ID: 5890174593 Enrollment ID: I20220627003217 |
| Provider Name | Sierra R Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659864593 PECOS PAC ID: 5991054447 Enrollment ID: I20220629000314 |
| Provider Name | Elizabeth Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699301408 PECOS PAC ID: 2668893496 Enrollment ID: I20220705002273 |
| Provider Name | Carly Holst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396483483 PECOS PAC ID: 6608259163 Enrollment ID: I20220816001181 |
| Provider Name | Kady Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306578919 PECOS PAC ID: 7810371127 Enrollment ID: I20220906003357 |
| Provider Name | Jodit Beyene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073891305 PECOS PAC ID: 5193997914 Enrollment ID: I20220917000538 |
| Provider Name | Marlene Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598394900 PECOS PAC ID: 4082019245 Enrollment ID: I20220921000485 |
| Provider Name | Colleen Decato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679207153 PECOS PAC ID: 9133505449 Enrollment ID: I20221010001644 |
| Provider Name | Mary M Brauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710548854 PECOS PAC ID: 7214268473 Enrollment ID: I20221014000924 |
| Provider Name | Karren Agyekum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508296542 PECOS PAC ID: 1557598653 Enrollment ID: I20221025003180 |
| Provider Name | Gloria Melisa Sierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770918856 PECOS PAC ID: 0749410744 Enrollment ID: I20221025003453 |
| Provider Name | Michele Corrice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821085143 PECOS PAC ID: 0244243400 Enrollment ID: I20221025003457 |
| Provider Name | Sapna Makhijani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114569951 PECOS PAC ID: 5991138042 Enrollment ID: I20221027002044 |
| Provider Name | Lisa Paula Rudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629700349 PECOS PAC ID: 2163899345 Enrollment ID: I20221031002749 |
| Provider Name | Mikayla Rimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427772649 PECOS PAC ID: 8325417934 Enrollment ID: I20221202002008 |
| Provider Name | Nirmala Century |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174279418 PECOS PAC ID: 4789053893 Enrollment ID: I20221213000619 |
| Provider Name | Robert James Beto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346309267 PECOS PAC ID: 5890735021 Enrollment ID: I20221217000403 |
| Provider Name | Michelle Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548985567 PECOS PAC ID: 0840660536 Enrollment ID: I20221220002820 |
| Provider Name | Rebecca Thomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215477179 PECOS PAC ID: 2961789433 Enrollment ID: I20230104002377 |
| Provider Name | Faben Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043939895 PECOS PAC ID: 2860862703 Enrollment ID: I20230110001900 |
| Provider Name | Amaya Edge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053943647 PECOS PAC ID: 8628485422 Enrollment ID: I20230203000096 |
| Provider Name | Varena Kirkland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730893561 PECOS PAC ID: 1355714080 Enrollment ID: I20230228002896 |
| Provider Name | Vanessa Pethel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689384901 PECOS PAC ID: 6709250525 Enrollment ID: I20230317002397 |
| Provider Name | Cynthia Throneburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801502737 PECOS PAC ID: 7911371760 Enrollment ID: I20230320000574 |
| Provider Name | Julie Faircloth Ott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811668197 PECOS PAC ID: 4082002647 Enrollment ID: I20230321000980 |
| Provider Name | Shama Panjwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548975758 PECOS PAC ID: 2769856152 Enrollment ID: I20230327001420 |
| Provider Name | Karen Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124593868 PECOS PAC ID: 7719222140 Enrollment ID: I20230425000097 |
| Provider Name | Dayana De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912649880 PECOS PAC ID: 8022474261 Enrollment ID: I20230515001081 |
| Provider Name | Michelle Griffith Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871078055 PECOS PAC ID: 4688092406 Enrollment ID: I20230518000936 |
| Provider Name | Estella Laughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164120085 PECOS PAC ID: 3870959315 Enrollment ID: I20230525001500 |
| Provider Name | Adriene Avripas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790296010 PECOS PAC ID: 4385996677 Enrollment ID: I20230605002120 |
| Provider Name | Amy Villa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992497515 PECOS PAC ID: 5193186831 Enrollment ID: I20230728000040 |
| Provider Name | Shelby Barkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245938679 PECOS PAC ID: 4789046590 Enrollment ID: I20230810002936 |
| Provider Name | Daniella Shanay Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790437275 PECOS PAC ID: 9234523309 Enrollment ID: I20230811001853 |
| Provider Name | Tess Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407521636 PECOS PAC ID: 6204224116 Enrollment ID: I20230829000980 |
| Provider Name | Mary Catherine Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407637689 PECOS PAC ID: 0244687614 Enrollment ID: I20231106003526 |
| Provider Name | Megan Wlodarczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295418010 PECOS PAC ID: 8224485552 Enrollment ID: I20231108002264 |
| Provider Name | Emily Mccrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073268413 PECOS PAC ID: 1456700814 Enrollment ID: I20231211000782 |
| Provider Name | Melanie H Douglass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740061951 PECOS PAC ID: 2769834605 Enrollment ID: I20240117000379 |
| Provider Name | Jenna Margiotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265204507 PECOS PAC ID: 8022453547 Enrollment ID: I20240223003033 |
| Provider Name | Ryan Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417493867 PECOS PAC ID: 8921373168 Enrollment ID: I20240321002347 |
| Provider Name | Kelly Silver Payne Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407627037 PECOS PAC ID: 0345687224 Enrollment ID: I20240327002864 |
| Provider Name | Jennifer Rojas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619128766 PECOS PAC ID: 4880850700 Enrollment ID: I20240401003289 |
| Provider Name | Latoya Campos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447635750 PECOS PAC ID: 6608225529 Enrollment ID: I20240403000417 |
| Provider Name | Eve Tanas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770352817 PECOS PAC ID: 5193163137 Enrollment ID: I20240409004545 |
| Provider Name | Dhrupa Dilipsinh Rathod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790378123 PECOS PAC ID: 5890104061 Enrollment ID: I20240423001200 |
| Provider Name | Kaitlin Fagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396501391 PECOS PAC ID: 6800236472 Enrollment ID: I20240430000823 |
| Provider Name | Ashley Baranyai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154184281 PECOS PAC ID: 8921448341 Enrollment ID: I20240502002336 |
| Provider Name | Shawanna Monique Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972241842 PECOS PAC ID: 0143662601 Enrollment ID: I20240529002871 |
| Provider Name | Abigail Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477310332 PECOS PAC ID: 4082156302 Enrollment ID: I20240603000239 |
| Provider Name | Laurie E Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770340291 PECOS PAC ID: 4284176777 Enrollment ID: I20240612001987 |
| Provider Name | Katie Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922545946 PECOS PAC ID: 8527343912 Enrollment ID: I20240626001793 |
| Provider Name | Pamela Witek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770836843 PECOS PAC ID: 8628221470 Enrollment ID: I20240702003532 |
| Provider Name | Kori Dunigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184471765 PECOS PAC ID: 5991241226 Enrollment ID: I20240723003935 |
| Provider Name | Meghan China |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700635158 PECOS PAC ID: 9830635762 Enrollment ID: I20240726002268 |
| Provider Name | Taylor Catrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801360920 PECOS PAC ID: 6709128986 Enrollment ID: I20240806001163 |
| Provider Name | Seth Astorino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255762365 PECOS PAC ID: 1254560998 Enrollment ID: I20240808002208 |
| Provider Name | Ebony Lesesne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639911811 PECOS PAC ID: 8224577846 Enrollment ID: I20240827004447 |
| Provider Name | Jean M Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164961207 PECOS PAC ID: 9638433840 Enrollment ID: I20240906003048 |
| Provider Name | Lynsy Tucker Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275605701 PECOS PAC ID: 4486198801 Enrollment ID: I20240917004402 |
| Provider Name | Candace Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235502246 PECOS PAC ID: 2860793866 Enrollment ID: I20240926001476 |
| Provider Name | Jerrika Dula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710728407 PECOS PAC ID: 5991246274 Enrollment ID: I20240926002559 |
| Provider Name | Tamara S Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568422970 PECOS PAC ID: 1658260450 Enrollment ID: I20241105000186 |
| Provider Name | Courtney Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265931216 PECOS PAC ID: 6709139520 Enrollment ID: I20241107001187 |
| Provider Name | Rachel Highsmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912745506 PECOS PAC ID: 1951835164 Enrollment ID: I20241111002934 |
| Provider Name | Dominique Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992541437 PECOS PAC ID: 9133653355 Enrollment ID: I20241111003515 |
| Provider Name | Christine Dimino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508374273 PECOS PAC ID: 0941561070 Enrollment ID: I20241113001858 |
| Provider Name | Ingrid Stier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144527821 PECOS PAC ID: 4789867383 Enrollment ID: I20241121001932 |
| Provider Name | Ruby Carolina Avelar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750126728 PECOS PAC ID: 2062947344 Enrollment ID: I20241122002968 |
| Provider Name | Tarren Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407414410 PECOS PAC ID: 3173950771 Enrollment ID: I20241203004082 |
| Provider Name | Jasmine Nicole Chambliss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902642309 PECOS PAC ID: 2264968718 Enrollment ID: I20241209001084 |
| Provider Name | Hanan Ahmad Elhaj Omar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528893724 PECOS PAC ID: 5991231029 Enrollment ID: I20241211004698 |
| Provider Name | Anna Meredith Foust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669290763 PECOS PAC ID: 5294262309 Enrollment ID: I20241231000376 |
| Provider Name | Althea Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730734146 PECOS PAC ID: 8921338831 Enrollment ID: I20250103001248 |
| Provider Name | Jennifer Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003185570 PECOS PAC ID: 7416112065 Enrollment ID: I20250106002776 |
| Provider Name | Mikaela Rubenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285003277 PECOS PAC ID: 7315248119 Enrollment ID: I20250107003689 |
| Provider Name | Angela Frazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104451061 PECOS PAC ID: 2668899253 Enrollment ID: I20250113001139 |
| Provider Name | Bridget Ann Sterk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124003058 PECOS PAC ID: 4789683970 Enrollment ID: I20250130003782 |
| Provider Name | Idara Inokon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740826643 PECOS PAC ID: 8123463551 Enrollment ID: I20250228003357 |
| Provider Name | Lydia Yilma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215527544 PECOS PAC ID: 0749687655 Enrollment ID: I20250310002242 |
| Provider Name | Shernette Samuels - Bremnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346846995 PECOS PAC ID: 5395130454 Enrollment ID: I20250312001919 |
| Provider Name | Daniel Rybalov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588228571 PECOS PAC ID: 2961738042 Enrollment ID: I20250317003842 |
| Provider Name | Elijah Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992317366 PECOS PAC ID: 5496168569 Enrollment ID: I20250318000739 |
| Provider Name | Somia Abou-osman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700511698 PECOS PAC ID: 9436535911 Enrollment ID: I20250328001937 |
| Provider Name | Diane Stella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053573238 PECOS PAC ID: 8729133681 Enrollment ID: I20250401003552 |
| Provider Name | Camieko Chantese Luck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386420792 PECOS PAC ID: 8729502448 Enrollment ID: I20250403001879 |
| Provider Name | Monica Conliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235890617 PECOS PAC ID: 0840684304 Enrollment ID: I20250409003540 |
| Provider Name | Joseph Isagba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609488147 PECOS PAC ID: 9133539885 Enrollment ID: I20250411001261 |
| Provider Name | Emily Sloane Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972115442 PECOS PAC ID: 0840715181 Enrollment ID: I20250418000699 |
| Provider Name | Anna Bunch Oakley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629768122 PECOS PAC ID: 7719402874 Enrollment ID: I20250422000731 |
| Provider Name | Kelly Rydell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962123265 PECOS PAC ID: 8729449616 Enrollment ID: I20250426000007 |
| Provider Name | David Memmoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891978607 PECOS PAC ID: 0244364347 Enrollment ID: I20250430001799 |
| Provider Name | Leslie Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720360746 PECOS PAC ID: 5294909669 Enrollment ID: I20250505000386 |
| Provider Name | Alicia Quayson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376275107 PECOS PAC ID: 6406209436 Enrollment ID: I20250519001324 |
| Provider Name | Crystal Nicosia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154747970 PECOS PAC ID: 7113141516 Enrollment ID: I20250521000300 |
| Provider Name | Carole Mccann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740753003 PECOS PAC ID: 7416295399 Enrollment ID: I20250529002475 |
| Provider Name | Aubrey Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477251577 PECOS PAC ID: 2163887340 Enrollment ID: I20250602002771 |
| Provider Name | Jennifer Vidonish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689924888 PECOS PAC ID: 6103053434 Enrollment ID: I20250604001749 |
Care One Nursing Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 Tryon Rd Suite 103 A, Raleigh, NC 27603 Phone: 919-771-2310 | |
Reaching Your Goals, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 E Six Forks Rd Ste 201, Raleigh, NC 27609 Phone: 919-832-6150 Fax: 919-832-6151 | |
Triumph Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3210 Fairhill Dr, Raleigh, NC 27612 Phone: 919-256-0824 | |
Cheltenham Clinical Services, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2435 Lynn Rd, Suite 200, Raleigh, NC 27612 Phone: 919-438-7396 | |
Pamela J Rosenberg Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 867 Washington St, Raleigh, NC 27605 Phone: 919-833-5867 Fax: 919-833-5859 | |
Thriveworks Clinical - North Carolina Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8406 Six Forks Rd Ste 104, Raleigh, NC 27615 Phone: 919-424-6045 Fax: 617-379-0496 | |
Downtown Raleigh Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5109 Carter St, Raleigh, NC 27612 Phone: 910-257-7530 |