| Minuteclinic Diagnostic Of Texas Pllc | |
|
1855 Gattis School Rd Round Rock TX 78664-7428 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Minuteclinic Diagnostic Of Texas Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1855 Gattis School Rd, Round Rock, Texas |
| Authorized Official Name and Position | Deborah 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 Texas Pllc Po Box 772 Minuteclinic Credentialing Woonsocket RI 02895-0784 Ph: (866) 389-2727 | Minuteclinic Diagnostic Of Texas Pllc 1855 Gattis School Rd Round Rock TX 78664-7428 Ph: (866) 389-2727 |
| NPI Number | 1609076330 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Medicare PECOS PAC ID | 7416039177 |
|---|---|
| Medicare Enrollment ID | O20080204000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609076330 | NPI | - | NPPES |
| Provider Name | Carla Coby Dahms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699761114 PECOS PAC ID: 4688657273 Enrollment ID: I20040613000006 |
| Provider Name | Melanie T Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831195197 PECOS PAC ID: 8527030949 Enrollment ID: I20040806000988 |
| Provider Name | So-fong Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043290703 PECOS PAC ID: 9638122781 Enrollment ID: I20050301000326 |
| Provider Name | Linda S Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194731109 PECOS PAC ID: 5991731218 Enrollment ID: I20050708000635 |
| Provider Name | Joan P Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689608028 PECOS PAC ID: 4587677604 Enrollment ID: I20061207000418 |
| Provider Name | Divina Gato-hogno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053505552 PECOS PAC ID: 6406939305 Enrollment ID: I20080215000372 |
| Provider Name | Elizabeth B Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295734333 PECOS PAC ID: 9739263823 Enrollment ID: I20080228000039 |
| Provider Name | Johnanna Lea Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457496598 PECOS PAC ID: 4486733037 Enrollment ID: I20080507000333 |
| Provider Name | Joseph Hurt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740210905 PECOS PAC ID: 2264421288 Enrollment ID: I20081211000299 |
| Provider Name | Jofy Susan Kuriakose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912142977 PECOS PAC ID: 8426111402 Enrollment ID: I20090117000075 |
| Provider Name | June Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770744203 PECOS PAC ID: 8325102858 Enrollment ID: I20090128000577 |
| Provider Name | Mariezen Bibal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063667442 PECOS PAC ID: 2567528763 Enrollment ID: I20090312000325 |
| Provider Name | Olubunkanla Ojubayo Kayode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750528246 PECOS PAC ID: 0244397289 Enrollment ID: I20090319000172 |
| Provider Name | Kelly Guillory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730337874 PECOS PAC ID: 9436216025 Enrollment ID: I20090326000187 |
| Provider Name | Elizabeth E. Fuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174704415 PECOS PAC ID: 2567510126 Enrollment ID: I20090508000292 |
| Provider Name | Melissa J Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881896934 PECOS PAC ID: 8022056803 Enrollment ID: I20090617000471 |
| Provider Name | Robert William Wong |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275699274 PECOS PAC ID: 1850445172 Enrollment ID: I20090820000229 |
| Provider Name | Lynn M Calvert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043443229 PECOS PAC ID: 0042357964 Enrollment ID: I20091027000146 |
| Provider Name | Dawn B Hollembeak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265659783 PECOS PAC ID: 9234277369 Enrollment ID: I20091111000100 |
| Provider Name | Monique C Huntley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194059972 PECOS PAC ID: 0042359077 Enrollment ID: I20091203000453 |
| Provider Name | Danielle A Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821322777 PECOS PAC ID: 6709926793 Enrollment ID: I20091223000366 |
| Provider Name | Blen Tesfayesus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922335827 PECOS PAC ID: 8729121942 Enrollment ID: I20100209000801 |
| Provider Name | Deborah K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033422712 PECOS PAC ID: 7810170313 Enrollment ID: I20110321000908 |
| Provider Name | Dora Cisneros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225322787 PECOS PAC ID: 2769660737 Enrollment ID: I20110621000576 |
| Provider Name | Hiroko Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356649669 PECOS PAC ID: 3678751377 Enrollment ID: I20110628000793 |
| Provider Name | Caroline B Sebirumbi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144513532 PECOS PAC ID: 5496925646 Enrollment ID: I20110826000366 |
| Provider Name | Dorothy J Alejandro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811264039 PECOS PAC ID: 8729255856 Enrollment ID: I20120112000715 |
| Provider Name | Suwon Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265706402 PECOS PAC ID: 2961665948 Enrollment ID: I20120601000072 |
| Provider Name | Cristina L Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942527056 PECOS PAC ID: 3274797550 Enrollment ID: I20120627000631 |
| Provider Name | Evelyn Mcclinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700144409 PECOS PAC ID: 0042476681 Enrollment ID: I20120725000715 |
| Provider Name | Courtney Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194019562 PECOS PAC ID: 5193994812 Enrollment ID: I20120809000341 |
| Provider Name | Gladys G Asomani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427304351 PECOS PAC ID: 8224286018 Enrollment ID: I20120920000243 |
| Provider Name | Jennifer O Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518215433 PECOS PAC ID: 6507015328 Enrollment ID: I20121010000487 |
| Provider Name | Tiffany D Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881941938 PECOS PAC ID: 2163672916 Enrollment ID: I20121101000354 |
| Provider Name | Melissa A Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821341983 PECOS PAC ID: 1052562790 Enrollment ID: I20121106000614 |
| Provider Name | Laxmi D Gautam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396098349 PECOS PAC ID: 3577715895 Enrollment ID: I20121213000468 |
| Provider Name | Donna G Cowart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861745960 PECOS PAC ID: 2365696382 Enrollment ID: I20130129000069 |
| Provider Name | Bina S Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457602492 PECOS PAC ID: 5890940639 Enrollment ID: I20130301000013 |
| Provider Name | Michele L Nelson-wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528369907 PECOS PAC ID: 5698910461 Enrollment ID: I20130328000120 |
| Provider Name | Ijeoma Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588904825 PECOS PAC ID: 4688616964 Enrollment ID: I20130529000763 |
| Provider Name | Hedrine M Nana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760723209 PECOS PAC ID: 4284873167 Enrollment ID: I20130626000088 |
| Provider Name | Leni T Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710321351 PECOS PAC ID: 4981845815 Enrollment ID: I20130718000635 |
| Provider Name | Angela M Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528309739 PECOS PAC ID: 6709028483 Enrollment ID: I20130808000428 |
| Provider Name | Phillipa I Modebelu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053647461 PECOS PAC ID: 6305975277 Enrollment ID: I20130809000081 |
| Provider Name | Zhan Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508205618 PECOS PAC ID: 9638313505 Enrollment ID: I20130913000647 |
| Provider Name | Alana L Merrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093155038 PECOS PAC ID: 7416182993 Enrollment ID: I20131109000333 |
| Provider Name | Isatu J Wellington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407288905 PECOS PAC ID: 3375770548 Enrollment ID: I20131213000566 |
| Provider Name | Shannon Dia Mims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316371578 PECOS PAC ID: 4981831989 Enrollment ID: I20131219001136 |
| Provider Name | Jennifer Schloemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447683354 PECOS PAC ID: 8426286980 Enrollment ID: I20140109000113 |
| Provider Name | Leah Y Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598912669 PECOS PAC ID: 3870661556 Enrollment ID: I20140109000706 |
| Provider Name | Garrett B Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407108715 PECOS PAC ID: 0143458562 Enrollment ID: I20140110000788 |
| Provider Name | Chikezie Dike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083049456 PECOS PAC ID: 6608007307 Enrollment ID: I20140321001500 |
| Provider Name | Kameka James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508207291 PECOS PAC ID: 9739311481 Enrollment ID: I20140410001639 |
| Provider Name | Meghna Sheth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942630603 PECOS PAC ID: 0446483101 Enrollment ID: I20140502001235 |
| Provider Name | Tiffany A Leschber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740602523 PECOS PAC ID: 8426281817 Enrollment ID: I20140509001477 |
| Provider Name | Uchenna Ugochukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821412073 PECOS PAC ID: 1951524776 Enrollment ID: I20140523001979 |
| Provider Name | Rose Murff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407144306 PECOS PAC ID: 5294958658 Enrollment ID: I20140603002435 |
| Provider Name | Oluchi C Ujoatu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700297264 PECOS PAC ID: 3476777483 Enrollment ID: I20140613000777 |
| Provider Name | Linda N Moghalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558787440 PECOS PAC ID: 4486870631 Enrollment ID: I20140723001920 |
| Provider Name | Veronica N Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346660701 PECOS PAC ID: 4284850488 Enrollment ID: I20140724000778 |
| Provider Name | Victoria E Guyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477964542 PECOS PAC ID: 9032335260 Enrollment ID: I20140724001690 |
| Provider Name | Stefanie Johnson-sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265855308 PECOS PAC ID: 9436377827 Enrollment ID: I20140827000212 |
| Provider Name | Ritasha K Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285048264 PECOS PAC ID: 5890913297 Enrollment ID: I20140827000512 |
| Provider Name | Brittany Gyorfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386072361 PECOS PAC ID: 5991923955 Enrollment ID: I20140904001549 |
| Provider Name | George G Silvosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184918690 PECOS PAC ID: 0749400547 Enrollment ID: I20140929002565 |
| Provider Name | Bina Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730594623 PECOS PAC ID: 0244450344 Enrollment ID: I20141010002129 |
| Provider Name | Juaniece Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952719973 PECOS PAC ID: 5496976268 Enrollment ID: I20141020001406 |
| Provider Name | Heather D Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215337605 PECOS PAC ID: 8224250741 Enrollment ID: I20141117000337 |
| Provider Name | Allison J Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861422784 PECOS PAC ID: 3375590235 Enrollment ID: I20141124002176 |
| Provider Name | Jomol S Puthen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780086579 PECOS PAC ID: 3577885193 Enrollment ID: I20141209001620 |
| Provider Name | Jacquana Dowson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922404516 PECOS PAC ID: 7517280126 Enrollment ID: I20150106000350 |
| Provider Name | Quyen Thi Trinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386052868 PECOS PAC ID: 9335462993 Enrollment ID: I20150107000102 |
| Provider Name | Shannon K Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427466960 PECOS PAC ID: 8123342631 Enrollment ID: I20150109001349 |
| Provider Name | Nang N Immanivong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538567102 PECOS PAC ID: 7113241407 Enrollment ID: I20150114001939 |
| Provider Name | Charnita R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972900181 PECOS PAC ID: 8022332642 Enrollment ID: I20150130000281 |
| Provider Name | Trenice Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033522461 PECOS PAC ID: 4688999196 Enrollment ID: I20150204000764 |
| Provider Name | Amber Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114326741 PECOS PAC ID: 0446575765 Enrollment ID: I20150209001496 |
| Provider Name | Christiana K Gabbidon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326466855 PECOS PAC ID: 2860717196 Enrollment ID: I20150209001665 |
| Provider Name | Serena M Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275953382 PECOS PAC ID: 0446575435 Enrollment ID: I20150216000763 |
| Provider Name | Seema Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669704904 PECOS PAC ID: 9638494453 Enrollment ID: I20150218001653 |
| Provider Name | Alexandria P Musick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578963104 PECOS PAC ID: 5597081950 Enrollment ID: I20150302000477 |
| Provider Name | Sahar Weil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659712776 PECOS PAC ID: 6305162272 Enrollment ID: I20150312000272 |
| Provider Name | Amber D Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003216755 PECOS PAC ID: 8729306816 Enrollment ID: I20150422000802 |
| Provider Name | Marykutty Prasad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568854537 PECOS PAC ID: 2163741133 Enrollment ID: I20150427000131 |
| Provider Name | Maritza R Goss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902228836 PECOS PAC ID: 2860711371 Enrollment ID: I20150505002151 |
| Provider Name | Alexis E Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164865564 PECOS PAC ID: 8729307947 Enrollment ID: I20150508001576 |
| Provider Name | Elit J Bernales-alba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629370945 PECOS PAC ID: 1658552054 Enrollment ID: I20150604000834 |
| Provider Name | Sophie O Terzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497149603 PECOS PAC ID: 4880906866 Enrollment ID: I20150706000251 |
| Provider Name | Deborah A Mcelroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275952665 PECOS PAC ID: 5890008940 Enrollment ID: I20150717001213 |
| Provider Name | Joe R Strader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164815247 PECOS PAC ID: 3779898218 Enrollment ID: I20150813009587 |
| Provider Name | Ruth O Okpara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598140196 PECOS PAC ID: 2365757135 Enrollment ID: I20150824000804 |
| Provider Name | Isabella Bosire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316322662 PECOS PAC ID: 9537477021 Enrollment ID: I20151002000840 |
| Provider Name | Damaris Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245609072 PECOS PAC ID: 6901116797 Enrollment ID: I20151106000953 |
| Provider Name | Yiyang Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215350913 PECOS PAC ID: 9032334461 Enrollment ID: I20151106001006 |
| Provider Name | Asha Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841607058 PECOS PAC ID: 5395046577 Enrollment ID: I20151211001470 |
| Provider Name | Lakeisha Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407165277 PECOS PAC ID: 8426359621 Enrollment ID: I20151211002243 |
| Provider Name | Ebone Z Iyegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700257094 PECOS PAC ID: 6507160843 Enrollment ID: I20160208001393 |
| Provider Name | Courtney R Hendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366817686 PECOS PAC ID: 1153625371 Enrollment ID: I20160209001943 |
| Provider Name | Edwige Flore Koumfieg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609245430 PECOS PAC ID: 1658678644 Enrollment ID: I20160317001830 |
| Provider Name | Mary Ruesewald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952707721 PECOS PAC ID: 7517265648 Enrollment ID: I20160406000536 |
| Provider Name | Susan Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477910933 PECOS PAC ID: 9133427271 Enrollment ID: I20160406000907 |
| Provider Name | Joy I Odafe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528480217 PECOS PAC ID: 3577725142 Enrollment ID: I20160406002211 |
| Provider Name | Rowena Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174998579 PECOS PAC ID: 6305144890 Enrollment ID: I20160418000458 |
| Provider Name | Latasha D Vines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972901213 PECOS PAC ID: 3577880152 Enrollment ID: I20160421000304 |
| Provider Name | Courtney Crawford |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265546170 PECOS PAC ID: 8022232024 Enrollment ID: I20160520000834 |
| Provider Name | Bianca Osakwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649638388 PECOS PAC ID: 0749570299 Enrollment ID: I20160613000553 |
| Provider Name | Melissa J Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396198552 PECOS PAC ID: 0749575157 Enrollment ID: I20160824002381 |
| Provider Name | Michellee N Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194278028 PECOS PAC ID: 4284929399 Enrollment ID: I20160827000307 |
| Provider Name | Patricia F Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629072566 PECOS PAC ID: 6800836537 Enrollment ID: I20160916000168 |
| Provider Name | Barack Austine Otieno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598219222 PECOS PAC ID: 0749577732 Enrollment ID: I20160919001863 |
| Provider Name | Michele N Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558814863 PECOS PAC ID: 2961781356 Enrollment ID: I20161107001666 |
| Provider Name | Samantha Schisler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538532338 PECOS PAC ID: 1355622630 Enrollment ID: I20161228000569 |
| Provider Name | Carla Y Deflora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366995722 PECOS PAC ID: 1153603345 Enrollment ID: I20170124000890 |
| Provider Name | Alex T Shadid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477922557 PECOS PAC ID: 4880977610 Enrollment ID: I20170201002387 |
| Provider Name | Karen Morrissey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669867339 PECOS PAC ID: 6709169360 Enrollment ID: I20170207000254 |
| Provider Name | Le Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598127110 PECOS PAC ID: 8820371222 Enrollment ID: I20170209000606 |
| Provider Name | Marquita M Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346785565 PECOS PAC ID: 4587947908 Enrollment ID: I20170209001579 |
| Provider Name | Liliane L Faxigue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528518982 PECOS PAC ID: 0244514149 Enrollment ID: I20170221000433 |
| Provider Name | Scott Pigford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649719535 PECOS PAC ID: 0244515260 Enrollment ID: I20170314000472 |
| Provider Name | Amanvir Dhanoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588064497 PECOS PAC ID: 9133349988 Enrollment ID: I20170315002360 |
| Provider Name | Shira Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376082917 PECOS PAC ID: 9638455546 Enrollment ID: I20170407000443 |
| Provider Name | Alan J Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720527781 PECOS PAC ID: 8224315411 Enrollment ID: I20170425001644 |
| Provider Name | Yingxu Xie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679963086 PECOS PAC ID: 0143548388 Enrollment ID: I20170505000224 |
| Provider Name | Daja Carrick Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083079404 PECOS PAC ID: 9436436144 Enrollment ID: I20170508000383 |
| Provider Name | Rashmin A Kadiwal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154858546 PECOS PAC ID: 8921377078 Enrollment ID: I20170705000540 |
| Provider Name | Chigozie Nwokocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326568403 PECOS PAC ID: 8729358908 Enrollment ID: I20170720001497 |
| Provider Name | Abiola Atobatele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164971453 PECOS PAC ID: 0749550606 Enrollment ID: I20170725004036 |
| Provider Name | Emawayesh W Shinge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295269132 PECOS PAC ID: 7719258094 Enrollment ID: I20170804000433 |
| Provider Name | Elijah M Nyasende |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760891568 PECOS PAC ID: 9032482716 Enrollment ID: I20170831000066 |
| Provider Name | Chinaka M Dike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184148645 PECOS PAC ID: 5698048015 Enrollment ID: I20170907000692 |
| Provider Name | Taresa Fenelon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063939403 PECOS PAC ID: 8426323510 Enrollment ID: I20170928002457 |
| Provider Name | Purvi M Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154653871 PECOS PAC ID: 9234253352 Enrollment ID: I20171025003140 |
| Provider Name | Rosemary Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619490463 PECOS PAC ID: 8527334176 Enrollment ID: I20171025003338 |
| Provider Name | Shecarra S Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316458235 PECOS PAC ID: 1557628831 Enrollment ID: I20171121001631 |
| Provider Name | Mincy Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962920710 PECOS PAC ID: 2163780131 Enrollment ID: I20171220002076 |
| Provider Name | Stephanie J Sealy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427560606 PECOS PAC ID: 0345508115 Enrollment ID: I20171228000011 |
| Provider Name | Francis Prosper Basebang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154843878 PECOS PAC ID: 0840558540 Enrollment ID: I20180102001235 |
| Provider Name | Marquita Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811360662 PECOS PAC ID: 1759672587 Enrollment ID: I20180103001986 |
| Provider Name | Tirita D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770980880 PECOS PAC ID: 9638499569 Enrollment ID: I20180118001851 |
| Provider Name | Mireille Dziuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669993473 PECOS PAC ID: 3870853542 Enrollment ID: I20180129002157 |
| Provider Name | Pragya Baral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467900928 PECOS PAC ID: 0840551511 Enrollment ID: I20180221002250 |
| Provider Name | Shenise Bratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265969380 PECOS PAC ID: 2365703832 Enrollment ID: I20180223001731 |
| Provider Name | Jennie Yeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467789842 PECOS PAC ID: 2668639998 Enrollment ID: I20180302000026 |
| Provider Name | Lashica Y Scaife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407162407 PECOS PAC ID: 4082883012 Enrollment ID: I20180305001520 |
| Provider Name | Jenny Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770938433 PECOS PAC ID: 3779873351 Enrollment ID: I20180404002515 |
| Provider Name | Portia Magaya Tirimboyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063910719 PECOS PAC ID: 4880957778 Enrollment ID: I20180405001476 |
| Provider Name | Lennie Lynn C Basilio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386154995 PECOS PAC ID: 4082977368 Enrollment ID: I20180419001650 |
| Provider Name | Susan Y Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609376797 PECOS PAC ID: 4082977392 Enrollment ID: I20180420000309 |
| Provider Name | Kavita Guragain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891203097 PECOS PAC ID: 6709149818 Enrollment ID: I20180423002959 |
| Provider Name | Arati Pandey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700382959 PECOS PAC ID: 7517221690 Enrollment ID: I20180426001860 |
| Provider Name | Sarah Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851821789 PECOS PAC ID: 7719241959 Enrollment ID: I20180516000146 |
| Provider Name | Erin Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528560455 PECOS PAC ID: 2264797489 Enrollment ID: I20180517001071 |
| Provider Name | Nichole L Straughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023538071 PECOS PAC ID: 7719915750 Enrollment ID: I20180522000136 |
| Provider Name | Abigail Owunna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922597699 PECOS PAC ID: 6204181555 Enrollment ID: I20180611000570 |
| Provider Name | Geen G John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144765751 PECOS PAC ID: 6901151869 Enrollment ID: I20180618000098 |
| Provider Name | Sunny L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619477551 PECOS PAC ID: 1355697665 Enrollment ID: I20180628002072 |
| Provider Name | Olumayowa Omoyeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356847529 PECOS PAC ID: 7618224841 Enrollment ID: I20180719001609 |
| Provider Name | Morgan B Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831689538 PECOS PAC ID: 0941559447 Enrollment ID: I20180816001388 |
| Provider Name | Cory D Adrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285123299 PECOS PAC ID: 4183973092 Enrollment ID: I20180824002206 |
| Provider Name | Myles Cullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639673379 PECOS PAC ID: 1759631542 Enrollment ID: I20180828003354 |
| Provider Name | Brittany G James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619463239 PECOS PAC ID: 1254681091 Enrollment ID: I20180829001344 |
| Provider Name | Shiney A George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285008805 PECOS PAC ID: 5698066876 Enrollment ID: I20180904002981 |
| Provider Name | Yetunde Tolulope Oladosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841781770 PECOS PAC ID: 8224388616 Enrollment ID: I20180905003407 |
| Provider Name | Adjoa K Asare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528584794 PECOS PAC ID: 7315298585 Enrollment ID: I20180927000718 |
| Provider Name | Zedeeka A Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073625711 PECOS PAC ID: 5496006462 Enrollment ID: I20181002000400 |
| Provider Name | Cynthia V Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467957308 PECOS PAC ID: 7719238781 Enrollment ID: I20181002000607 |
| Provider Name | Lanea Nicole Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134631047 PECOS PAC ID: 7517219397 Enrollment ID: I20181004002903 |
| Provider Name | Amirah Rimal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801398284 PECOS PAC ID: 9133471709 Enrollment ID: I20181009002521 |
| Provider Name | Riju Chapagain Tiwari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447779830 PECOS PAC ID: 6204188303 Enrollment ID: I20181017001644 |
| Provider Name | Ning Cui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821514621 PECOS PAC ID: 0345594974 Enrollment ID: I20181116000889 |
| Provider Name | Rashmy Thenmadathil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770051641 PECOS PAC ID: 6608110283 Enrollment ID: I20181210000116 |
| Provider Name | Jovan M Randall Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962805952 PECOS PAC ID: 0840591798 Enrollment ID: I20190104001079 |
| Provider Name | Chelsey A Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205292034 PECOS PAC ID: 8224327002 Enrollment ID: I20190109001443 |
| Provider Name | Bianca C Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528533650 PECOS PAC ID: 0840536074 Enrollment ID: I20190109002000 |
| Provider Name | Yvette M Heflin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487155628 PECOS PAC ID: 9335486810 Enrollment ID: I20190122001519 |
| Provider Name | Gina Leonard-ziino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467904607 PECOS PAC ID: 0749528388 Enrollment ID: I20190206002775 |
| Provider Name | Dankenya Mcdavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669805040 PECOS PAC ID: 5092053496 Enrollment ID: I20190211000515 |
| Provider Name | Titilayo Ezeji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235682956 PECOS PAC ID: 7810235231 Enrollment ID: I20190211001393 |
| Provider Name | Brandy N Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770056368 PECOS PAC ID: 1658610373 Enrollment ID: I20190225001270 |
| Provider Name | Lillie Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942740584 PECOS PAC ID: 5092054056 Enrollment ID: I20190308001986 |
| Provider Name | Amy Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861966277 PECOS PAC ID: 7315286267 Enrollment ID: I20190312000143 |
| Provider Name | Vivian Odoemenem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972044824 PECOS PAC ID: 9335481175 Enrollment ID: I20190429000115 |
| Provider Name | Israel Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053974212 PECOS PAC ID: 7012259237 Enrollment ID: I20190508001443 |
| Provider Name | Sandra Franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982164455 PECOS PAC ID: 8527301548 Enrollment ID: I20190515000555 |
| Provider Name | Kathleen E Zeledon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689135808 PECOS PAC ID: 1951644764 Enrollment ID: I20190520000205 |
| Provider Name | Philip P Storey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053614453 PECOS PAC ID: 4183992027 Enrollment ID: I20190618003415 |
| Provider Name | Beverly Oguayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609430412 PECOS PAC ID: 7719211903 Enrollment ID: I20190621000551 |
| Provider Name | Maranda D Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558925230 PECOS PAC ID: 6204161672 Enrollment ID: I20190709000591 |
| Provider Name | Morgan Rowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942853775 PECOS PAC ID: 2769712348 Enrollment ID: I20190924003623 |
| Provider Name | Chelsea Galinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568016780 PECOS PAC ID: 3779813142 Enrollment ID: I20190927000457 |
| Provider Name | William J Remling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346801057 PECOS PAC ID: 5698767101 Enrollment ID: I20190930001544 |
| Provider Name | Melissa P Sauls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063065050 PECOS PAC ID: 1254662240 Enrollment ID: I20191004001859 |
| Provider Name | Asha Suresh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053961888 PECOS PAC ID: 0547592727 Enrollment ID: I20191022001456 |
| Provider Name | Kathleen Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144878232 PECOS PAC ID: 4981936739 Enrollment ID: I20191028000927 |
| Provider Name | Nancy Duong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285115980 PECOS PAC ID: 2567794944 Enrollment ID: I20191105000579 |
| Provider Name | Ayesha Rahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780199745 PECOS PAC ID: 5597198713 Enrollment ID: I20191202002361 |
| Provider Name | Kim Tuyet N Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801396411 PECOS PAC ID: 6406289180 Enrollment ID: I20191211000596 |
| Provider Name | Sandra Okere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104323344 PECOS PAC ID: 4688912892 Enrollment ID: I20191227001791 |
| Provider Name | Kenyatta Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417452889 PECOS PAC ID: 4587098132 Enrollment ID: I20200107002009 |
| Provider Name | Selina Moezali Kadiwal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841837895 PECOS PAC ID: 0749615219 Enrollment ID: I20200113000132 |
| Provider Name | Stephanie Vacianna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063055838 PECOS PAC ID: 8022443431 Enrollment ID: I20200113001870 |
| Provider Name | Sheri Ordonez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144866443 PECOS PAC ID: 2860827599 Enrollment ID: I20200127001267 |
| Provider Name | Mollie M Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861023400 PECOS PAC ID: 1951738913 Enrollment ID: I20200304000563 |
| Provider Name | Crystal Oramadike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063965978 PECOS PAC ID: 9931538824 Enrollment ID: I20200327001406 |
| Provider Name | Hilary Claire Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497252159 PECOS PAC ID: 2769811439 Enrollment ID: I20200331002789 |
| Provider Name | Erane Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003331687 PECOS PAC ID: 1153750872 Enrollment ID: I20200401001352 |
| Provider Name | Prudence Oppong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013550037 PECOS PAC ID: 3971932211 Enrollment ID: I20200407002738 |
| Provider Name | Natorrie D'atra Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730732926 PECOS PAC ID: 8224369335 Enrollment ID: I20200518002019 |
| Provider Name | Tina Kunnel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962037796 PECOS PAC ID: 9638590755 Enrollment ID: I20200528000550 |
| Provider Name | Suvashini Khand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356814222 PECOS PAC ID: 2567883556 Enrollment ID: I20200529000554 |
| Provider Name | Sheeba Manayampilly Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740800036 PECOS PAC ID: 4688095409 Enrollment ID: I20200603002642 |
| Provider Name | Mercy Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730531716 PECOS PAC ID: 0547540429 Enrollment ID: I20200729003711 |
| Provider Name | Ngozi Ugwuoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295297539 PECOS PAC ID: 5395160469 Enrollment ID: I20200806001015 |
| Provider Name | Patrick Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942864764 PECOS PAC ID: 9830514694 Enrollment ID: I20200811000368 |
| Provider Name | Tamika Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003356379 PECOS PAC ID: 9537586292 Enrollment ID: I20200827000330 |
| Provider Name | Johnelle Cooper-lassiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194370668 PECOS PAC ID: 6305263914 Enrollment ID: I20200827002360 |
| Provider Name | Lisa Martins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619326576 PECOS PAC ID: 3678866357 Enrollment ID: I20200831001946 |
| Provider Name | Susan Kinyanjui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881195337 PECOS PAC ID: 6406118116 Enrollment ID: I20200831002419 |
| Provider Name | Obiageli Durousseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538792072 PECOS PAC ID: 3779903380 Enrollment ID: I20201021000720 |
| Provider Name | Ngoc Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629546098 PECOS PAC ID: 8527478882 Enrollment ID: I20201028001139 |
| Provider Name | Stephanie Scales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538779285 PECOS PAC ID: 3375953649 Enrollment ID: I20201028001518 |
| Provider Name | Tiffany Flood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861910382 PECOS PAC ID: 6406289636 Enrollment ID: I20201030000688 |
| Provider Name | Lauren Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083230320 PECOS PAC ID: 5092125963 Enrollment ID: I20201104000408 |
| Provider Name | Samantha Collinsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255989240 PECOS PAC ID: 9931430154 Enrollment ID: I20201109001701 |
| Provider Name | Sheila Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619332756 PECOS PAC ID: 3476857855 Enrollment ID: I20201119002348 |
| Provider Name | Sarah A Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477188373 PECOS PAC ID: 0547671570 Enrollment ID: I20201124001530 |
| Provider Name | Modupe Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245708544 PECOS PAC ID: 6507277266 Enrollment ID: I20201201002717 |
| Provider Name | Hyo Sook Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619589769 PECOS PAC ID: 4183037757 Enrollment ID: I20201229001777 |
| Provider Name | Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598397473 PECOS PAC ID: 0547673832 Enrollment ID: I20210105002341 |
| Provider Name | Sa Phuong Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295356582 PECOS PAC ID: 0648683565 Enrollment ID: I20210113001308 |
| Provider Name | Florence Chinwuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063044048 PECOS PAC ID: 7719904960 Enrollment ID: I20210114001728 |
| Provider Name | Bobbi Foust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477171098 PECOS PAC ID: 5395159016 Enrollment ID: I20210120002662 |
| Provider Name | Lorenzo Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548871031 PECOS PAC ID: 2961816350 Enrollment ID: I20210126002009 |
| Provider Name | Alicia M Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346856408 PECOS PAC ID: 5092129411 Enrollment ID: I20210126003462 |
| Provider Name | Wendy Bockelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376168831 PECOS PAC ID: 0446664890 Enrollment ID: I20210127001154 |
| Provider Name | Jennifer M Boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932715133 PECOS PAC ID: 0840604138 Enrollment ID: I20210127003102 |
| Provider Name | Sumair Sachwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700437795 PECOS PAC ID: 6406260439 Enrollment ID: I20210202001940 |
| Provider Name | Cassaundra C Gerhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114530490 PECOS PAC ID: 8123432119 Enrollment ID: I20210203000780 |
| Provider Name | Adeola Areo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538792015 PECOS PAC ID: 9739594425 Enrollment ID: I20210210000878 |
| Provider Name | Lakshmi Chinthala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689132862 PECOS PAC ID: 1456684646 Enrollment ID: I20210210001447 |
| Provider Name | Biraj Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699386888 PECOS PAC ID: 2163837733 Enrollment ID: I20210211001449 |
| Provider Name | Jana Hardaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235743493 PECOS PAC ID: 1355756750 Enrollment ID: I20210217001428 |
| Provider Name | Jamie Brantley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376186882 PECOS PAC ID: 3072929785 Enrollment ID: I20210304000193 |
| Provider Name | Marsheika Filer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336565852 PECOS PAC ID: 2567685530 Enrollment ID: I20210304001009 |
| Provider Name | Rons Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104431261 PECOS PAC ID: 5294141867 Enrollment ID: I20210305000122 |
| Provider Name | Ellen L Lonsdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376139568 PECOS PAC ID: 9638585086 Enrollment ID: I20210309001999 |
| Provider Name | Avani Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083246540 PECOS PAC ID: 5799192472 Enrollment ID: I20210324002362 |
| Provider Name | Aspara Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770185522 PECOS PAC ID: 4082023247 Enrollment ID: I20210429002426 |
| Provider Name | Xin Peng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245847318 PECOS PAC ID: 9234548413 Enrollment ID: I20210430000059 |
| Provider Name | Rosabel Virginia Zohfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619580974 PECOS PAC ID: 6002225737 Enrollment ID: I20210511000935 |
| Provider Name | Jennifer C Rocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134692916 PECOS PAC ID: 5799194221 Enrollment ID: I20210512002353 |
| Provider Name | Peter Louis Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700352317 PECOS PAC ID: 3476892175 Enrollment ID: I20210526000584 |
| Provider Name | Racquel S Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942630850 PECOS PAC ID: 2466689351 Enrollment ID: I20210614000962 |
| Provider Name | Glory Onuoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558988766 PECOS PAC ID: 2466855226 Enrollment ID: I20210730002220 |
| Provider Name | Polina Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326637877 PECOS PAC ID: 3072928183 Enrollment ID: I20210818001936 |
| Provider Name | Simy Chandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932632866 PECOS PAC ID: 6608143086 Enrollment ID: I20210820001259 |
| Provider Name | Pratibha Paudel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225629033 PECOS PAC ID: 8820493364 Enrollment ID: I20210823001632 |
| Provider Name | Macqualine Triplett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649817784 PECOS PAC ID: 6103221569 Enrollment ID: I20210823002704 |
| Provider Name | Oluwakemi Adewole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073129409 PECOS PAC ID: 0840695078 Enrollment ID: I20210825003062 |
| Provider Name | Anne Kimberly Louangpho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205302544 PECOS PAC ID: 3971909565 Enrollment ID: I20210907003003 |
| Provider Name | Jurane Talam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427609411 PECOS PAC ID: 8820494446 Enrollment ID: I20210908000620 |
| Provider Name | Manju Karki K C |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225645906 PECOS PAC ID: 7012313646 Enrollment ID: I20210908000973 |
| Provider Name | Jaimy J Karimpanamannil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427606888 PECOS PAC ID: 1557768918 Enrollment ID: I20210928000705 |
| Provider Name | Caroline N Marchie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427631373 PECOS PAC ID: 1850799594 Enrollment ID: I20211009000165 |
| Provider Name | Terasheika T Elmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477024404 PECOS PAC ID: 6507197761 Enrollment ID: I20211028002883 |
| Provider Name | Martha F Agada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184119711 PECOS PAC ID: 9739439308 Enrollment ID: I20211105000049 |
| Provider Name | Destiny Cardenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568138279 PECOS PAC ID: 1951790393 Enrollment ID: I20211105001082 |
| Provider Name | Ayesha Ashraf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396413282 PECOS PAC ID: 2668861022 Enrollment ID: I20211105001702 |
| Provider Name | Jikyung Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316376478 PECOS PAC ID: 4183853583 Enrollment ID: I20211108001294 |
| Provider Name | Shanna V Robledo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720664568 PECOS PAC ID: 2264821453 Enrollment ID: I20211109002030 |
| Provider Name | Eva Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083200687 PECOS PAC ID: 5193114312 Enrollment ID: I20211109003348 |
| Provider Name | Daniel P Owens |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750544250 PECOS PAC ID: 7719016039 Enrollment ID: I20211116001872 |
| Provider Name | Edward Chaum |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023075868 PECOS PAC ID: 6406898493 Enrollment ID: I20211118001329 |
| Provider Name | Eyitayo Onayiga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972120574 PECOS PAC ID: 8527457027 Enrollment ID: I20211122001052 |
| Provider Name | Ryan Fuson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427210061 PECOS PAC ID: 3274692819 Enrollment ID: I20211123000154 |
| Provider Name | Lisa Spivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710456629 PECOS PAC ID: 9830589399 Enrollment ID: I20211124001477 |
| Provider Name | Kathleen Forr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245889203 PECOS PAC ID: 8426448770 Enrollment ID: I20211201001056 |
| Provider Name | Kimberly Tope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801562756 PECOS PAC ID: 7113317165 Enrollment ID: I20211206001401 |
| Provider Name | Jasmine Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013681246 PECOS PAC ID: 3476943481 Enrollment ID: I20211207000636 |
| Provider Name | Michael Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649823865 PECOS PAC ID: 2567790447 Enrollment ID: I20211215001734 |
| Provider Name | Olurounke Remi-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821564535 PECOS PAC ID: 4587909254 Enrollment ID: I20211215002693 |
| Provider Name | Sarah M Kiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477118255 PECOS PAC ID: 0941532006 Enrollment ID: I20211216001960 |
| Provider Name | Vicky Jiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649840604 PECOS PAC ID: 5092106351 Enrollment ID: I20211221000155 |
| Provider Name | Diana Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205404316 PECOS PAC ID: 6901297027 Enrollment ID: I20211229000250 |
| Provider Name | Kimberly Jumpp-mehta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962900241 PECOS PAC ID: 4284980806 Enrollment ID: I20211229001567 |
| Provider Name | Amali N Ratnapala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790362531 PECOS PAC ID: 0749671725 Enrollment ID: I20211230000310 |
| Provider Name | Yali Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356005409 PECOS PAC ID: 9638560618 Enrollment ID: I20211230000378 |
| Provider Name | Nirmala Dhungana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053905950 PECOS PAC ID: 2860883881 Enrollment ID: I20211230001962 |
| Provider Name | Gina Morny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316609274 PECOS PAC ID: 1850782707 Enrollment ID: I20220103001624 |
| Provider Name | Analene Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306500020 PECOS PAC ID: 0749672368 Enrollment ID: I20220111002102 |
| Provider Name | Theresa Kieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962836064 PECOS PAC ID: 7618102112 Enrollment ID: I20220112001768 |
| Provider Name | Eliana Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104385889 PECOS PAC ID: 2961894266 Enrollment ID: I20220119000268 |
| Provider Name | Reny Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942844121 PECOS PAC ID: 6507258456 Enrollment ID: I20220126002192 |
| Provider Name | Shania Hussain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720748254 PECOS PAC ID: 2860884673 Enrollment ID: I20220127001544 |
| Provider Name | Chelsea S Witbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689255820 PECOS PAC ID: 6002209780 Enrollment ID: I20220201001137 |
| Provider Name | Elisabeth Hari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881004968 PECOS PAC ID: 1254556699 Enrollment ID: I20220201001302 |
| Provider Name | Natalie Barbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548924962 PECOS PAC ID: 6406249002 Enrollment ID: I20220203000146 |
| Provider Name | Lenita Hinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477948636 PECOS PAC ID: 0648599647 Enrollment ID: I20220203001218 |
| Provider Name | Nhi X Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740942440 PECOS PAC ID: 0244623809 Enrollment ID: I20220203002033 |
| Provider Name | Hajnalka Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992253058 PECOS PAC ID: 5496043432 Enrollment ID: I20220210001442 |
| Provider Name | Audra Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285390583 PECOS PAC ID: 8820481989 Enrollment ID: I20220214000256 |
| Provider Name | Tracy I Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538829395 PECOS PAC ID: 3678967247 Enrollment ID: I20220224000585 |
| Provider Name | Ismelda Serna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851970305 PECOS PAC ID: 2264826858 Enrollment ID: I20220224001340 |
| Provider Name | Margaret Eme Bassey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609435643 PECOS PAC ID: 9537553953 Enrollment ID: I20220301002453 |
| Provider Name | Linda Ndhlovu Gwature |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992202485 PECOS PAC ID: 1456745793 Enrollment ID: I20220302000438 |
| Provider Name | Leonie Hall-james |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114405016 PECOS PAC ID: 4183018468 Enrollment ID: I20220302002208 |
| Provider Name | Tracy Do |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386138774 PECOS PAC ID: 0244624203 Enrollment ID: I20220308002631 |
| Provider Name | Purity Wanguku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396215356 PECOS PAC ID: 5395139364 Enrollment ID: I20220308002854 |
| Provider Name | Doreen Adeeko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588281596 PECOS PAC ID: 2163817198 Enrollment ID: I20220309002743 |
| Provider Name | Jana N Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649941204 PECOS PAC ID: 8022403088 Enrollment ID: I20220310000529 |
| Provider Name | Chinyere Okorie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689914277 PECOS PAC ID: 0446646434 Enrollment ID: I20220330002203 |
| Provider Name | Erin Vinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629554522 PECOS PAC ID: 3375939119 Enrollment ID: I20220405000674 |
| Provider Name | Ame Orzechowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174278121 PECOS PAC ID: 7113313875 Enrollment ID: I20220405002100 |
| Provider Name | Mary Oledibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689156697 PECOS PAC ID: 7810383148 Enrollment ID: I20220413000623 |
| Provider Name | Rocio Reyna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538814389 PECOS PAC ID: 3173919305 Enrollment ID: I20220414002401 |
| Provider Name | Anthony Belmares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508523978 PECOS PAC ID: 3476931957 Enrollment ID: I20220613001540 |
| Provider Name | Vy Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689322760 PECOS PAC ID: 3870972268 Enrollment ID: I20220615000280 |
| Provider Name | Candice R Shipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467943985 PECOS PAC ID: 4082093729 Enrollment ID: I20220627000696 |
| Provider Name | Icelind Gallardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427588797 PECOS PAC ID: 5991187247 Enrollment ID: I20220802003689 |
| Provider Name | Georgina Aka Fomenky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154943686 PECOS PAC ID: 6507240637 Enrollment ID: I20220908001649 |
| Provider Name | Charisma Toyione Garth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083349757 PECOS PAC ID: 2860877461 Enrollment ID: I20220919000718 |
| Provider Name | April S Velasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881116085 PECOS PAC ID: 7618240581 Enrollment ID: I20220920001652 |
| Provider Name | Carrie Crumbley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629701057 PECOS PAC ID: 8628453974 Enrollment ID: I20220922001386 |
| Provider Name | Britney Holton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194335729 PECOS PAC ID: 5395121610 Enrollment ID: I20221010002246 |
| Provider Name | Maureen Kurgat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821674276 PECOS PAC ID: 6204203508 Enrollment ID: I20221028002345 |
| Provider Name | Matthew Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235851817 PECOS PAC ID: 6608243878 Enrollment ID: I20221031002234 |
| Provider Name | Brandon Loftus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255055836 PECOS PAC ID: 1850768557 Enrollment ID: I20221109002953 |
| Provider Name | Adebowale Salako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013580240 PECOS PAC ID: 1759758451 Enrollment ID: I20221109002972 |
| Provider Name | Sheila Agim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508516949 PECOS PAC ID: 5092183384 Enrollment ID: I20221117000490 |
| Provider Name | Chidinma Njoku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770250227 PECOS PAC ID: 4082082375 Enrollment ID: I20221117000523 |
| Provider Name | Afroz Zyaei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497340061 PECOS PAC ID: 8729474390 Enrollment ID: I20221122001547 |
| Provider Name | Erin C Matheny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952993818 PECOS PAC ID: 4789090150 Enrollment ID: I20221209000856 |
| Provider Name | Maribel Abarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639825490 PECOS PAC ID: 2769877323 Enrollment ID: I20221215002225 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508594722 PECOS PAC ID: 8426427329 Enrollment ID: I20221215003139 |
| Provider Name | Holly Jamie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538836374 PECOS PAC ID: 2769852631 Enrollment ID: I20230110003107 |
| Provider Name | Melissa Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437748357 PECOS PAC ID: 4688044407 Enrollment ID: I20230111002801 |
| Provider Name | Crystal George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417526153 PECOS PAC ID: 0345611380 Enrollment ID: I20230130001408 |
| Provider Name | Silvianne Ngueya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154964807 PECOS PAC ID: 3870926272 Enrollment ID: I20230207000445 |
| Provider Name | Ma Fe Talamor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861119729 PECOS PAC ID: 1951773209 Enrollment ID: I20230214002099 |
| Provider Name | Margaret Wooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033821913 PECOS PAC ID: 0941672182 Enrollment ID: I20230215003214 |
| Provider Name | Belinda Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679290936 PECOS PAC ID: 6406220532 Enrollment ID: I20230313001797 |
| Provider Name | Anjana Timalsina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235731159 PECOS PAC ID: 9436523412 Enrollment ID: I20230314001042 |
| Provider Name | Arielle J Granvold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669179784 PECOS PAC ID: 7113391707 Enrollment ID: I20230322001132 |
| Provider Name | Rekha Chacko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821611757 PECOS PAC ID: 0244604775 Enrollment ID: I20230323000278 |
| Provider Name | Salihah Akinretoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386352920 PECOS PAC ID: 0042685141 Enrollment ID: I20230403001367 |
| Provider Name | Katelyn Kretzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568177624 PECOS PAC ID: 7517332398 Enrollment ID: I20230410000248 |
| Provider Name | Allison Mcelroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003515354 PECOS PAC ID: 1759756331 Enrollment ID: I20230413000097 |
| Provider Name | Jose Damian Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447963350 PECOS PAC ID: 9638544190 Enrollment ID: I20230414000597 |
| Provider Name | Uche Ohabughiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477193688 PECOS PAC ID: 1456716679 Enrollment ID: I20230422000116 |
| Provider Name | Jacquilyn Aniscol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851025514 PECOS PAC ID: 2264897057 Enrollment ID: I20230501001282 |
| Provider Name | Samantha Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235830555 PECOS PAC ID: 8921463464 Enrollment ID: I20230504003258 |
| Provider Name | Charmaine Khuu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033826300 PECOS PAC ID: 6204292097 Enrollment ID: I20230522000661 |
| Provider Name | Jackline Lydia Maina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740950369 PECOS PAC ID: 2769878339 Enrollment ID: I20230529000044 |
| Provider Name | Kanisha Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619683018 PECOS PAC ID: 4284091661 Enrollment ID: I20230530001851 |
| Provider Name | Adriene Avripas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790296010 PECOS PAC ID: 4385996677 Enrollment ID: I20230602000879 |
| Provider Name | Andrian Hardwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851093736 PECOS PAC ID: 9335506252 Enrollment ID: I20230608001942 |
| Provider Name | Young Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780399451 PECOS PAC ID: 8729446224 Enrollment ID: I20230615000133 |
| Provider Name | Laura Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083348312 PECOS PAC ID: 8224498720 Enrollment ID: I20230715000449 |
| Provider Name | Diana Blanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558011064 PECOS PAC ID: 4688035462 Enrollment ID: I20230726000930 |
| Provider Name | Shekoufeh Shadpour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144890021 PECOS PAC ID: 7618372715 Enrollment ID: I20230815000063 |
| Provider Name | Lemmishea Crenshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851865810 PECOS PAC ID: 1052773538 Enrollment ID: I20230815003804 |
| Provider Name | Smitha Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649859471 PECOS PAC ID: 4880056035 Enrollment ID: I20230821000130 |
| Provider Name | April Marie Shoults |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417672015 PECOS PAC ID: 6507229523 Enrollment ID: I20230823004658 |
| Provider Name | Mary Yanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548940034 PECOS PAC ID: 6305209875 Enrollment ID: I20230831000187 |
| Provider Name | Sydney Waldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760952873 PECOS PAC ID: 6901142777 Enrollment ID: I20230831000907 |
| Provider Name | Jeremy Vancour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437884731 PECOS PAC ID: 9234506536 Enrollment ID: I20230914003013 |
| Provider Name | Lanh Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164208989 PECOS PAC ID: 5698129468 Enrollment ID: I20230927002688 |
| Provider Name | Michelle Bryan-franklyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982485777 PECOS PAC ID: 1052769148 Enrollment ID: I20231130000712 |
| Provider Name | Crystal Edic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245908060 PECOS PAC ID: 3678922697 Enrollment ID: I20231215000129 |
| Provider Name | Jennifer Matthew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740056407 PECOS PAC ID: 4981056827 Enrollment ID: I20240117000575 |
| Provider Name | Jamia Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801459672 PECOS PAC ID: 1557714714 Enrollment ID: I20240124003217 |
| Provider Name | Paras Seehar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841942455 PECOS PAC ID: 2264875244 Enrollment ID: I20240206004513 |
| Provider Name | Iyesha Gatling |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588123020 PECOS PAC ID: 2567806284 Enrollment ID: I20240221000499 |
| Provider Name | Megan Nicole Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487418471 PECOS PAC ID: 5890131395 Enrollment ID: I20240306003698 |
| Provider Name | Kiara Pegues |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174132500 PECOS PAC ID: 3274930284 Enrollment ID: I20240402002724 |
| Provider Name | Christopher Kempf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033461603 PECOS PAC ID: 1850545625 Enrollment ID: I20240416001780 |
| Provider Name | Deanna Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548032840 PECOS PAC ID: 6507205960 Enrollment ID: I20240417003725 |
| Provider Name | Delarenta Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952979593 PECOS PAC ID: 8527407865 Enrollment ID: I20240418002950 |
| Provider Name | Matthew Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356107551 PECOS PAC ID: 3476995382 Enrollment ID: I20240523001912 |
| Provider Name | Noel H Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447700851 PECOS PAC ID: 5092097162 Enrollment ID: I20240614000611 |
| Provider Name | Taiwo Ajayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114796406 PECOS PAC ID: 6103360243 Enrollment ID: I20240701002189 |
| Provider Name | Roxanne Barragan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730951955 PECOS PAC ID: 6204371529 Enrollment ID: I20240711000696 |
| Provider Name | Woodley Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801557988 PECOS PAC ID: 5991240962 Enrollment ID: I20240715001063 |
| Provider Name | Adejoke Awoleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689042244 PECOS PAC ID: 2567907488 Enrollment ID: I20240715003338 |
| Provider Name | Rosalie Sirianno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417666967 PECOS PAC ID: 2961873310 Enrollment ID: I20240724001252 |
| Provider Name | Grace O Dada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972995199 PECOS PAC ID: 9830496033 Enrollment ID: I20240729001121 |
| Provider Name | Andreiana Bello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275304867 PECOS PAC ID: 4880031970 Enrollment ID: I20240808001728 |
| Provider Name | Ashley Nicole Segovia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346006335 PECOS PAC ID: 8729527205 Enrollment ID: I20240828003478 |
| Provider Name | Lindsey Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922344407 PECOS PAC ID: 6002051596 Enrollment ID: I20240830002968 |
| Provider Name | Lindsay Mulhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295189710 PECOS PAC ID: 6305130618 Enrollment ID: I20240910003325 |
| Provider Name | Obioma Eke-okoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518746940 PECOS PAC ID: 6800246612 Enrollment ID: I20241008003264 |
| Provider Name | Marlene Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598394900 PECOS PAC ID: 4082019245 Enrollment ID: I20241014001954 |
| Provider Name | Jessica Gilliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356932446 PECOS PAC ID: 5991109654 Enrollment ID: I20241031001189 |
| Provider Name | Ranell Renee Earl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407683113 PECOS PAC ID: 2062946536 Enrollment ID: I20241107000462 |
| Provider Name | Joseph Chamness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619424934 PECOS PAC ID: 7618258443 Enrollment ID: I20241107003502 |
| Provider Name | Joseph Isagba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609488147 PECOS PAC ID: 9133539885 Enrollment ID: I20241107003739 |
| Provider Name | Marian Gail Culpepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033818315 PECOS PAC ID: 9931633377 Enrollment ID: I20241107003841 |
| Provider Name | Tiffinie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003369109 PECOS PAC ID: 2264727270 Enrollment ID: I20241108000020 |
| Provider Name | Guadalupe Ivonne Armenta Carrasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780392365 PECOS PAC ID: 2062946387 Enrollment ID: I20241108003514 |
| Provider Name | Leona Sweeting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275245979 PECOS PAC ID: 8628449667 Enrollment ID: I20241127000022 |
| Provider Name | Kathleen Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861027682 PECOS PAC ID: 1456777358 Enrollment ID: I20241204002841 |
| Provider Name | Brittney Afram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750990875 PECOS PAC ID: 0143632661 Enrollment ID: I20241204003673 |
| Provider Name | Hyein Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144005489 PECOS PAC ID: 9234665720 Enrollment ID: I20241206002612 |
| Provider Name | Anna Maria Shute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720702020 PECOS PAC ID: 3476089426 Enrollment ID: I20241213000903 |
| Provider Name | Ciara Lo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881244846 PECOS PAC ID: 3870911357 Enrollment ID: I20241217004614 |
| Provider Name | Tanya Otti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588480354 PECOS PAC ID: 2466528526 Enrollment ID: I20250106000041 |
| Provider Name | Victoria Ofure Idehen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922860121 PECOS PAC ID: 0143758896 Enrollment ID: I20250109001393 |
| Provider Name | Karen Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669883112 PECOS PAC ID: 3779700737 Enrollment ID: I20250121000549 |
| Provider Name | Renee Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588014724 PECOS PAC ID: 6608164140 Enrollment ID: I20250131000312 |
| Provider Name | Crystal L Session |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134857980 PECOS PAC ID: 9436688652 Enrollment ID: I20250131002746 |
| Provider Name | Luz Gomez-casseres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063715654 PECOS PAC ID: 2668658709 Enrollment ID: I20250205002399 |
| Provider Name | Patrice Early |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952001331 PECOS PAC ID: 7012370430 Enrollment ID: I20250213002050 |
| Provider Name | Jill Pressnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538564893 PECOS PAC ID: 9931423019 Enrollment ID: I20250216000026 |
| Provider Name | Chera Marie Plante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063224244 PECOS PAC ID: 3375063290 Enrollment ID: I20250224000068 |
| Provider Name | Manuela Ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417359472 PECOS PAC ID: 2769790815 Enrollment ID: I20250227001215 |
| Provider Name | Chelsea Mansour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801489133 PECOS PAC ID: 2860881653 Enrollment ID: I20250228001497 |
| Provider Name | Jossette Dutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679024731 PECOS PAC ID: 4688958770 Enrollment ID: I20250304000218 |
| Provider Name | Kathleen Simonaitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477119006 PECOS PAC ID: 7416290887 Enrollment ID: I20250304001025 |
| Provider Name | Jaime Zeledon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043666092 PECOS PAC ID: 2466747779 Enrollment ID: I20250305003157 |
| Provider Name | Patricia Anne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144228198 PECOS PAC ID: 3577086867 Enrollment ID: I20250327001419 |
| Provider Name | Lola Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417957051 PECOS PAC ID: 0446250302 Enrollment ID: I20250423000751 |
| Provider Name | Stephanie Mcquarters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598284358 PECOS PAC ID: 0345294955 Enrollment ID: I20250423000777 |
| Provider Name | Lauren Winfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902518137 PECOS PAC ID: 4385017292 Enrollment ID: I20250424001783 |
| Provider Name | Alexey Gomez Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558987792 PECOS PAC ID: 1658780663 Enrollment ID: I20250428002115 |
| Provider Name | Comfort Ighile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184127623 PECOS PAC ID: 2567988991 Enrollment ID: I20250429002567 |
| Provider Name | Heather Martelon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609395052 PECOS PAC ID: 7113281932 Enrollment ID: I20250430000018 |
| Provider Name | Monica Shavon Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538960877 PECOS PAC ID: 5597281543 Enrollment ID: I20250502000848 |
| Provider Name | Jennifer Freeman-jobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013437227 PECOS PAC ID: 1658643614 Enrollment ID: I20250516003041 |
| Provider Name | Lisa Teachnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346597515 PECOS PAC ID: 2668623042 Enrollment ID: I20250520004997 |
| Provider Name | Kelly Lynn Smarkel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093065948 PECOS PAC ID: 0648798751 Enrollment ID: I20250521002666 |
Infinite Potential Counseling, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1000 Gattis School Rd Ste 410, Round Rock, TX 78664 Phone: 512-230-3740 | |
Community Health And Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Chisholm Trail Rd Ste 450, Round Rock, TX 78681 Phone: 512-961-5316 | |
Pietig Counseling And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1311 Chisholm Trl, Ste 301, Round Rock, TX 78681 Phone: 512-799-4875 | |
Counseling Forward, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Rusk Rd, Round Rock, TX 78665 Phone: 832-523-3700 Fax: 737-205-6966 | |
Elevate Metal Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 Joe Dimaggio Blvd Ste 900b, Round Rock, TX 78665 Phone: 512-729-1800 | |
Holistic Solutions Practice, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Joe Dimaggio Blvd Ste 1, Round Rock, TX 78665 Phone: 512-843-2656 | |
Brooke D. Peplinski, Lpc, Ncc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Round Rock West Drive #305, Round Rock, TX 78681 Phone: 262-853-7752 |