| Afc Urgent Care | |
|
3195 Dowlen Rd Ste 105 Beaumont TX 77706 | |
| (409) 860-1888 | |
| (409) 860-4668 |
| Full Name | Afc Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 3195 Dowlen Rd Ste 105, Beaumont, Texas |
| Authorized Official Name and Position | Anisha Mohammad (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Contact | 7136369927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Afc Urgent Care 7322 Southwest Fwy Ste 620 Houston TX 77074-2142 Ph: (713) 636-9927 | Afc Urgent Care 3195 Dowlen Rd Ste 105 Beaumont TX 77706 Ph: (409) 860-1888 |
| NPI Number | 1841525235 |
|---|---|
| Provider Enumeration Date | 10/02/2009 |
| Last Update Date | 05/30/2019 |
| Medicare PECOS PAC ID | 5698816882 |
|---|---|
| Medicare Enrollment ID | O20100114000255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841525235 | NPI | - | NPPES |
| 0A5621 | Other | TX | MEDICARE PART B |
| 374229801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | M6173 (Texas) | Primary |
| Provider Name | William S Burkes |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1609879378 PECOS PAC ID: 2062308869 Enrollment ID: I20040227000165 |
| Provider Name | Irene S Trzupek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447360037 PECOS PAC ID: 1951398858 Enrollment ID: I20040430000259 |
| Provider Name | Andrea R Mcguire |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053592535 PECOS PAC ID: 9739079609 Enrollment ID: I20040430000571 |
| Provider Name | Thomas B Lackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205904174 PECOS PAC ID: 4688662117 Enrollment ID: I20040504000649 |
| Provider Name | Eric D Roberson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801816962 PECOS PAC ID: 9739170499 Enrollment ID: I20040520001363 |
| Provider Name | Gladys a Huertas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700848587 PECOS PAC ID: 2668442971 Enrollment ID: I20040726001212 |
| Provider Name | Eugenio Bacani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376629808 PECOS PAC ID: 6103896790 Enrollment ID: I20040729001621 |
| Provider Name | Nita Israni Singhal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841221249 PECOS PAC ID: 0941279723 Enrollment ID: I20040928001286 |
| Provider Name | David Anthony Ward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215952791 PECOS PAC ID: 2668436858 Enrollment ID: I20041117000530 |
| Provider Name | Gary L Rhame |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417903535 PECOS PAC ID: 0840256327 Enrollment ID: I20041207000094 |
| Provider Name | Vaishali M Vaidya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265594691 PECOS PAC ID: 1951350677 Enrollment ID: I20050119000892 |
| Provider Name | Karen Latrice Lazard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801824602 PECOS PAC ID: 3072563915 Enrollment ID: I20050127000763 |
| Provider Name | Lori Meadors |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073795365 PECOS PAC ID: 2769437714 Enrollment ID: I20050314000263 |
| Provider Name | Michael G Kolcun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124078498 PECOS PAC ID: 1951358159 Enrollment ID: I20050331000076 |
| Provider Name | Sharmae R Kray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346229135 PECOS PAC ID: 3274580584 Enrollment ID: I20050407000808 |
| Provider Name | Frederick J Bebeau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104894997 PECOS PAC ID: 4688614647 Enrollment ID: I20050509001072 |
| Provider Name | Naim B El-aswad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881601920 PECOS PAC ID: 3779510862 Enrollment ID: I20050720000621 |
| Provider Name | Susan Helen Crouch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366539058 PECOS PAC ID: 9931137833 Enrollment ID: I20050802000158 |
| Provider Name | Ha T B Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174531560 PECOS PAC ID: 1557391422 Enrollment ID: I20050819000637 |
| Provider Name | Natascha T Dow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346286192 PECOS PAC ID: 9133144652 Enrollment ID: I20051013000133 |
| Provider Name | Deborah a Calaris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811086283 PECOS PAC ID: 3072582501 Enrollment ID: I20060109000281 |
| Provider Name | Hany Samir Abd-el Malek |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457397978 PECOS PAC ID: 1355357450 Enrollment ID: I20060227000719 |
| Provider Name | Alina M Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689606857 PECOS PAC ID: 4587668553 Enrollment ID: I20060905000516 |
| Provider Name | Renee Y Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932144037 PECOS PAC ID: 1759389638 Enrollment ID: I20061201000511 |
| Provider Name | Mickey Viator |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487697892 PECOS PAC ID: 0648282111 Enrollment ID: I20070226000434 |
| Provider Name | Kwame Adu-gyamfi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689755985 PECOS PAC ID: 9335241942 Enrollment ID: I20070228000726 |
| Provider Name | Omar Abdus Samee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831174077 PECOS PAC ID: 7719084797 Enrollment ID: I20070529000061 |
| Provider Name | Kelly Sue Lock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003828575 PECOS PAC ID: 5294623716 Enrollment ID: I20070612000683 |
| Provider Name | Paula M Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174574859 PECOS PAC ID: 5597858043 Enrollment ID: I20070829000737 |
| Provider Name | Kathryn Deshotels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275618274 PECOS PAC ID: 2860586625 Enrollment ID: I20070924000716 |
| Provider Name | Hilari Berklund |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376650705 PECOS PAC ID: 4587750468 Enrollment ID: I20071024000072 |
| Provider Name | Kristy D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982624029 PECOS PAC ID: 4880784032 Enrollment ID: I20071212000406 |
| Provider Name | Ivy J Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699981936 PECOS PAC ID: 8921188988 Enrollment ID: I20080103000031 |
| Provider Name | Annalysa H Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235118035 PECOS PAC ID: 0840246740 Enrollment ID: I20080303000358 |
| Provider Name | Elisabeth Diane Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023297652 PECOS PAC ID: 0244317642 Enrollment ID: I20080409000714 |
| Provider Name | Alberto a Gonzalez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265627186 PECOS PAC ID: 1052484409 Enrollment ID: I20080718000318 |
| Provider Name | Rachelle N Silverthorn Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114170107 PECOS PAC ID: 1951466465 Enrollment ID: I20090217000589 |
| Provider Name | Elizabeth W Fomby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306805783 PECOS PAC ID: 5193872646 Enrollment ID: I20090420000623 |
| Provider Name | Lukisha Willett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437357159 PECOS PAC ID: 6103974035 Enrollment ID: I20090504000487 |
| Provider Name | Rolinda L Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326144452 PECOS PAC ID: 3274684055 Enrollment ID: I20090708000346 |
| Provider Name | Lars Thestrup |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962558304 PECOS PAC ID: 4880788256 Enrollment ID: I20090805000460 |
| Provider Name | Shannon C Bolinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780840264 PECOS PAC ID: 8527104918 Enrollment ID: I20091015000562 |
| Provider Name | Heather a Lene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588997340 PECOS PAC ID: 2567509912 Enrollment ID: I20091016000555 |
| Provider Name | Christopher G Stanfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710025663 PECOS PAC ID: 8628118551 Enrollment ID: I20091228000076 |
| Provider Name | Stephen L Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750513131 PECOS PAC ID: 5799828448 Enrollment ID: I20100203000883 |
| Provider Name | Julio a Mothelet-perez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245270669 PECOS PAC ID: 0749239945 Enrollment ID: I20100513000131 |
| Provider Name | Rebekah R Rick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538115753 PECOS PAC ID: 4789626466 Enrollment ID: I20100719000497 |
| Provider Name | Sheila B Chervil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992825368 PECOS PAC ID: 7719032978 Enrollment ID: I20100729000090 |
| Provider Name | Marrie B Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407967961 PECOS PAC ID: 8224153457 Enrollment ID: I20100913000047 |
| Provider Name | Mark E Hennessy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194784728 PECOS PAC ID: 5890886832 Enrollment ID: I20110131000943 |
| Provider Name | Jorge a Zuniga |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235355330 PECOS PAC ID: 2062587660 Enrollment ID: I20110421000580 |
| Provider Name | Adam J Klaff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578607172 PECOS PAC ID: 2062697287 Enrollment ID: I20110503000087 |
| Provider Name | Timothy a La Voy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285625129 PECOS PAC ID: 4385605146 Enrollment ID: I20110509000718 |
| Provider Name | Sarah Z Reber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396044798 PECOS PAC ID: 7719164706 Enrollment ID: I20110531000085 |
| Provider Name | Lauren B Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245521293 PECOS PAC ID: 9537347935 Enrollment ID: I20110708000132 |
| Provider Name | Ali M Bajwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659536852 PECOS PAC ID: 7719019330 Enrollment ID: I20111205000458 |
| Provider Name | Roman Jules Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396039673 PECOS PAC ID: 5597922468 Enrollment ID: I20120203000444 |
| Provider Name | Jennifer C Phelan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972876142 PECOS PAC ID: 8325209273 Enrollment ID: I20120419000713 |
| Provider Name | Tinh a Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265579296 PECOS PAC ID: 2163451386 Enrollment ID: I20120516000134 |
| Provider Name | Nick C Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861491847 PECOS PAC ID: 4284652389 Enrollment ID: I20120524000669 |
| Provider Name | Doffou J Choho |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134486749 PECOS PAC ID: 9234395153 Enrollment ID: I20120723000176 |
| Provider Name | Tara B Deville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104184845 PECOS PAC ID: 3971759689 Enrollment ID: I20120813000556 |
| Provider Name | Richard a Denny |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083687735 PECOS PAC ID: 5991951394 Enrollment ID: I20120816000700 |
| Provider Name | Steven Goldhoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467782284 PECOS PAC ID: 7719133180 Enrollment ID: I20120820000277 |
| Provider Name | Lewis N Debarge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831448612 PECOS PAC ID: 5092963793 Enrollment ID: I20120921000794 |
| Provider Name | Ryun M Summers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275859944 PECOS PAC ID: 6204085509 Enrollment ID: I20121002000196 |
| Provider Name | Katherine S Demeritt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093852048 PECOS PAC ID: 5395811129 Enrollment ID: I20121004000553 |
| Provider Name | Felicia D Boutte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205146081 PECOS PAC ID: 3375793227 Enrollment ID: I20121030000440 |
| Provider Name | Marcy O Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184976748 PECOS PAC ID: 3870743602 Enrollment ID: I20121101000136 |
| Provider Name | Ashley Maraffa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710231360 PECOS PAC ID: 6800049768 Enrollment ID: I20130102000115 |
| Provider Name | Angela Demel Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568719391 PECOS PAC ID: 9234382029 Enrollment ID: I20130103000026 |
| Provider Name | Carrie D Culp Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316281017 PECOS PAC ID: 8022261437 Enrollment ID: I20130116000097 |
| Provider Name | Simone O Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740526011 PECOS PAC ID: 7214180462 Enrollment ID: I20130122000026 |
| Provider Name | Brendan a Dunlap |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336493055 PECOS PAC ID: 3173777844 Enrollment ID: I20130205000040 |
| Provider Name | Siomara C Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386980464 PECOS PAC ID: 6103062336 Enrollment ID: I20130415000006 |
| Provider Name | Chelsea L Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740543628 PECOS PAC ID: 0143466961 Enrollment ID: I20130424000572 |
| Provider Name | Lorraine S Go |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679811673 PECOS PAC ID: 5799922795 Enrollment ID: I20130511000014 |
| Provider Name | Sheree N Johnson-street |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730426859 PECOS PAC ID: 4183861909 Enrollment ID: I20130514000602 |
| Provider Name | Hena Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174676118 PECOS PAC ID: 2062694474 Enrollment ID: I20130520000117 |
| Provider Name | Jenny L Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487096194 PECOS PAC ID: 0648414839 Enrollment ID: I20130909000648 |
| Provider Name | Stella Ada-ihuoma Ndukwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811286941 PECOS PAC ID: 9133148372 Enrollment ID: I20131214000061 |
| Provider Name | Karen Marie Henderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376876979 PECOS PAC ID: 4587707203 Enrollment ID: I20140210001308 |
| Provider Name | Gertrude Wandaka Asena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871922781 PECOS PAC ID: 5193954170 Enrollment ID: I20140218000084 |
| Provider Name | Adam H Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114204716 PECOS PAC ID: 0042443483 Enrollment ID: I20140509000169 |
| Provider Name | Wendy M Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659797249 PECOS PAC ID: 6103040084 Enrollment ID: I20140616001320 |
| Provider Name | Donna Ignacio Vasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154333169 PECOS PAC ID: 5496759136 Enrollment ID: I20140617002051 |
| Provider Name | Angela Waggoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659794451 PECOS PAC ID: 3173748126 Enrollment ID: I20140707000828 |
| Provider Name | Amber N Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073955837 PECOS PAC ID: 8325263288 Enrollment ID: I20140709000464 |
| Provider Name | Tracie M Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811240765 PECOS PAC ID: 0941426720 Enrollment ID: I20140731001120 |
| Provider Name | Mary V Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649682139 PECOS PAC ID: 7517187594 Enrollment ID: I20140926000421 |
| Provider Name | Edward W Nwaboh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720418965 PECOS PAC ID: 8022238831 Enrollment ID: I20140930000138 |
| Provider Name | Vanessa Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194005173 PECOS PAC ID: 9931320090 Enrollment ID: I20141015001050 |
| Provider Name | Alondra G Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457645806 PECOS PAC ID: 9931327301 Enrollment ID: I20141208000582 |
| Provider Name | Hermanjeet S Grewal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871881300 PECOS PAC ID: 3678799004 Enrollment ID: I20141216000943 |
| Provider Name | William Derrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477958049 PECOS PAC ID: 2961725585 Enrollment ID: I20150106000863 |
| Provider Name | Akram Mirdamadiha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992135909 PECOS PAC ID: 9739403817 Enrollment ID: I20150120001553 |
| Provider Name | Dipen Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134277155 PECOS PAC ID: 5698837060 Enrollment ID: I20150129002543 |
| Provider Name | Syed N Hasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265534465 PECOS PAC ID: 7113922071 Enrollment ID: I20150204001546 |
| Provider Name | Muhammad Ashraf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639577471 PECOS PAC ID: 1254656796 Enrollment ID: I20150204002016 |
| Provider Name | Serena M Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275953382 PECOS PAC ID: 0446575435 Enrollment ID: I20150216000763 |
| Provider Name | Mark a Barber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629092036 PECOS PAC ID: 6608786686 Enrollment ID: I20150226001904 |
| Provider Name | Anoop Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346517141 PECOS PAC ID: 1951528660 Enrollment ID: I20150331001925 |
| Provider Name | Sylvain Nitcheu Tientcheu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346632239 PECOS PAC ID: 8729306733 Enrollment ID: I20150422001623 |
| Provider Name | Russell D Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649663295 PECOS PAC ID: 0042531865 Enrollment ID: I20150605000206 |
| Provider Name | Abelardo Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528471976 PECOS PAC ID: 6204147028 Enrollment ID: I20150622000413 |
| Provider Name | Davita a Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740672419 PECOS PAC ID: 8325193592 Enrollment ID: I20150624000419 |
| Provider Name | Peter O Amokeodo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619363009 PECOS PAC ID: 1658683941 Enrollment ID: I20150629002399 |
| Provider Name | Douglas J Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437260213 PECOS PAC ID: 7113917311 Enrollment ID: I20150630000808 |
| Provider Name | Yvette Monique Jeanlouis-hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821496951 PECOS PAC ID: 5193037331 Enrollment ID: I20150701000992 |
| Provider Name | Joe D Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174915375 PECOS PAC ID: 3375855406 Enrollment ID: I20150702001215 |
| Provider Name | Brandi B Baez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023400645 PECOS PAC ID: 7315259264 Enrollment ID: I20150706002640 |
| Provider Name | Faiza Baig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689078370 PECOS PAC ID: 8224343447 Enrollment ID: I20150818004118 |
| Provider Name | Jessica D Opoku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356737449 PECOS PAC ID: 8628383585 Enrollment ID: I20150820012152 |
| Provider Name | Araceli Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326426198 PECOS PAC ID: 7012224702 Enrollment ID: I20150912000248 |
| Provider Name | Tianxiang Zhang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134400930 PECOS PAC ID: 6800067554 Enrollment ID: I20150916001689 |
| Provider Name | Beverly a Prejean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184961856 PECOS PAC ID: 7911149729 Enrollment ID: I20150922002690 |
| Provider Name | Abigail O Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710353487 PECOS PAC ID: 7911215637 Enrollment ID: I20150930000721 |
| Provider Name | Umer Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538421557 PECOS PAC ID: 5395973770 Enrollment ID: I20151030001750 |
| Provider Name | Roya Saemian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558764472 PECOS PAC ID: 4688984701 Enrollment ID: I20151102001924 |
| Provider Name | Tiyashi Choudhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235497132 PECOS PAC ID: 7517277940 Enrollment ID: I20151113001686 |
| Provider Name | Stephen Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245352756 PECOS PAC ID: 1557661550 Enrollment ID: I20151124000072 |
| Provider Name | Karina Ivett Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245595420 PECOS PAC ID: 0244530079 Enrollment ID: I20151201001892 |
| Provider Name | Scott E Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497897748 PECOS PAC ID: 5496070708 Enrollment ID: I20160107000934 |
| Provider Name | Ebele Ngozi Comfort Owo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811379191 PECOS PAC ID: 1355645334 Enrollment ID: I20160211002074 |
| Provider Name | Hanna Eadeh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083850176 PECOS PAC ID: 9436337508 Enrollment ID: I20160212000787 |
| Provider Name | Candis Elaine Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679957385 PECOS PAC ID: 4385949510 Enrollment ID: I20160225000614 |
| Provider Name | Odette T Kourouma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134525868 PECOS PAC ID: 3577868611 Enrollment ID: I20160226001214 |
| Provider Name | Iaan S Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912364670 PECOS PAC ID: 6406152784 Enrollment ID: I20160314000163 |
| Provider Name | Trent C Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336506187 PECOS PAC ID: 4587960745 Enrollment ID: I20160315000278 |
| Provider Name | Ashley Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093183147 PECOS PAC ID: 0345546305 Enrollment ID: I20160317000632 |
| Provider Name | Sharon Obrero Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306233697 PECOS PAC ID: 0244537306 Enrollment ID: I20160405000964 |
| Provider Name | Rekha Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679964431 PECOS PAC ID: 0143520809 Enrollment ID: I20160412000502 |
| Provider Name | Waylon Bergeron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306209721 PECOS PAC ID: 5799084000 Enrollment ID: I20160506001976 |
| Provider Name | Robin Isaacks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699008672 PECOS PAC ID: 9032255070 Enrollment ID: I20160517001836 |
| Provider Name | Sumera Muzaffar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346478419 PECOS PAC ID: 2961791447 Enrollment ID: I20160523002539 |
| Provider Name | Reagin L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326409301 PECOS PAC ID: 8426349853 Enrollment ID: I20160615001326 |
| Provider Name | Samiat O Telufusi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881042448 PECOS PAC ID: 2062704430 Enrollment ID: I20160705000752 |
| Provider Name | Stephanie Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710348107 PECOS PAC ID: 8123310901 Enrollment ID: I20160714002380 |
| Provider Name | Ashley N Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649631672 PECOS PAC ID: 5395038483 Enrollment ID: I20160727001020 |
| Provider Name | Kevin R Tavangarian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760822886 PECOS PAC ID: 1153615471 Enrollment ID: I20160810000251 |
| Provider Name | Brittaney Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184076259 PECOS PAC ID: 3971891698 Enrollment ID: I20161013000199 |
| Provider Name | Myoshi Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386038099 PECOS PAC ID: 0941517189 Enrollment ID: I20161015000151 |
| Provider Name | Seema R Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225584642 PECOS PAC ID: 5395033716 Enrollment ID: I20161018000178 |
| Provider Name | Jennifer D Effler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235457631 PECOS PAC ID: 8729277710 Enrollment ID: I20161021001145 |
| Provider Name | Nida Chhotani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508121682 PECOS PAC ID: 6406096593 Enrollment ID: I20161027001599 |
| Provider Name | Donald P Marion |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972999498 PECOS PAC ID: 4284913583 Enrollment ID: I20161109000444 |
| Provider Name | Caryn M Mosier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922468370 PECOS PAC ID: 4385923242 Enrollment ID: I20161116002145 |
| Provider Name | Gina L Santangelo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134599368 PECOS PAC ID: 3173812294 Enrollment ID: I20161122000704 |
| Provider Name | Gloria I Ijie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811346729 PECOS PAC ID: 3971883067 Enrollment ID: I20161207000663 |
| Provider Name | Lorenzo F Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013351204 PECOS PAC ID: 9830479781 Enrollment ID: I20161210000100 |
| Provider Name | Catherine G Worley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467906602 PECOS PAC ID: 5092097477 Enrollment ID: I20170119000945 |
| Provider Name | Kassey Burney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457809949 PECOS PAC ID: 5799068334 Enrollment ID: I20170206002793 |
| Provider Name | Andrea O Ammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699217620 PECOS PAC ID: 4789967191 Enrollment ID: I20170209001431 |
| Provider Name | Krystal M Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841641255 PECOS PAC ID: 2365726775 Enrollment ID: I20170303000250 |
| Provider Name | Cristina G Mallari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992046361 PECOS PAC ID: 9133403199 Enrollment ID: I20170313000083 |
| Provider Name | Mechelle Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942672241 PECOS PAC ID: 0244515625 Enrollment ID: I20170327002417 |
| Provider Name | Whitney Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659810315 PECOS PAC ID: 7416232673 Enrollment ID: I20170330001727 |
| Provider Name | Shauntel E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730629387 PECOS PAC ID: 6901182302 Enrollment ID: I20170420000368 |
| Provider Name | Rachael Stanton Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124567185 PECOS PAC ID: 3274819453 Enrollment ID: I20170425001055 |
| Provider Name | Brianna N Walrafen Rinaldi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053846477 PECOS PAC ID: 9133406762 Enrollment ID: I20170508001431 |
| Provider Name | Ashley Mayfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982148219 PECOS PAC ID: 8325325822 Enrollment ID: I20170511000073 |
| Provider Name | Leann Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174057939 PECOS PAC ID: 5193092948 Enrollment ID: I20170525002456 |
| Provider Name | David J Fisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619387834 PECOS PAC ID: 8123396777 Enrollment ID: I20170622002205 |
| Provider Name | Trevor P Stephens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841614229 PECOS PAC ID: 7113220013 Enrollment ID: I20170627001207 |
| Provider Name | Jennifer Tata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548662976 PECOS PAC ID: 2264704758 Enrollment ID: I20170817003011 |
| Provider Name | Shannon Lynn Havens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144740416 PECOS PAC ID: 5597030122 Enrollment ID: I20171009001236 |
| Provider Name | Cassandra C Eneremadu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013453711 PECOS PAC ID: 1557637717 Enrollment ID: I20171017000479 |
| Provider Name | Lacheria D Vanburen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790221919 PECOS PAC ID: 4981960804 Enrollment ID: I20171109001885 |
| Provider Name | Laquinta Diane Metoyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336521277 PECOS PAC ID: 4880909365 Enrollment ID: I20171113000642 |
| Provider Name | Anupa Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871017582 PECOS PAC ID: 8022380872 Enrollment ID: I20171114000275 |
| Provider Name | Sharde Angelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831619014 PECOS PAC ID: 1153687645 Enrollment ID: I20171116001542 |
| Provider Name | Danielle Fernald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033622493 PECOS PAC ID: 0648536037 Enrollment ID: I20171120000229 |
| Provider Name | Maher Chehab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699294728 PECOS PAC ID: 6406113604 Enrollment ID: I20171127000304 |
| Provider Name | Joshua M Hiser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558711788 PECOS PAC ID: 3678830825 Enrollment ID: I20171127002025 |
| Provider Name | Nick Bryant G Villegas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669926879 PECOS PAC ID: 0042577736 Enrollment ID: I20171205002937 |
| Provider Name | Parvin Shomalzadeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538607056 PECOS PAC ID: 0648544577 Enrollment ID: I20180129001099 |
| Provider Name | Kimberley J Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114467982 PECOS PAC ID: 3173883782 Enrollment ID: I20180130001625 |
| Provider Name | Julane Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588181218 PECOS PAC ID: 7416217781 Enrollment ID: I20180206000102 |
| Provider Name | Ruth Akani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356792568 PECOS PAC ID: 7719247766 Enrollment ID: I20180212002282 |
| Provider Name | Erica Orozco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922511724 PECOS PAC ID: 2567723372 Enrollment ID: I20180219000710 |
| Provider Name | Jhoanne Christine D Elevazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831641737 PECOS PAC ID: 4789945379 Enrollment ID: I20180222000483 |
| Provider Name | Karin Marie Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609219096 PECOS PAC ID: 4486892544 Enrollment ID: I20180228000382 |
| Provider Name | Stacy E Cook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770827628 PECOS PAC ID: 5193086536 Enrollment ID: I20180228001726 |
| Provider Name | Jimmy Don Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518496744 PECOS PAC ID: 9537421391 Enrollment ID: I20180315001428 |
| Provider Name | Shannon Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447767819 PECOS PAC ID: 8921360223 Enrollment ID: I20180327000543 |
| Provider Name | Phillip Martin Bellan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467448712 PECOS PAC ID: 8628331279 Enrollment ID: I20180411002885 |
| Provider Name | Natalie Renee Mcelhany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932659000 PECOS PAC ID: 6406136068 Enrollment ID: I20180424001930 |
| Provider Name | Elissa Michelle Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922507599 PECOS PAC ID: 1456615467 Enrollment ID: I20180427000846 |
| Provider Name | Marni G Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891797304 PECOS PAC ID: 3678558525 Enrollment ID: I20180507000548 |
| Provider Name | Brian M Karst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710483490 PECOS PAC ID: 1052675519 Enrollment ID: I20180509000592 |
| Provider Name | Peter A. Kwayu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013406503 PECOS PAC ID: 0244595338 Enrollment ID: I20180518001785 |
| Provider Name | Manoj Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083117667 PECOS PAC ID: 7214292119 Enrollment ID: I20180524000693 |
| Provider Name | Ruth Ngindu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003321688 PECOS PAC ID: 2860757556 Enrollment ID: I20180530001675 |
| Provider Name | Hoda Obando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629567714 PECOS PAC ID: 5496010845 Enrollment ID: I20180606000118 |
| Provider Name | Sharell C Marlitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235631656 PECOS PAC ID: 8123373305 Enrollment ID: I20180611002579 |
| Provider Name | Katherine Marie Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275030751 PECOS PAC ID: 3577818202 Enrollment ID: I20180620001157 |
| Provider Name | Michelle V Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639533854 PECOS PAC ID: 5092063172 Enrollment ID: I20180806002797 |
| Provider Name | Robert Bui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477957330 PECOS PAC ID: 1557619376 Enrollment ID: I20180809005268 |
| Provider Name | Odalis Lizeth Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245742758 PECOS PAC ID: 6103174982 Enrollment ID: I20180810000951 |
| Provider Name | Chelsea E Harrott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780186361 PECOS PAC ID: 2961750641 Enrollment ID: I20180813002433 |
| Provider Name | Donna Spoerle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417433087 PECOS PAC ID: 3375893324 Enrollment ID: I20180912001986 |
| Provider Name | Jenelle Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841777000 PECOS PAC ID: 8022369990 Enrollment ID: I20180918000079 |
| Provider Name | Jose Anselmo Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376032102 PECOS PAC ID: 9234480658 Enrollment ID: I20180925001417 |
| Provider Name | Zedeeka a Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073625711 PECOS PAC ID: 5496006462 Enrollment ID: I20181002000400 |
| Provider Name | Bonnie B Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043737646 PECOS PAC ID: 8325390313 Enrollment ID: I20181002001685 |
| Provider Name | Patricia a Savage-alsbrooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578041885 PECOS PAC ID: 8527310135 Enrollment ID: I20181010000377 |
| Provider Name | Kaimera Lacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316393739 PECOS PAC ID: 9335421312 Enrollment ID: I20181015001807 |
| Provider Name | Toni Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538619655 PECOS PAC ID: 2264786573 Enrollment ID: I20181126000669 |
| Provider Name | Corey Paul Devillier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659848943 PECOS PAC ID: 2860736147 Enrollment ID: I20181128001552 |
| Provider Name | Robert Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518336056 PECOS PAC ID: 3274879754 Enrollment ID: I20190104002106 |
| Provider Name | Gerardo Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063933760 PECOS PAC ID: 3577809722 Enrollment ID: I20190109002817 |
| Provider Name | Michael D Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437457249 PECOS PAC ID: 8325287519 Enrollment ID: I20190125001823 |
| Provider Name | Marquita Casely-hayford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649663105 PECOS PAC ID: 6305121377 Enrollment ID: I20190205000387 |
| Provider Name | Jigisha Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891950770 PECOS PAC ID: 5294901187 Enrollment ID: I20190226001531 |
| Provider Name | Jeanna Marie Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457819286 PECOS PAC ID: 1052652781 Enrollment ID: I20190408000501 |
| Provider Name | Kimberly Michelle Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427578947 PECOS PAC ID: 4981946068 Enrollment ID: I20190422002200 |
| Provider Name | Rukiya Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861975401 PECOS PAC ID: 9335481001 Enrollment ID: I20190429001652 |
| Provider Name | Stephanie M Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750863734 PECOS PAC ID: 8820330400 Enrollment ID: I20190501000334 |
| Provider Name | Amini Gamilah Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194289355 PECOS PAC ID: 6800138371 Enrollment ID: I20190502001325 |
| Provider Name | Ana Licona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861926289 PECOS PAC ID: 6406198928 Enrollment ID: I20190503000251 |
| Provider Name | Brenda Karst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992270532 PECOS PAC ID: 1153664248 Enrollment ID: I20190513000426 |
| Provider Name | Mckenna Marie Breiner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679043897 PECOS PAC ID: 9739422148 Enrollment ID: I20190528000401 |
| Provider Name | Amanda Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528563848 PECOS PAC ID: 3375876360 Enrollment ID: I20190606000157 |
| Provider Name | Elizabeth B Condit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295200475 PECOS PAC ID: 9638402324 Enrollment ID: I20190612001448 |
| Provider Name | Katrina N Menissy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174002893 PECOS PAC ID: 1052602091 Enrollment ID: I20190618001833 |
| Provider Name | Bobby Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174189732 PECOS PAC ID: 9739413501 Enrollment ID: I20190627002064 |
| Provider Name | Alena a Sarabia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952897951 PECOS PAC ID: 0941535876 Enrollment ID: I20190715000698 |
| Provider Name | Ashley Wooderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528537859 PECOS PAC ID: 4880922640 Enrollment ID: I20190819001832 |
| Provider Name | Rajani Pathak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992277131 PECOS PAC ID: 6507194610 Enrollment ID: I20190828001232 |
| Provider Name | Evelyn George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295399772 PECOS PAC ID: 1153659099 Enrollment ID: I20190829003793 |
| Provider Name | Dennis Jason Carlson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093846016 PECOS PAC ID: 5597075523 Enrollment ID: I20190911001296 |
| Provider Name | Daniel Pinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124551270 PECOS PAC ID: 5991035362 Enrollment ID: I20190927000295 |
| Provider Name | Chelsea Galinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568016780 PECOS PAC ID: 3779813142 Enrollment ID: I20190927000457 |
| Provider Name | Sheila Esparza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316502073 PECOS PAC ID: 2365773298 Enrollment ID: I20191008001666 |
| Provider Name | Kenyatta Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417452889 PECOS PAC ID: 4587098132 Enrollment ID: I20200107002009 |
| Provider Name | Yaoska Miranda-rosales |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306303441 PECOS PAC ID: 3072948660 Enrollment ID: I20200108000678 |
| Provider Name | Aimee G Lavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245882877 PECOS PAC ID: 6204261704 Enrollment ID: I20200110000096 |
| Provider Name | Chinwe J Ekweariri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629552336 PECOS PAC ID: 9830524909 Enrollment ID: I20200117001057 |
| Provider Name | Roland T Glenister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649763541 PECOS PAC ID: 9436406642 Enrollment ID: I20200123000442 |
| Provider Name | Sherry L Stern |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104933852 PECOS PAC ID: 5294731428 Enrollment ID: I20200129000774 |
| Provider Name | Cassandra Flores Carmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073153136 PECOS PAC ID: 2961839568 Enrollment ID: I20200220001005 |
| Provider Name | Lakisha Whittaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053723981 PECOS PAC ID: 9436378528 Enrollment ID: I20200313000320 |
| Provider Name | Marlena Roman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235799149 PECOS PAC ID: 6507294030 Enrollment ID: I20200317000987 |
| Provider Name | Natasha Berkowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871057661 PECOS PAC ID: 2062841752 Enrollment ID: I20200331003804 |
| Provider Name | Guillermo M Macias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013547231 PECOS PAC ID: 8820138217 Enrollment ID: I20200409002211 |
| Provider Name | Kenyon J Isaacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588178610 PECOS PAC ID: 7416387238 Enrollment ID: I20200420000655 |
| Provider Name | Kelly Ann Waldvogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023668803 PECOS PAC ID: 8820428592 Enrollment ID: I20200420002930 |
| Provider Name | Dionnedra Northern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184183634 PECOS PAC ID: 7012347735 Enrollment ID: I20200421002007 |
| Provider Name | Tini T Isaac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699250233 PECOS PAC ID: 0648601765 Enrollment ID: I20200505002095 |
| Provider Name | Kaitlin B Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740752245 PECOS PAC ID: 9931520657 Enrollment ID: I20200605000547 |
| Provider Name | Tinamarie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679985881 PECOS PAC ID: 2163745944 Enrollment ID: I20200610001075 |
| Provider Name | Jessica Oxnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750932703 PECOS PAC ID: 1951723659 Enrollment ID: I20200625002916 |
| Provider Name | Timothy Bui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255829511 PECOS PAC ID: 7012330103 Enrollment ID: I20200708001063 |
| Provider Name | Mohammad Aimal Khoaja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851832257 PECOS PAC ID: 5597181883 Enrollment ID: I20200818000440 |
| Provider Name | Eddy Alecia Love Lavalais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619512001 PECOS PAC ID: 6709203649 Enrollment ID: I20200824003089 |
| Provider Name | Cynthia M Mcpherson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497802359 PECOS PAC ID: 3971803958 Enrollment ID: I20200825000275 |
| Provider Name | Erin Veronie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588198758 PECOS PAC ID: 1456624154 Enrollment ID: I20200908000408 |
| Provider Name | Stefanie Rao Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982215315 PECOS PAC ID: 5799105797 Enrollment ID: I20201013001695 |
| Provider Name | Andrea Randazzo Kummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902419880 PECOS PAC ID: 2668892589 Enrollment ID: I20201015000039 |
| Provider Name | Velda Ann Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164031472 PECOS PAC ID: 6507286119 Enrollment ID: I20201021000701 |
| Provider Name | Gregory Joseph Coates |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184187304 PECOS PAC ID: 9436582509 Enrollment ID: I20201027003535 |
| Provider Name | Shajjia Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164027579 PECOS PAC ID: 1951713130 Enrollment ID: I20201211000883 |
| Provider Name | Kevin Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801410238 PECOS PAC ID: 0244642163 Enrollment ID: I20201218000159 |
| Provider Name | Kyle Kettle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861092504 PECOS PAC ID: 8123431400 Enrollment ID: I20210105002089 |
| Provider Name | Talin Cusato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013544550 PECOS PAC ID: 3072923713 Enrollment ID: I20210111000232 |
| Provider Name | Keagan Glyn Mouret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265082358 PECOS PAC ID: 6507270493 Enrollment ID: I20210204002378 |
| Provider Name | Kenneth B Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952878811 PECOS PAC ID: 0941543128 Enrollment ID: I20210210002686 |
| Provider Name | Diamond T Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912544602 PECOS PAC ID: 0749695666 Enrollment ID: I20210226000398 |
| Provider Name | Damian Carrillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124553672 PECOS PAC ID: 3476969940 Enrollment ID: I20210308001855 |
| Provider Name | Sigi Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033623616 PECOS PAC ID: 6800202961 Enrollment ID: I20210316000150 |
| Provider Name | Jubril O Aderibigbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861025272 PECOS PAC ID: 8022425859 Enrollment ID: I20210323002407 |
| Provider Name | Michael K Brandon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679108104 PECOS PAC ID: 0345659553 Enrollment ID: I20210429000166 |
| Provider Name | Busayo B Aregbesola |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568040970 PECOS PAC ID: 7012326275 Enrollment ID: I20210429002269 |
| Provider Name | Adelanke I Chris-rotimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205454956 PECOS PAC ID: 7416143078 Enrollment ID: I20210430000692 |
| Provider Name | Alexandra Ciccone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982244398 PECOS PAC ID: 7113355926 Enrollment ID: I20210517002339 |
| Provider Name | Lauren Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891303129 PECOS PAC ID: 6709285984 Enrollment ID: I20210519002384 |
| Provider Name | Elizabeth Lynn Barrett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568973782 PECOS PAC ID: 8426457276 Enrollment ID: I20210527000116 |
| Provider Name | Abigail Christine Bessire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881203982 PECOS PAC ID: 3274932678 Enrollment ID: I20210603003108 |
| Provider Name | Dorothy Webb Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740270008 PECOS PAC ID: 9335163062 Enrollment ID: I20210608001128 |
| Provider Name | Christian Ramsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205429479 PECOS PAC ID: 8022410513 Enrollment ID: I20210706003580 |
| Provider Name | Blanca I Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770164311 PECOS PAC ID: 4486057502 Enrollment ID: I20210728000095 |
| Provider Name | Renee Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730688979 PECOS PAC ID: 0840551123 Enrollment ID: I20210803000241 |
| Provider Name | Yasmin Jawer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992336580 PECOS PAC ID: 7416352166 Enrollment ID: I20210819000088 |
| Provider Name | Lauren D Jarr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194391615 PECOS PAC ID: 9436554094 Enrollment ID: I20210819000756 |
| Provider Name | Taraneh Baesmat |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467030486 PECOS PAC ID: 1355744160 Enrollment ID: I20210826001349 |
| Provider Name | Adam Jaynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154875441 PECOS PAC ID: 4082010087 Enrollment ID: I20210830003127 |
| Provider Name | Humaira Farukh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306460316 PECOS PAC ID: 5193121598 Enrollment ID: I20210910000558 |
| Provider Name | Bryan David Earle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669075388 PECOS PAC ID: 8527464890 Enrollment ID: I20210913000519 |
| Provider Name | Betty Adankwah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942760855 PECOS PAC ID: 8820322506 Enrollment ID: I20210921004007 |
| Provider Name | Candice Elizabeth Parrack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992343420 PECOS PAC ID: 8123425824 Enrollment ID: I20210922003494 |
| Provider Name | Hannah D Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245897131 PECOS PAC ID: 0244560944 Enrollment ID: I20210928002026 |
| Provider Name | Timothy Nall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376114132 PECOS PAC ID: 0547667875 Enrollment ID: I20211012002020 |
| Provider Name | Jerin S Mathew |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922776251 PECOS PAC ID: 1153729462 Enrollment ID: I20211015002772 |
| Provider Name | Lura Jean O Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861950388 PECOS PAC ID: 6901136746 Enrollment ID: I20211104000170 |
| Provider Name | Cheryl NP Spell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447808373 PECOS PAC ID: 6204263890 Enrollment ID: I20211105001501 |
| Provider Name | Femin a Cheru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861169724 PECOS PAC ID: 2668861030 Enrollment ID: I20211105002206 |
| Provider Name | Eva Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083200687 PECOS PAC ID: 5193114312 Enrollment ID: I20211109003348 |
| Provider Name | Jill Sarah Rowland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659800449 PECOS PAC ID: 9436548294 Enrollment ID: I20211116002658 |
| Provider Name | Taylor Andrew Sheneman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154916039 PECOS PAC ID: 9032508809 Enrollment ID: I20211116003302 |
| Provider Name | Elysia Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265092662 PECOS PAC ID: 3779972369 Enrollment ID: I20211122000340 |
| Provider Name | Tracy Ann Strown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023646718 PECOS PAC ID: 1052701570 Enrollment ID: I20211124000008 |
| Provider Name | Sarah Cloughly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053721142 PECOS PAC ID: 2466764824 Enrollment ID: I20211129002402 |
| Provider Name | Albert Juarez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689950891 PECOS PAC ID: 4082004205 Enrollment ID: I20211202001427 |
| Provider Name | Elizabeth Nyawira Kimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255913489 PECOS PAC ID: 8527458355 Enrollment ID: I20211209000555 |
| Provider Name | Linda L Hablitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255528303 PECOS PAC ID: 9234225558 Enrollment ID: I20211211000047 |
| Provider Name | Kamisha Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457013567 PECOS PAC ID: 3375934904 Enrollment ID: I20211215001671 |
| Provider Name | Eunice Olufunke Ayansola Owoade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417550773 PECOS PAC ID: 4486045374 Enrollment ID: I20220104001184 |
| Provider Name | Kellie King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245707090 PECOS PAC ID: 6800135955 Enrollment ID: I20220124002492 |
| Provider Name | Selam M Limennih |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497418503 PECOS PAC ID: 7214320068 Enrollment ID: I20220131001869 |
| Provider Name | Margaret Bassey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609435643 PECOS PAC ID: 9537553953 Enrollment ID: I20220301002453 |
| Provider Name | Ahmad Asadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447899497 PECOS PAC ID: 7012302797 Enrollment ID: I20220316000066 |
| Provider Name | Christy Lee Moosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871071472 PECOS PAC ID: 6608260351 Enrollment ID: I20220404000179 |
| Provider Name | Robena Lewars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427719442 PECOS PAC ID: 3577958511 Enrollment ID: I20220405000399 |
| Provider Name | Kiley Payne Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528642238 PECOS PAC ID: 1951797216 Enrollment ID: I20220413002287 |
| Provider Name | Harouna Pare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598101248 PECOS PAC ID: 7719374537 Enrollment ID: I20220426002505 |
| Provider Name | Bailiegh R Wolf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649923806 PECOS PAC ID: 4880071067 Enrollment ID: I20220509000923 |
| Provider Name | Stefanie Krejci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366046328 PECOS PAC ID: 7113304379 Enrollment ID: I20220510001313 |
| Provider Name | Sydnee a Ramsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972151306 PECOS PAC ID: 3779960612 Enrollment ID: I20220516002184 |
| Provider Name | Colleen Kuhr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407513146 PECOS PAC ID: 3375920192 Enrollment ID: I20220517002872 |
| Provider Name | Angela Christine Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215689815 PECOS PAC ID: 6901283357 Enrollment ID: I20220524002491 |
| Provider Name | Sheryl Yvette Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528531704 PECOS PAC ID: 1254718620 Enrollment ID: I20220525000124 |
| Provider Name | Anna C Morse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982354304 PECOS PAC ID: 4789062092 Enrollment ID: I20220527000452 |
| Provider Name | Olanrewaju Omobola Olurode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396304390 PECOS PAC ID: 8426387812 Enrollment ID: I20220531000440 |
| Provider Name | Amy Michelle Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659922862 PECOS PAC ID: 3072992429 Enrollment ID: I20220615002553 |
| Provider Name | Lyndsey a Gonzalez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457949737 PECOS PAC ID: 8921487018 Enrollment ID: I20220621000483 |
| Provider Name | Ashley Nicole Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043985328 PECOS PAC ID: 3173904463 Enrollment ID: I20220718002761 |
| Provider Name | James R Knodell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609510460 PECOS PAC ID: 3678954849 Enrollment ID: I20220719002542 |
| Provider Name | Samantha L Kubiak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336884014 PECOS PAC ID: 3375925092 Enrollment ID: I20220727003618 |
| Provider Name | Jessica I Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528725819 PECOS PAC ID: 8729461637 Enrollment ID: I20220810000526 |
| Provider Name | Stephanie Marie Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114665320 PECOS PAC ID: 9739563065 Enrollment ID: I20220906000073 |
| Provider Name | Bushra Mahmood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114654456 PECOS PAC ID: 8224413380 Enrollment ID: I20220910000401 |
| Provider Name | Elewechi Aka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639549801 PECOS PAC ID: 9436442209 Enrollment ID: I20220914001376 |
| Provider Name | Tiesha Deloach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790360568 PECOS PAC ID: 9032594619 Enrollment ID: I20220919000308 |
| Provider Name | Shanice Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689276396 PECOS PAC ID: 6709274509 Enrollment ID: I20221103001699 |
| Provider Name | David Benjamin Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417626631 PECOS PAC ID: 3577931914 Enrollment ID: I20221116001634 |
| Provider Name | Adolf Malik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013369420 PECOS PAC ID: 8325329550 Enrollment ID: I20221201001553 |
| Provider Name | Abimbola B Obi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801385810 PECOS PAC ID: 0446629976 Enrollment ID: I20221206000590 |
| Provider Name | Oluwatoyin Grace Ukinamemen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730807892 PECOS PAC ID: 8426427683 Enrollment ID: I20221209000574 |
| Provider Name | Saeeda Sultana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861035958 PECOS PAC ID: 3375959844 Enrollment ID: I20221215001348 |
| Provider Name | Lauren Ashley Konjoyan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558083329 PECOS PAC ID: 8820469216 Enrollment ID: I20230123001024 |
| Provider Name | Alex Haslam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962133686 PECOS PAC ID: 7911378062 Enrollment ID: I20230127000594 |
| Provider Name | Heather Mansker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255894796 PECOS PAC ID: 8224400130 Enrollment ID: I20230202000203 |
| Provider Name | Laura Holland Giubbini |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114635422 PECOS PAC ID: 1951773308 Enrollment ID: I20230210001455 |
| Provider Name | Jedida Wanyoike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134843188 PECOS PAC ID: 5698147841 Enrollment ID: I20230216000383 |
| Provider Name | Vandrikha Wint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356825277 PECOS PAC ID: 5395117048 Enrollment ID: I20230216000477 |
| Provider Name | Jessica Alviti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659047769 PECOS PAC ID: 2668844721 Enrollment ID: I20230217002745 |
| Provider Name | Kendall Denese Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174279640 PECOS PAC ID: 1850764853 Enrollment ID: I20230222000480 |
| Provider Name | Kyle Garrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093472524 PECOS PAC ID: 6406229343 Enrollment ID: I20230223003096 |
| Provider Name | Christopher James Beavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457092108 PECOS PAC ID: 8022481324 Enrollment ID: I20230308000482 |
| Provider Name | Manuel Lazaro Falcon Valdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821713017 PECOS PAC ID: 5395119176 Enrollment ID: I20230317000650 |
| Provider Name | Nina D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861015331 PECOS PAC ID: 4385018134 Enrollment ID: I20230320000561 |
| Provider Name | Bandana Nepal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972242980 PECOS PAC ID: 4082089941 Enrollment ID: I20230405002857 |
| Provider Name | Keven Faust |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811530397 PECOS PAC ID: 4789049099 Enrollment ID: I20230420000399 |
| Provider Name | Kafayat Adigun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659996817 PECOS PAC ID: 7517322662 Enrollment ID: I20230425002486 |
| Provider Name | Maya Thao Ngo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447861240 PECOS PAC ID: 4981069036 Enrollment ID: I20230425002879 |
| Provider Name | Yamila Casas Lay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306556006 PECOS PAC ID: 1658736681 Enrollment ID: I20230427000141 |
| Provider Name | Rommel Cativo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427685932 PECOS PAC ID: 6608231592 Enrollment ID: I20230427003053 |
| Provider Name | Sharon Denise Grush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962846220 PECOS PAC ID: 4688062987 Enrollment ID: I20230508002490 |
| Provider Name | Santina Elizabeth Mastoris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992224547 PECOS PAC ID: 3375800402 Enrollment ID: I20230515001301 |
| Provider Name | Uyiosa Osawaru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134885882 PECOS PAC ID: 4486010436 Enrollment ID: I20230517000015 |
| Provider Name | Yordanis Camejo Barrios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174225833 PECOS PAC ID: 7214393701 Enrollment ID: I20230525003524 |
| Provider Name | Aleen Elsaadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669973038 PECOS PAC ID: 3476910829 Enrollment ID: I20230531001179 |
| Provider Name | Sylena Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992370381 PECOS PAC ID: 4981007366 Enrollment ID: I20230614002017 |
| Provider Name | Elora D Pliska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609316371 PECOS PAC ID: 2062810971 Enrollment ID: I20230621000016 |
| Provider Name | Yilian Romero Muniz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184092207 PECOS PAC ID: 6507224276 Enrollment ID: I20230628001347 |
| Provider Name | Guerlyne Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245683747 PECOS PAC ID: 5092094557 Enrollment ID: I20230705000111 |
| Provider Name | Alphine Tuitoek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750964169 PECOS PAC ID: 6002275906 Enrollment ID: I20230711001113 |
| Provider Name | Christina Menelas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871074344 PECOS PAC ID: 7719222413 Enrollment ID: I20230807002436 |
| Provider Name | Loise U Ekwem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053892240 PECOS PAC ID: 8729440474 Enrollment ID: I20230814001156 |
| Provider Name | Josphine Njuhi Kamau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710565775 PECOS PAC ID: 2769845783 Enrollment ID: I20230823004736 |
| Provider Name | Aya Elsaadi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013687474 PECOS PAC ID: 3678936010 Enrollment ID: I20230831003674 |
| Provider Name | Jessica Elizondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992456578 PECOS PAC ID: 1850745613 Enrollment ID: I20230927002315 |
| Provider Name | Elvis Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902445497 PECOS PAC ID: 0244684041 Enrollment ID: I20230927004130 |
| Provider Name | Norlan Montano Coto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104512029 PECOS PAC ID: 5395199830 Enrollment ID: I20231002002872 |
| Provider Name | Rita Sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902441421 PECOS PAC ID: 3577917970 Enrollment ID: I20231003001930 |
| Provider Name | Marissa L Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902536527 PECOS PAC ID: 8729433586 Enrollment ID: I20231013001491 |
| Provider Name | Temitope Macdowald Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962965996 PECOS PAC ID: 7911143417 Enrollment ID: I20231017003079 |
| Provider Name | Robert Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154000586 PECOS PAC ID: 9335596824 Enrollment ID: I20231106000027 |
| Provider Name | Danitra B Glasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104415439 PECOS PAC ID: 6406203975 Enrollment ID: I20231106003179 |
| Provider Name | Ginger Lee Coburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396526125 PECOS PAC ID: 1951758978 Enrollment ID: I20231114000666 |
| Provider Name | Emily Elise Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356037261 PECOS PAC ID: 3870940703 Enrollment ID: I20231114001527 |
| Provider Name | Nasrin Habibolahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659095537 PECOS PAC ID: 6305293119 Enrollment ID: I20231115001780 |
| Provider Name | Anahita Jafari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528849163 PECOS PAC ID: 6507213378 Enrollment ID: I20231116000326 |
| Provider Name | Justin Ryan Nickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750167086 PECOS PAC ID: 5294183604 Enrollment ID: I20231126000086 |
| Provider Name | Gretta Alexandra Lacouture |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356129712 PECOS PAC ID: 0749638922 Enrollment ID: I20231128003704 |
| Provider Name | Shelley a Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104459106 PECOS PAC ID: 3173971223 Enrollment ID: I20231129002976 |
| Provider Name | Safa Muhammad Ali |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598546962 PECOS PAC ID: 1658721238 Enrollment ID: I20231221003947 |
| Provider Name | Amy Elizabeth Craigen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124895214 PECOS PAC ID: 4880045558 Enrollment ID: I20240106000048 |
| Provider Name | Tyra Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285334201 PECOS PAC ID: 9739531351 Enrollment ID: I20240119001071 |
| Provider Name | Christopher Agatep |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497347173 PECOS PAC ID: 8921441940 Enrollment ID: I20240207000672 |
| Provider Name | Kafilat Shobajo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609544162 PECOS PAC ID: 0749687887 Enrollment ID: I20240209001679 |
| Provider Name | Susan Laws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275246043 PECOS PAC ID: 4587037494 Enrollment ID: I20240212004180 |
| Provider Name | Lissette Diaz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669027769 PECOS PAC ID: 6608235106 Enrollment ID: I20240213004132 |
| Provider Name | Shahzadi Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205593928 PECOS PAC ID: 9537503396 Enrollment ID: I20240220002579 |
| Provider Name | Vivek Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356069975 PECOS PAC ID: 0446694079 Enrollment ID: I20240221004479 |
| Provider Name | Sarra Elizabeth Allsopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285343384 PECOS PAC ID: 7517301047 Enrollment ID: I20240222003661 |
| Provider Name | Joshua David Hilliard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053011478 PECOS PAC ID: 3678918877 Enrollment ID: I20240227004479 |
| Provider Name | Cynthia Yulo Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972281079 PECOS PAC ID: 3375989593 Enrollment ID: I20240311002418 |
| Provider Name | Lara Lauter Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952918245 PECOS PAC ID: 3870887284 Enrollment ID: I20240401003388 |
| Provider Name | Catherine Glassman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245999127 PECOS PAC ID: 3779960976 Enrollment ID: I20240410004149 |
| Provider Name | Yamileth C Benitez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205535960 PECOS PAC ID: 4486094158 Enrollment ID: I20240429000623 |
| Provider Name | Nicole Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902656713 PECOS PAC ID: 5193165736 Enrollment ID: I20240430003734 |
| Provider Name | Veronica Riojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730946575 PECOS PAC ID: 5496195695 Enrollment ID: I20240506001132 |
| Provider Name | Maria Koumbias |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952032542 PECOS PAC ID: 7012357106 Enrollment ID: I20240507001485 |
| Provider Name | Jodi Lynn Sherve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255825253 PECOS PAC ID: 1557613577 Enrollment ID: I20240514002879 |
| Provider Name | Ashlene Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073103594 PECOS PAC ID: 5991169377 Enrollment ID: I20240520003093 |
| Provider Name | Zainab Tahir Javed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932959509 PECOS PAC ID: 3274975545 Enrollment ID: I20240531002683 |
| Provider Name | Mojgan Pedram |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124749577 PECOS PAC ID: 1658746276 Enrollment ID: I20240604004243 |
| Provider Name | Juan a Sanchez Flores |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306488200 PECOS PAC ID: 0840734307 Enrollment ID: I20240626001212 |
| Provider Name | Anisa Na Bahja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083360259 PECOS PAC ID: 2163967522 Enrollment ID: I20240710003511 |
| Provider Name | Ashley Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417705476 PECOS PAC ID: 5395280671 Enrollment ID: I20240710004828 |
| Provider Name | Clara I Odili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669217964 PECOS PAC ID: 6305382532 Enrollment ID: I20240724003007 |
| Provider Name | Jing Yang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376132167 PECOS PAC ID: 2365857737 Enrollment ID: I20240806001843 |
| Provider Name | Rose Marie Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831952100 PECOS PAC ID: 9234678145 Enrollment ID: I20240823000068 |
| Provider Name | Clementine Bi Fokam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558920165 PECOS PAC ID: 0244770220 Enrollment ID: I20240904004713 |
| Provider Name | Kellie Pike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578221917 PECOS PAC ID: 3577942218 Enrollment ID: I20240924003499 |
| Provider Name | Emily Holcomb Spires |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669940052 PECOS PAC ID: 4486195997 Enrollment ID: I20240924004747 |
| Provider Name | Talor Alli Hampton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457127128 PECOS PAC ID: 1052852399 Enrollment ID: I20240926001053 |
| Provider Name | Suzanna Kyulule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356985063 PECOS PAC ID: 0648605428 Enrollment ID: I20241010004114 |
| Provider Name | Joshunda Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689195174 PECOS PAC ID: 4183036502 Enrollment ID: I20241023000069 |
| Provider Name | Breley Kapri Webb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821821489 PECOS PAC ID: 5597299602 Enrollment ID: I20241112003896 |
| Provider Name | Myrna Crystal Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932851375 PECOS PAC ID: 1052845013 Enrollment ID: I20241113002012 |
| Provider Name | Shelique C Bailey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770127995 PECOS PAC ID: 8628459617 Enrollment ID: I20241120001203 |
| Provider Name | Jorden K Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336978303 PECOS PAC ID: 7810423613 Enrollment ID: I20241203003761 |
| Provider Name | Bayli Tyie Luke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225863137 PECOS PAC ID: 5496281180 Enrollment ID: I20241204003494 |
| Provider Name | Abigail Duncan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194549816 PECOS PAC ID: 2264967348 Enrollment ID: I20241204003805 |
| Provider Name | Vivian Jasmine Conroy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033827647 PECOS PAC ID: 9234590290 Enrollment ID: I20241216002131 |
| Provider Name | Mustak Mansur Momin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124142609 PECOS PAC ID: 4880121755 Enrollment ID: I20241217003048 |
| Provider Name | Saul Rodriguez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962235663 PECOS PAC ID: 7214464056 Enrollment ID: I20241218001730 |
| Provider Name | Osnay Isasi Gazmuri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407692015 PECOS PAC ID: 8527595925 Enrollment ID: I20241226000338 |
| Provider Name | Caroline Elise Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013610898 PECOS PAC ID: 0547790727 Enrollment ID: I20250204002507 |
| Provider Name | Nora Deibler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215742390 PECOS PAC ID: 6709300833 Enrollment ID: I20250409003646 |
| Provider Name | Alyssa K Palacios |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396476057 PECOS PAC ID: 3971027806 Enrollment ID: I20250411002363 |
| Provider Name | Alexandrya Garza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053028589 PECOS PAC ID: 7315462041 Enrollment ID: I20250415004041 |
| Provider Name | Zaine Robert Dugan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760007355 PECOS PAC ID: 8123543709 Enrollment ID: I20250416000774 |
| Provider Name | Adeisha Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477261253 PECOS PAC ID: 1658897582 Enrollment ID: I20250423003915 |
| Provider Name | Kiesa Ann Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376362137 PECOS PAC ID: 6608394200 Enrollment ID: I20250518000024 |
| Provider Name | Emojefe Akajagbor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649737297 PECOS PAC ID: 5496086514 Enrollment ID: I20250520002324 |
| Provider Name | Shaundralyn a Matlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487459889 PECOS PAC ID: 6507377140 Enrollment ID: I20250619000996 |
| Provider Name | Octavia T Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457967812 PECOS PAC ID: 3173934114 Enrollment ID: I20250710002812 |
| Provider Name | Leah Marie Holladay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710686530 PECOS PAC ID: 6204344377 Enrollment ID: I20250731004780 |
| Provider Name | Amber Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073317335 PECOS PAC ID: 0648776435 Enrollment ID: I20251001000819 |
| Provider Name | Nanita Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770716912 PECOS PAC ID: 2466598438 Enrollment ID: I20251205002367 |
| Provider Name | Amber Lalani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932980067 PECOS PAC ID: 7810481454 Enrollment ID: I20251211001174 |
| Provider Name | Sugandha Tijoriwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730831918 PECOS PAC ID: 9537530928 Enrollment ID: I20251212001538 |
| Provider Name | Ashley Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932951480 PECOS PAC ID: 7214413962 Enrollment ID: I20260112003799 |
| Provider Name | Trang Hoang Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629957931 PECOS PAC ID: 2567949100 Enrollment ID: I20260126000101 |
| Provider Name | Karla Alejandro Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992676696 PECOS PAC ID: 5496233744 Enrollment ID: I20260129000816 |
| Provider Name | Sheree Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992246938 PECOS PAC ID: 7810264959 Enrollment ID: I20260303003591 |
| Provider Name | Yusnalky Ferreiro Licor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083208300 PECOS PAC ID: 4789159484 Enrollment ID: I20260410000100 |
| Provider Name | Erin Ann Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568301844 PECOS PAC ID: 8820563422 Enrollment ID: I20260411000043 |
| Provider Name | Jessica Woodhead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710872114 PECOS PAC ID: 7618489832 Enrollment ID: I20260519002887 |
Shama P Quraishi MD PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2342 Dowlen Rd Ste 102, Beaumont, TX 77706 Phone: 409-832-7195 Fax: 409-832-8199 |
Rhg of Texas PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2010 Dowlen Rd, Beaumont, TX 77706 Phone: 615-672-7122 |
Preventive Medicine of Southeast Texas, LLP Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5875 N Major Dr, Beaumont, TX 77713 Phone: 409-892-2262 Fax: 409-899-8475 |
Kandaswamy Jayaraj MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3030 North St, #310, Beaumont, TX 77702 Phone: 409-892-2111 Fax: 409-892-2173 |
Daro Health and Wellness Clinic PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6442 Concord Rd, Beaumont, TX 77708 Phone: 409-757-8282 Fax: 409-757-8439 |
Legacy Community Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2965 Harrison St Ste 320, Beaumont, TX 77702 Phone: 409-899-1360 Fax: 713-523-4897 |