| Avance Care, PA | |
|
400 Attain St Ste 202 Fuquay Varina NC 27526-2776 | |
| (919) 655-1000 | |
| (919) 655-1001 |
| Full Name | Avance Care, PA |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Attain St Ste 202, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Amanda R Steventon (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 9843778675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avance Care, PA 4705 University Dr Bldg 700 Durham NC 27707-3489 Ph: (919) 237-1337 | Avance Care, PA 400 Attain St Ste 202 Fuquay Varina NC 27526-2776 Ph: (919) 655-1000 |
| NPI Number | 1487845020 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 08/17/2026 |
| Certification Date | 08/17/2026 |
| Medicare PECOS PAC ID | 3577634476 |
|---|---|
| Medicare Enrollment ID | O20080620000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487845020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Bhavna P Vaidya Tank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316992639 PECOS PAC ID: 9830178375 Enrollment ID: I20040717000125 |
| Provider Name | Susan H Catchings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679520969 PECOS PAC ID: 9537136148 Enrollment ID: I20040927000431 |
| Provider Name | Ashwin a Patkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376627265 PECOS PAC ID: 1951364066 Enrollment ID: I20041110000065 |
| Provider Name | Stephenie V Brinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578616132 PECOS PAC ID: 2163486010 Enrollment ID: I20041119000162 |
| Provider Name | Latonja Mack Ivery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699824607 PECOS PAC ID: 9830156538 Enrollment ID: I20041214000974 |
| Provider Name | Schquthia F Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720182421 PECOS PAC ID: 0143287037 Enrollment ID: I20041215000836 |
| Provider Name | Rebecca P Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760478358 PECOS PAC ID: 8527011030 Enrollment ID: I20050224000602 |
| Provider Name | Rhett L Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942235031 PECOS PAC ID: 2961421441 Enrollment ID: I20051114000915 |
| Provider Name | Alexandra F Fitzgerald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932258993 PECOS PAC ID: 4688694086 Enrollment ID: I20051130000617 |
| Provider Name | Mary F Knox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043273550 PECOS PAC ID: 4587671656 Enrollment ID: I20060314000724 |
| Provider Name | Robert a Millet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134168347 PECOS PAC ID: 2365454592 Enrollment ID: I20060706000376 |
| Provider Name | Eugene Daniel Farrug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245265149 PECOS PAC ID: 2264431865 Enrollment ID: I20061208000294 |
| Provider Name | David M Marks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760499933 PECOS PAC ID: 1951302249 Enrollment ID: I20070130000231 |
| Provider Name | Mohan M Chilukuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407951882 PECOS PAC ID: 0446354310 Enrollment ID: I20070402000738 |
| Provider Name | Timothy J Finn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447324819 PECOS PAC ID: 2769581230 Enrollment ID: I20070625000217 |
| Provider Name | Debra Jo Witkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588681944 PECOS PAC ID: 9234230392 Enrollment ID: I20070719000731 |
| Provider Name | Donna Jo Whitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295955268 PECOS PAC ID: 3072609395 Enrollment ID: I20071018000323 |
| Provider Name | Timothy P Kelley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679654057 PECOS PAC ID: 1658330949 Enrollment ID: I20071213000238 |
| Provider Name | John C Rounds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407820749 PECOS PAC ID: 4587605142 Enrollment ID: I20080207000196 |
| Provider Name | Felicia L Levine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326102187 PECOS PAC ID: 0840373858 Enrollment ID: I20080214000292 |
| Provider Name | Hita D Abrams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972789477 PECOS PAC ID: 6709960552 Enrollment ID: I20080303000733 |
| Provider Name | Mary J Mcninch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730362104 PECOS PAC ID: 9032297130 Enrollment ID: I20080415000234 |
| Provider Name | Martin E English |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770508855 PECOS PAC ID: 9133207418 Enrollment ID: I20080428000327 |
| Provider Name | Jeffrey Charles Hutchings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689703829 PECOS PAC ID: 8527132349 Enrollment ID: I20080728000660 |
| Provider Name | Feyisayo a Adeyina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649277757 PECOS PAC ID: 6406921923 Enrollment ID: I20080819000209 |
| Provider Name | Louise Metz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861588642 PECOS PAC ID: 8022080860 Enrollment ID: I20080905000606 |
| Provider Name | Amanda C Neal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669660312 PECOS PAC ID: 4385707066 Enrollment ID: I20090106000705 |
| Provider Name | Amy E Gonzales |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881831972 PECOS PAC ID: 6406904127 Enrollment ID: I20090506000191 |
| Provider Name | Steven T Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528290665 PECOS PAC ID: 3779639455 Enrollment ID: I20090922000325 |
| Provider Name | Daniel N Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700845062 PECOS PAC ID: 2769524024 Enrollment ID: I20100125000479 |
| Provider Name | Joseph W Bruckert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306993019 PECOS PAC ID: 5092806265 Enrollment ID: I20100730000146 |
| Provider Name | Jennifer Susanne Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780896589 PECOS PAC ID: 8224161609 Enrollment ID: I20100805000527 |
| Provider Name | Corey W Musselman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497802193 PECOS PAC ID: 9739270901 Enrollment ID: I20100807000061 |
| Provider Name | Doris M Nicolas-mir |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376855759 PECOS PAC ID: 0042344533 Enrollment ID: I20100819000531 |
| Provider Name | David N Thies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366462210 PECOS PAC ID: 7517041635 Enrollment ID: I20100823000298 |
| Provider Name | Emmett F Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356337646 PECOS PAC ID: 8820078736 Enrollment ID: I20100826000378 |
| Provider Name | Ayesha S Nasir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215109509 PECOS PAC ID: 2769506153 Enrollment ID: I20100908000536 |
| Provider Name | Debra a Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285892588 PECOS PAC ID: 5092908111 Enrollment ID: I20101021000981 |
| Provider Name | Leona a Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114931607 PECOS PAC ID: 0244212470 Enrollment ID: I20110315000689 |
| Provider Name | Hoa Quynh Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942508767 PECOS PAC ID: 9133304231 Enrollment ID: I20110505000542 |
| Provider Name | Heather S Parker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871885210 PECOS PAC ID: 6608052154 Enrollment ID: I20110517000618 |
| Provider Name | Elizabeth C Rains |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992825764 PECOS PAC ID: 6709064447 Enrollment ID: I20110628000085 |
| Provider Name | Craig J White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104800622 PECOS PAC ID: 1355321332 Enrollment ID: I20110908001746 |
| Provider Name | Sarah Woodruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295982866 PECOS PAC ID: 2466625082 Enrollment ID: I20111026000965 |
| Provider Name | Brenda Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184748816 PECOS PAC ID: 3971779968 Enrollment ID: I20111221000462 |
| Provider Name | Kimberly Stabingas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457637282 PECOS PAC ID: 2769658921 Enrollment ID: I20120110000549 |
| Provider Name | Amy G Hird |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992874143 PECOS PAC ID: 0446419212 Enrollment ID: I20120314000412 |
| Provider Name | Kristy Marie Su |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134435449 PECOS PAC ID: 9234390329 Enrollment ID: I20120417000662 |
| Provider Name | Edwin L Houng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124256748 PECOS PAC ID: 1355597964 Enrollment ID: I20120815000327 |
| Provider Name | Stephanie J Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083855951 PECOS PAC ID: 2062655434 Enrollment ID: I20130904000451 |
| Provider Name | David Stephen Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225353477 PECOS PAC ID: 7012141286 Enrollment ID: I20131002000425 |
| Provider Name | Eric J Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154666576 PECOS PAC ID: 6002045804 Enrollment ID: I20140127000583 |
| Provider Name | Genevieve Noel Brauning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467644021 PECOS PAC ID: 0648403709 Enrollment ID: I20140425001814 |
| Provider Name | Anne C Herron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023234937 PECOS PAC ID: 9638396088 Enrollment ID: I20140808001631 |
| Provider Name | Mustafa M Husain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396707154 PECOS PAC ID: 3678608056 Enrollment ID: I20141003000480 |
| Provider Name | Philippe I Bulauitan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609168988 PECOS PAC ID: 3476781840 Enrollment ID: I20141018000042 |
| Provider Name | Gabriela Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568787778 PECOS PAC ID: 1759502610 Enrollment ID: I20141020000635 |
| Provider Name | Amanda Haynes Paschall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881022788 PECOS PAC ID: 0749502730 Enrollment ID: I20141202000891 |
| Provider Name | Tracy N Yellin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437405024 PECOS PAC ID: 5890010706 Enrollment ID: I20150218000901 |
| Provider Name | Deborah a Stoia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477896942 PECOS PAC ID: 2264659077 Enrollment ID: I20150219001553 |
| Provider Name | Jennifer Leigh Erickson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962825745 PECOS PAC ID: 3577793496 Enrollment ID: I20150317001383 |
| Provider Name | Brian Alan Lancer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609155829 PECOS PAC ID: 9830343276 Enrollment ID: I20150423001419 |
| Provider Name | Daniel Jeffrey Hauschild |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619928728 PECOS PAC ID: 2860681293 Enrollment ID: I20150618000335 |
| Provider Name | Nicole S Deschenes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316214489 PECOS PAC ID: 6608001268 Enrollment ID: I20160712002526 |
| Provider Name | Kasey Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912382540 PECOS PAC ID: 4587950738 Enrollment ID: I20160914001572 |
| Provider Name | Anna M Misior |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023460037 PECOS PAC ID: 5092002881 Enrollment ID: I20160921002889 |
| Provider Name | Kimberly M Cakerice |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427366905 PECOS PAC ID: 0840587176 Enrollment ID: I20160929001619 |
| Provider Name | Lisa N Fields |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326597378 PECOS PAC ID: 2365728730 Enrollment ID: I20170419001931 |
| Provider Name | Michael W Sulewski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477981074 PECOS PAC ID: 9931326329 Enrollment ID: I20170427001093 |
| Provider Name | Shivas Gilotra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972969913 PECOS PAC ID: 7618274077 Enrollment ID: I20170605001598 |
| Provider Name | Deanna L Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265965669 PECOS PAC ID: 1153699426 Enrollment ID: I20170612000290 |
| Provider Name | Nakalya Chanora Leggett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861893091 PECOS PAC ID: 6507135902 Enrollment ID: I20170628000894 |
| Provider Name | Sasha Venyke Bouldin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831571991 PECOS PAC ID: 7618246034 Enrollment ID: I20170628001690 |
| Provider Name | Carin E Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649692203 PECOS PAC ID: 7911279500 Enrollment ID: I20170816002804 |
| Provider Name | Alies R Barton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114331659 PECOS PAC ID: 3072889187 Enrollment ID: I20171017002972 |
| Provider Name | Margaret Faye Bova |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578082905 PECOS PAC ID: 1254698608 Enrollment ID: I20171120003559 |
| Provider Name | Lindsay Allison Hoffman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568980282 PECOS PAC ID: 3274892534 Enrollment ID: I20180111001708 |
| Provider Name | Elizabeth Tampe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396031605 PECOS PAC ID: 1456598176 Enrollment ID: I20180213001024 |
| Provider Name | Lindsay Nicole Palmeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629439690 PECOS PAC ID: 6305129966 Enrollment ID: I20180329002075 |
| Provider Name | Jason Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265979280 PECOS PAC ID: 5597028555 Enrollment ID: I20180404002782 |
| Provider Name | Kristen N Seidel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497256630 PECOS PAC ID: 8426311705 Enrollment ID: I20180419001751 |
| Provider Name | Andrew Timothy Heil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235639907 PECOS PAC ID: 8820353816 Enrollment ID: I20180522000866 |
| Provider Name | Bethann Marie Guevara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437664778 PECOS PAC ID: 4587919899 Enrollment ID: I20180608001563 |
| Provider Name | Jerome Cornwall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952775629 PECOS PAC ID: 4385999879 Enrollment ID: I20180625002948 |
| Provider Name | Julia Bumpus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699275123 PECOS PAC ID: 0446506216 Enrollment ID: I20180709003238 |
| Provider Name | Xiaohuan Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225425333 PECOS PAC ID: 2466700455 Enrollment ID: I20180808000596 |
| Provider Name | Casey Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518308923 PECOS PAC ID: 8820217367 Enrollment ID: I20181031000764 |
| Provider Name | Mary Therese Phelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629552567 PECOS PAC ID: 7214280460 Enrollment ID: I20181105002957 |
| Provider Name | Monica Lashonda Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780169623 PECOS PAC ID: 1355695164 Enrollment ID: I20181114002205 |
| Provider Name | Mary Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285060459 PECOS PAC ID: 5294965265 Enrollment ID: I20181114002438 |
| Provider Name | Mindy Elizabeth Mccullough |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356821425 PECOS PAC ID: 4082958814 Enrollment ID: I20181205003663 |
| Provider Name | Victoria Nicole Ragan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841771672 PECOS PAC ID: 4284979725 Enrollment ID: I20190102002336 |
| Provider Name | David D Sanjurjo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255773644 PECOS PAC ID: 2264656222 Enrollment ID: I20190204000610 |
| Provider Name | Samantha Marie Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417412925 PECOS PAC ID: 5799026753 Enrollment ID: I20190401002560 |
| Provider Name | Michael Thomas Parrella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689145476 PECOS PAC ID: 1456692813 Enrollment ID: I20190411001787 |
| Provider Name | April Walkowski Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679002588 PECOS PAC ID: 9436492592 Enrollment ID: I20190514001033 |
| Provider Name | Tida Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114331204 PECOS PAC ID: 3375760200 Enrollment ID: I20190529001342 |
| Provider Name | Manuel Evangelos Bulauitan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316226442 PECOS PAC ID: 4486897014 Enrollment ID: I20190626000312 |
| Provider Name | Sarah Pruitt Shore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376100297 PECOS PAC ID: 9133456502 Enrollment ID: I20190807002675 |
| Provider Name | Sashalee T Stewart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093101222 PECOS PAC ID: 3577878420 Enrollment ID: I20190930000802 |
| Provider Name | Shannon M. Roche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023470267 PECOS PAC ID: 1759673411 Enrollment ID: I20191007003300 |
| Provider Name | Amanda Renee Steventon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295090942 PECOS PAC ID: 2567610298 Enrollment ID: I20200110001785 |
| Provider Name | Krishna Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902457518 PECOS PAC ID: 3375971989 Enrollment ID: I20200313001377 |
| Provider Name | Lara S Schoenebeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831738558 PECOS PAC ID: 8628406089 Enrollment ID: I20200317002640 |
| Provider Name | Wesley Bland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255965810 PECOS PAC ID: 5092144246 Enrollment ID: I20200409000489 |
| Provider Name | Marie Sue Tomczyk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881224442 PECOS PAC ID: 4789015025 Enrollment ID: I20200520002969 |
| Provider Name | Logan Marie Pace |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265081400 PECOS PAC ID: 8820415573 Enrollment ID: I20200826003938 |
| Provider Name | Maria Delbono |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760837504 PECOS PAC ID: 9537453170 Enrollment ID: I20200827002396 |
| Provider Name | Diana Anca Ban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649881178 PECOS PAC ID: 6204254121 Enrollment ID: I20200909002035 |
| Provider Name | Meredith Brooke Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831627298 PECOS PAC ID: 8921419300 Enrollment ID: I20201117000910 |
| Provider Name | Sherise Swensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710489448 PECOS PAC ID: 1759793201 Enrollment ID: I20201208000151 |
| Provider Name | Catherine Jung |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780230011 PECOS PAC ID: 5193137990 Enrollment ID: I20201221001343 |
| Provider Name | Loryn Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619444916 PECOS PAC ID: 7719313865 Enrollment ID: I20210524002601 |
| Provider Name | Stacey B Bean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699700674 PECOS PAC ID: 3173890753 Enrollment ID: I20210604001247 |
| Provider Name | Lucille Rose Sepic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548855919 PECOS PAC ID: 3375943046 Enrollment ID: I20210617000563 |
| Provider Name | Katherine Cole |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780206268 PECOS PAC ID: 9032510524 Enrollment ID: I20210622000315 |
| Provider Name | Brittney Norwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487017547 PECOS PAC ID: 3173868023 Enrollment ID: I20210706000784 |
| Provider Name | Ana Janette Martinez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184293029 PECOS PAC ID: 2365844412 Enrollment ID: I20210712002296 |
| Provider Name | Rashaud Anthony Senior |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467956656 PECOS PAC ID: 6103166004 Enrollment ID: I20210810003051 |
| Provider Name | Abigail Mook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619541331 PECOS PAC ID: 7517361652 Enrollment ID: I20210811001401 |
| Provider Name | Hephzibah E Chelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144253212 PECOS PAC ID: 7012083611 Enrollment ID: I20210817000212 |
| Provider Name | Rajiv L Soni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326533829 PECOS PAC ID: 8820493349 Enrollment ID: I20210823000461 |
| Provider Name | Rachel Ann Fuelling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871182139 PECOS PAC ID: 6709282494 Enrollment ID: I20210903001181 |
| Provider Name | Kara S Katz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801462304 PECOS PAC ID: 6305242538 Enrollment ID: I20210913003400 |
| Provider Name | Elise Laney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285807651 PECOS PAC ID: 1052544954 Enrollment ID: I20210916000304 |
| Provider Name | Melissa Rosenberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013584218 PECOS PAC ID: 0446658454 Enrollment ID: I20211005003632 |
| Provider Name | Chanel B Coleman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700420940 PECOS PAC ID: 5193123115 Enrollment ID: I20211006000219 |
| Provider Name | Chasity Janae Newkirk |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043985138 PECOS PAC ID: 0840698239 Enrollment ID: I20211015001524 |
| Provider Name | James David Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154093748 PECOS PAC ID: 0446648349 Enrollment ID: I20211026002367 |
| Provider Name | Chelsea Hawkins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205599891 PECOS PAC ID: 7315335049 Enrollment ID: I20211028001533 |
| Provider Name | Taylor Grace Hawkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194320259 PECOS PAC ID: 9739577487 Enrollment ID: I20211028002226 |
| Provider Name | Kimberly Marie Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750052155 PECOS PAC ID: 7810385598 Enrollment ID: I20211029000442 |
| Provider Name | Geoffrey Stagg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538729983 PECOS PAC ID: 2668861089 Enrollment ID: I20211105000405 |
| Provider Name | Nicole Taylor Drobner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629748488 PECOS PAC ID: 5698164697 Enrollment ID: I20211112001598 |
| Provider Name | Nicole Golinski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821753005 PECOS PAC ID: 5092104828 Enrollment ID: I20211116001666 |
| Provider Name | Robert Neal Garland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821584335 PECOS PAC ID: 5395135289 Enrollment ID: I20211208002220 |
| Provider Name | Amie M Egbuniwe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174881874 PECOS PAC ID: 4183015662 Enrollment ID: I20211216001170 |
| Provider Name | Mithila Fadia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144631557 PECOS PAC ID: 0941595557 Enrollment ID: I20211222000008 |
| Provider Name | Katelyn Craft Britt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497324750 PECOS PAC ID: 5092106328 Enrollment ID: I20211222000066 |
| Provider Name | Madison Kathryn Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760073993 PECOS PAC ID: 4789077603 Enrollment ID: I20220216002387 |
| Provider Name | Rashida L Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841950268 PECOS PAC ID: 5991190811 Enrollment ID: I20220311000510 |
| Provider Name | Ashleigh S Weckesser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689274011 PECOS PAC ID: 7719372929 Enrollment ID: I20220324000671 |
| Provider Name | Kea Trespalacios |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538750294 PECOS PAC ID: 6103211297 Enrollment ID: I20220329000560 |
| Provider Name | Perry Townsend Fountain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457904054 PECOS PAC ID: 2860888542 Enrollment ID: I20220405002880 |
| Provider Name | Casey Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760130488 PECOS PAC ID: 9032505722 Enrollment ID: I20220406000152 |
| Provider Name | Emily Chambliss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669125100 PECOS PAC ID: 5597152546 Enrollment ID: I20220422000089 |
| Provider Name | John B Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902553647 PECOS PAC ID: 1951798743 Enrollment ID: I20220426001164 |
| Provider Name | Jennifer Neal Tebb |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356740773 PECOS PAC ID: 2365839016 Enrollment ID: I20220427000694 |
| Provider Name | Brooke S Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881249001 PECOS PAC ID: 2163801648 Enrollment ID: I20220614002604 |
| Provider Name | Mrunmayi Diwan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316682263 PECOS PAC ID: 4486033115 Enrollment ID: I20220627000452 |
| Provider Name | Cameron Delforge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720600448 PECOS PAC ID: 9739592098 Enrollment ID: I20220818001563 |
| Provider Name | Kenia Maria Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659941235 PECOS PAC ID: 0749663961 Enrollment ID: I20220819001711 |
| Provider Name | Macy Alexandra Mantooth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598404055 PECOS PAC ID: 8123402542 Enrollment ID: I20220903000146 |
| Provider Name | Dominique Stamps |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780312173 PECOS PAC ID: 3274917455 Enrollment ID: I20220907003148 |
| Provider Name | Lucille Tussey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326514316 PECOS PAC ID: 5991138117 Enrollment ID: I20220927003581 |
| Provider Name | Karen Stephanie Buynak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740909712 PECOS PAC ID: 0840676136 Enrollment ID: I20221011001185 |
| Provider Name | Jennifer Marie Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023746377 PECOS PAC ID: 8628444643 Enrollment ID: I20221017001858 |
| Provider Name | Jennifer Reed Funsten |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902526643 PECOS PAC ID: 3375919723 Enrollment ID: I20221026001631 |
| Provider Name | Ani Fitzgerald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366190647 PECOS PAC ID: 7618345026 Enrollment ID: I20221116000527 |
| Provider Name | Jeleesha Nina Mcnair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336604289 PECOS PAC ID: 6901276435 Enrollment ID: I20221228000720 |
| Provider Name | Charnell Lee Trembeczki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659030807 PECOS PAC ID: 1254701048 Enrollment ID: I20230112002244 |
| Provider Name | Nadia A. Paloma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376955468 PECOS PAC ID: 9638541493 Enrollment ID: I20230206000634 |
| Provider Name | Ntina Gus Pappas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396481016 PECOS PAC ID: 8022481118 Enrollment ID: I20230311000245 |
| Provider Name | Leonora C Tisdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942824768 PECOS PAC ID: 2769856541 Enrollment ID: I20230317000603 |
| Provider Name | Sufia Jabeen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275271603 PECOS PAC ID: 1658745021 Enrollment ID: I20230327000638 |
| Provider Name | Claire Marie Nobles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679287775 PECOS PAC ID: 6901261122 Enrollment ID: I20230422000147 |
| Provider Name | Zana Kepuska Devlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972239374 PECOS PAC ID: 3072978857 Enrollment ID: I20230501000789 |
| Provider Name | Rose Ashline |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700572377 PECOS PAC ID: 2668838954 Enrollment ID: I20230511000448 |
| Provider Name | Amy M. Leach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376697425 PECOS PAC ID: 0446617732 Enrollment ID: I20230531003302 |
| Provider Name | Claire Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568142628 PECOS PAC ID: 7012370018 Enrollment ID: I20230823003715 |
| Provider Name | Nicole a Desantis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518595438 PECOS PAC ID: 8628409273 Enrollment ID: I20230829003795 |
| Provider Name | Lindsay Ann Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376295758 PECOS PAC ID: 4880058908 Enrollment ID: I20230907003815 |
| Provider Name | Taylor Danielle Narron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942913918 PECOS PAC ID: 2062876949 Enrollment ID: I20230911002883 |
| Provider Name | Rock Vomer |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1740740448 PECOS PAC ID: 6901131077 Enrollment ID: I20230912004374 |
| Provider Name | Debra Sue Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255627253 PECOS PAC ID: 9436329950 Enrollment ID: I20230925000574 |
| Provider Name | Olivia Marie Bruff-younts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386357440 PECOS PAC ID: 4385090778 Enrollment ID: I20231020001452 |
| Provider Name | Catherine Anne Archer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356129290 PECOS PAC ID: 4789031329 Enrollment ID: I20231103001817 |
| Provider Name | Dylan Newton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447922877 PECOS PAC ID: 7911355664 Enrollment ID: I20231120000509 |
| Provider Name | Katherine L Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881346682 PECOS PAC ID: 2961850342 Enrollment ID: I20231122003280 |
| Provider Name | Angelina Theresa Neiberger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386359107 PECOS PAC ID: 1759730500 Enrollment ID: I20231206000362 |
| Provider Name | Sophia Julianna Zientek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205524105 PECOS PAC ID: 8628427192 Enrollment ID: I20231208001552 |
| Provider Name | Sean Addison Dawson |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1568010049 PECOS PAC ID: 6901255421 Enrollment ID: I20231209000310 |
| Provider Name | Margaret Garehan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740729425 PECOS PAC ID: 2860841095 Enrollment ID: I20231213000106 |
| Provider Name | Katherine Annette Francis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154643724 PECOS PAC ID: 5395195135 Enrollment ID: I20231220001569 |
| Provider Name | Stacey Thomas Herrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245916378 PECOS PAC ID: 4486004629 Enrollment ID: I20231229001380 |
| Provider Name | Laurin Daywalt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306552732 PECOS PAC ID: 3779933882 Enrollment ID: I20240102000514 |
| Provider Name | Bryce Abbe Manton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326721523 PECOS PAC ID: 8820449358 Enrollment ID: I20240109004850 |
| Provider Name | Rachael Aaren Metzger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497155543 PECOS PAC ID: 6901257153 Enrollment ID: I20240111003700 |
| Provider Name | Courtney B Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154894665 PECOS PAC ID: 0143672899 Enrollment ID: I20240117004745 |
| Provider Name | Christen Price Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851644462 PECOS PAC ID: 8527410232 Enrollment ID: I20240118001868 |
| Provider Name | Amanda Burrafato |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962894832 PECOS PAC ID: 9133531171 Enrollment ID: I20240201004029 |
| Provider Name | Erin Terry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306275953 PECOS PAC ID: 3476996729 Enrollment ID: I20240204000093 |
| Provider Name | Cameron Belt Capps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134879497 PECOS PAC ID: 0143663302 Enrollment ID: I20240205004081 |
| Provider Name | Asa Gold Hendrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114554656 PECOS PAC ID: 1557704590 Enrollment ID: I20240207001492 |
| Provider Name | Tamekia Denise Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861636870 PECOS PAC ID: 9436593787 Enrollment ID: I20240215000291 |
| Provider Name | Susan Kornett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558758276 PECOS PAC ID: 9234432477 Enrollment ID: I20240217000827 |
| Provider Name | Tammy Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639388945 PECOS PAC ID: 4082681085 Enrollment ID: I20240217000862 |
| Provider Name | Kelly M Sauer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346747482 PECOS PAC ID: 9032593595 Enrollment ID: I20240222003310 |
| Provider Name | Derek Whalen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215545934 PECOS PAC ID: 9537585880 Enrollment ID: I20240222004300 |
| Provider Name | Kara Mild |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720250657 PECOS PAC ID: 9133299357 Enrollment ID: I20240228001375 |
| Provider Name | Bree Lauren Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013601475 PECOS PAC ID: 3274970702 Enrollment ID: I20240320001433 |
| Provider Name | Katrina Gobenciong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942906425 PECOS PAC ID: 2264879402 Enrollment ID: I20240322002085 |
| Provider Name | Anna Elyse Harden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265190979 PECOS PAC ID: 2567809569 Enrollment ID: I20240326003828 |
| Provider Name | Anna Kathryn Brewster Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689927196 PECOS PAC ID: 5799123220 Enrollment ID: I20240403002616 |
| Provider Name | Foram Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386364636 PECOS PAC ID: 6800271982 Enrollment ID: I20240403002947 |
| Provider Name | Ana Maria Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396059143 PECOS PAC ID: 2163860578 Enrollment ID: I20240404001772 |
| Provider Name | John M Roberts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417020165 PECOS PAC ID: 7113813916 Enrollment ID: I20240405002092 |
| Provider Name | Kanisha Shavon Tiffany Wint |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831874221 PECOS PAC ID: 5395185235 Enrollment ID: I20240425003060 |
| Provider Name | Nathan Dakota Faris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164012027 PECOS PAC ID: 2163862491 Enrollment ID: I20240502003061 |
| Provider Name | Britne Alicia Elmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750142550 PECOS PAC ID: 5890136600 Enrollment ID: I20240510002007 |
| Provider Name | Travis Senor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316602246 PECOS PAC ID: 1355783119 Enrollment ID: I20240523004238 |
| Provider Name | Patricia a Heid |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093562118 PECOS PAC ID: 4385186568 Enrollment ID: I20240603003179 |
| Provider Name | Kelly May |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376190181 PECOS PAC ID: 7416499116 Enrollment ID: I20240610002515 |
| Provider Name | Alfredo Rivera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568977486 PECOS PAC ID: 3577005958 Enrollment ID: I20240613000853 |
| Provider Name | Ioanna Kosti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114498649 PECOS PAC ID: 3476097148 Enrollment ID: I20240705001036 |
| Provider Name | Margaret Racine |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912687237 PECOS PAC ID: 9931644234 Enrollment ID: I20240711000004 |
| Provider Name | Pamela Lam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124697685 PECOS PAC ID: 2567908056 Enrollment ID: I20240719003408 |
| Provider Name | Ashley Ann Wooldrik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588324636 PECOS PAC ID: 0345787529 Enrollment ID: I20240806001314 |
| Provider Name | Diana Elizabeth Creech |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376113142 PECOS PAC ID: 8022555010 Enrollment ID: I20240808001343 |
| Provider Name | Joseph Andrew Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407504996 PECOS PAC ID: 5193263341 Enrollment ID: I20240819002750 |
| Provider Name | Aurora Nunez Dixon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255015822 PECOS PAC ID: 8628518198 Enrollment ID: I20240911000763 |
| Provider Name | Sheena Dawn Coffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508329756 PECOS PAC ID: 9335516467 Enrollment ID: I20240918000049 |
| Provider Name | Jurate S Brigham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477306033 PECOS PAC ID: 9739620246 Enrollment ID: I20240924004817 |
| Provider Name | Emma Vomer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609405125 PECOS PAC ID: 1951783232 Enrollment ID: I20240926000704 |
| Provider Name | Mary Elizabeth Selenke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740050624 PECOS PAC ID: 1355872714 Enrollment ID: I20241009002546 |
| Provider Name | Austin Gamache |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265261549 PECOS PAC ID: 4880126960 Enrollment ID: I20241014003815 |
| Provider Name | Michael Mcgeagh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306423843 PECOS PAC ID: 5698207686 Enrollment ID: I20241015004119 |
| Provider Name | Taylor Zaborski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255062501 PECOS PAC ID: 5092248526 Enrollment ID: I20241023000635 |
| Provider Name | Mermuda Skye Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568921856 PECOS PAC ID: 5799218111 Enrollment ID: I20241023004763 |
| Provider Name | Alyssa Rene Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952978702 PECOS PAC ID: 8921532581 Enrollment ID: I20241105003989 |
| Provider Name | Jessica Stoiber |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720832348 PECOS PAC ID: 9032551445 Enrollment ID: I20241112004624 |
| Provider Name | Netsanet H Lundahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669059077 PECOS PAC ID: 9830590496 Enrollment ID: I20241120003762 |
| Provider Name | Brianna Nicole Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588382279 PECOS PAC ID: 7810423274 Enrollment ID: I20241209001601 |
| Provider Name | Dana Bjuro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508688573 PECOS PAC ID: 3971039363 Enrollment ID: I20241209002876 |
| Provider Name | Emily Brianne Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851968010 PECOS PAC ID: 9133656036 Enrollment ID: I20241217000358 |
| Provider Name | Anna Kristine Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508686197 PECOS PAC ID: 0244767853 Enrollment ID: I20241220001124 |
| Provider Name | Brittany Utley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508681503 PECOS PAC ID: 0446787634 Enrollment ID: I20241230002788 |
| Provider Name | Shaelin Keairnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760269377 PECOS PAC ID: 4587185442 Enrollment ID: I20250307000806 |
| Provider Name | Jane Warstler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124823364 PECOS PAC ID: 5496277808 Enrollment ID: I20250314001555 |
| Provider Name | Brook Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982365193 PECOS PAC ID: 9133509250 Enrollment ID: I20250325000022 |
| Provider Name | Pooja Ganatra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154051514 PECOS PAC ID: 5799208328 Enrollment ID: I20250325000998 |
| Provider Name | Corey Coleman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821659053 PECOS PAC ID: 5698298412 Enrollment ID: I20250402000221 |
| Provider Name | Clydnel Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750013645 PECOS PAC ID: 2567985278 Enrollment ID: I20250402002793 |
| Provider Name | Yulia Nemtsev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861091134 PECOS PAC ID: 9335662014 Enrollment ID: I20250403000287 |
| Provider Name | Michele D Riegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417031105 PECOS PAC ID: 4385718774 Enrollment ID: I20250407002730 |
| Provider Name | Jenna Still |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457883167 PECOS PAC ID: 7618399254 Enrollment ID: I20250416003847 |
| Provider Name | Brandi Remias Mayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962290338 PECOS PAC ID: 8022535822 Enrollment ID: I20250506000789 |
| Provider Name | Kimberly Padgett Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720620982 PECOS PAC ID: 6204353824 Enrollment ID: I20250507002338 |
| Provider Name | George Cameron Coleman |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1801241104 PECOS PAC ID: 1658661848 Enrollment ID: I20250508000774 |
| Provider Name | Anna Davenport Shealy Pruitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821689068 PECOS PAC ID: 0042739435 Enrollment ID: I20250529000730 |
| Provider Name | Katherine Rose Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497312219 PECOS PAC ID: 5193056778 Enrollment ID: I20250604003654 |
| Provider Name | Allison Jane Copeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568351104 PECOS PAC ID: 2466969811 Enrollment ID: I20250730000139 |
| Provider Name | Madeleine R Cutrone-accomazzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528700390 PECOS PAC ID: 0840673752 Enrollment ID: I20250902002815 |
| Provider Name | George Aubrey Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164163861 PECOS PAC ID: 0345617957 Enrollment ID: I20250911000302 |
| Provider Name | Shameka Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174180244 PECOS PAC ID: 5294230389 Enrollment ID: I20250929001088 |
| Provider Name | Kourtney Thianna Edwards-campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881581874 PECOS PAC ID: 4486151636 Enrollment ID: I20251007000101 |
| Provider Name | Jordan Elizabeth Walker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255156097 PECOS PAC ID: 9537656624 Enrollment ID: I20251013004071 |
| Provider Name | Sara Heikal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154201051 PECOS PAC ID: 5395235543 Enrollment ID: I20251106000334 |
| Provider Name | Savannah Erica Esquibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699544585 PECOS PAC ID: 5597256446 Enrollment ID: I20251118004118 |
| Provider Name | Meredith Hanna Blumberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033897301 PECOS PAC ID: 2163914359 Enrollment ID: I20251125002090 |
| Provider Name | Mary Tayloe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699399808 PECOS PAC ID: 7315361664 Enrollment ID: I20251126000305 |
| Provider Name | Meghan Elaine Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932643517 PECOS PAC ID: 4183117468 Enrollment ID: I20251204002672 |
| Provider Name | Chelsea C Taylor Long |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437866423 PECOS PAC ID: 0941794473 Enrollment ID: I20251211003529 |
| Provider Name | Zachary Shane Briley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760210694 PECOS PAC ID: 6204321003 Enrollment ID: I20251218004327 |
| Provider Name | Bianca Rosemarie Perez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578268470 PECOS PAC ID: 0143668772 Enrollment ID: I20251219001281 |
| Provider Name | Taccara Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548817950 PECOS PAC ID: 6103311790 Enrollment ID: I20251220000848 |
| Provider Name | Bo-kyung Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831988609 PECOS PAC ID: 5294220620 Enrollment ID: I20251223000873 |
| Provider Name | Julie Cook Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700619384 PECOS PAC ID: 8325533607 Enrollment ID: I20251223004775 |
| Provider Name | Nicholas Addison Walker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508715723 PECOS PAC ID: 9931689494 Enrollment ID: I20260214000265 |
| Provider Name | Bethany Denae Dieringer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912726282 PECOS PAC ID: 4183105802 Enrollment ID: I20260220002215 |
| Provider Name | Micha S K Lanier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134726599 PECOS PAC ID: 2163905191 Enrollment ID: I20260309001707 |
| Provider Name | Melisa Gaspar De Alba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548066467 PECOS PAC ID: 2365926714 Enrollment ID: I20260324001654 |
| Provider Name | Caroline Cook Earl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669282026 PECOS PAC ID: 5890270177 Enrollment ID: I20260403002205 |
| Provider Name | Virag Yogesh Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700834140 PECOS PAC ID: 8123090859 Enrollment ID: I20260407002098 |
| Provider Name | Kara Angele Pressley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578345294 PECOS PAC ID: 5193290161 Enrollment ID: I20260407002599 |
| Provider Name | Letisha Li Ya Hughes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235952391 PECOS PAC ID: 5799252276 Enrollment ID: I20260422002349 |
| Provider Name | Flannery Margaret Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427895648 PECOS PAC ID: 5597234955 Enrollment ID: I20260514002309 |
| Provider Name | Erin Kaetlin Ragsdale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245194778 PECOS PAC ID: 6103397732 Enrollment ID: I20260604003111 |
Riverbend Family Medicine, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 Procure St, Fuquay Varina, NC 27526 Phone: 919-577-9952 Fax: 919-577-9946 |
Ember Massage and Wellness, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2912 N Main St Ste 116, Fuquay Varina, NC 27526 Phone: 919-762-6023 |
Angier Pediatrics and Adult Medical Center, PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 441 Lakestone Commons Ave, Fuquay Varina, NC 27526 Phone: 919-577-0481 Fax: 919-577-0512 |
Advance Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 N Judd Pkwy Ne, Fuquay Varina, NC 27526 Phone: 919-557-1110 Fax: 919-557-1102 |
Ajey B Golwala, MD ,PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1012 Procure St, Fuquay Varina, NC 27526 Phone: 919-552-5303 Fax: 919-567-0004 |
Fuquay-varina Family Practice, PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 431 N Judd Pkwy Ne, Fuquay Varina, NC 27526 Phone: 919-552-2292 |