| Balanced Wellbeing LLC | |
|
3200 Sw 34th Ave Ste 701 Ocala FL 34474-8443 | |
| (352) 445-1200 | |
| Not Available |
| Full Name | Balanced Wellbeing LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3200 Sw 34th Ave Ste 701, Ocala, Florida |
| Authorized Official Name and Position | Parikshit Deshmukh (CIO) |
| Authorized Official Contact | 3524451200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Wellbeing LLC 3200 Sw 34th Ave Ste 701 Ocala FL 34474-8443 Ph: (877) 779-2429 | Balanced Wellbeing LLC 3200 Sw 34th Ave Ste 701 Ocala FL 34474-8443 Ph: (352) 445-1200 |
| NPI Number | 1336513639 |
|---|---|
| Provider Enumeration Date | 11/24/2015 |
| Last Update Date | 07/07/2026 |
| Certification Date | 07/07/2026 |
| Medicare PECOS PAC ID | 5193021848 |
|---|---|
| Medicare Enrollment ID | O20160307002587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336513639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
| 208D00000X | General Practice | () | Secondary |
| Provider Name | Allamm Morales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609826213 PECOS PAC ID: 5395794473 Enrollment ID: I20050118000147 |
| Provider Name | Michelle Antoinette Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659336634 PECOS PAC ID: 7416992128 Enrollment ID: I20050623000126 |
| Provider Name | Elizabeth a Handte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144293168 PECOS PAC ID: 3476572413 Enrollment ID: I20051118000182 |
| Provider Name | Tina L Gulli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174688931 PECOS PAC ID: 7315035193 Enrollment ID: I20071112000456 |
| Provider Name | Vanessa L Pages |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659317782 PECOS PAC ID: 3072508654 Enrollment ID: I20081218000638 |
| Provider Name | Linda H Skalsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194837989 PECOS PAC ID: 1052471133 Enrollment ID: I20090722000249 |
| Provider Name | Joanne T Donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780874792 PECOS PAC ID: 8921145418 Enrollment ID: I20091103000229 |
| Provider Name | Dawn M Silver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184856197 PECOS PAC ID: 3971646183 Enrollment ID: I20100209000737 |
| Provider Name | Carolyn G Ascencios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427298645 PECOS PAC ID: 7416083811 Enrollment ID: I20100324000920 |
| Provider Name | Robert Klukoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104130335 PECOS PAC ID: 2062536691 Enrollment ID: I20100902000621 |
| Provider Name | Evelyn M Argenal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194049353 PECOS PAC ID: 3779762273 Enrollment ID: I20110131000506 |
| Provider Name | El Agathe a Tanyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548539588 PECOS PAC ID: 8921265984 Enrollment ID: I20120202000052 |
| Provider Name | Kena R Watkins-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912159666 PECOS PAC ID: 9436316908 Enrollment ID: I20120210000681 |
| Provider Name | Tamera D Graziano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841578036 PECOS PAC ID: 1557524394 Enrollment ID: I20120515000440 |
| Provider Name | Parikshit Deshmukh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437395845 PECOS PAC ID: 3173789948 Enrollment ID: I20120723000717 |
| Provider Name | Rosemary Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518217181 PECOS PAC ID: 6901055755 Enrollment ID: I20121011000236 |
| Provider Name | Julie L Delettre |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588913735 PECOS PAC ID: 9830340868 Enrollment ID: I20121121000245 |
| Provider Name | Grecia Sofia Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891030417 PECOS PAC ID: 7618112285 Enrollment ID: I20130402000358 |
| Provider Name | Kelly a Barrington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417044207 PECOS PAC ID: 5193964674 Enrollment ID: I20130612000702 |
| Provider Name | Christina K Oliva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548607088 PECOS PAC ID: 5799926390 Enrollment ID: I20130724000514 |
| Provider Name | Brittany S Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871933978 PECOS PAC ID: 5496996456 Enrollment ID: I20130802000474 |
| Provider Name | Dolores Stefanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295070647 PECOS PAC ID: 7012143753 Enrollment ID: I20131202000589 |
| Provider Name | Rafael J Botta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235387440 PECOS PAC ID: 4587881321 Enrollment ID: I20140819000576 |
| Provider Name | Brett G Althafer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467761593 PECOS PAC ID: 7810119807 Enrollment ID: I20141106001032 |
| Provider Name | Michelle Dan El Carr |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1740511815 PECOS PAC ID: 1658593140 Enrollment ID: I20141118001690 |
| Provider Name | Kathleen a Capelle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992000970 PECOS PAC ID: 3476870924 Enrollment ID: I20150323001597 |
| Provider Name | Alexis Goss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114301827 PECOS PAC ID: 4183931413 Enrollment ID: I20150917002778 |
| Provider Name | Nasser Lavaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205207883 PECOS PAC ID: 0042514226 Enrollment ID: I20160209000868 |
| Provider Name | Rubens L Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306217690 PECOS PAC ID: 9537467352 Enrollment ID: I20160412001433 |
| Provider Name | Stephanie G Haffield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750762530 PECOS PAC ID: 6901104348 Enrollment ID: I20160418001981 |
| Provider Name | Celestina Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487017422 PECOS PAC ID: 6103111570 Enrollment ID: I20160824001067 |
| Provider Name | Benjamin Hargreaves |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588999536 PECOS PAC ID: 4284929613 Enrollment ID: I20160824003164 |
| Provider Name | Diane M Kedzierski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497131544 PECOS PAC ID: 7911288956 Enrollment ID: I20170105000474 |
| Provider Name | Jessica Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811300510 PECOS PAC ID: 2365725827 Enrollment ID: I20170207001058 |
| Provider Name | Veronica Mcknight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821460205 PECOS PAC ID: 1355624644 Enrollment ID: I20170211000174 |
| Provider Name | Tolulope Aderonke Oduyejo-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720524531 PECOS PAC ID: 2264716919 Enrollment ID: I20170225000045 |
| Provider Name | Adriana Bentum-tilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801330519 PECOS PAC ID: 7012291198 Enrollment ID: I20170309001645 |
| Provider Name | Michelle Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346694734 PECOS PAC ID: 6305122177 Enrollment ID: I20170410001121 |
| Provider Name | Tamesha Wiggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831630649 PECOS PAC ID: 1153608203 Enrollment ID: I20170427002404 |
| Provider Name | Dianne E Doane-bustetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790218501 PECOS PAC ID: 6204105976 Enrollment ID: I20170712001265 |
| Provider Name | Lisa Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093235731 PECOS PAC ID: 1557634656 Enrollment ID: I20170912003310 |
| Provider Name | Medina Saida Yasin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972857571 PECOS PAC ID: 7315204302 Enrollment ID: I20171129002204 |
| Provider Name | Yasmin B Panjwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194266080 PECOS PAC ID: 2163781584 Enrollment ID: I20180110002688 |
| Provider Name | Tammy Grisham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619489473 PECOS PAC ID: 1951661586 Enrollment ID: I20180130002849 |
| Provider Name | Terrie L Burney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366980757 PECOS PAC ID: 7810250693 Enrollment ID: I20180409000432 |
| Provider Name | Kimberly H Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447759543 PECOS PAC ID: 1850654195 Enrollment ID: I20180418002752 |
| Provider Name | King D Mungin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174042212 PECOS PAC ID: 2860755162 Enrollment ID: I20180419002384 |
| Provider Name | Darneisha Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063926319 PECOS PAC ID: 4284998048 Enrollment ID: I20180502000548 |
| Provider Name | Heidi L Scholten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194238493 PECOS PAC ID: 5890059430 Enrollment ID: I20180507000414 |
| Provider Name | Antonio Anglero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851535579 PECOS PAC ID: 9234421926 Enrollment ID: I20180821000961 |
| Provider Name | Cory Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861940819 PECOS PAC ID: 1052609880 Enrollment ID: I20180905000398 |
| Provider Name | Lisa Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649681867 PECOS PAC ID: 0648521633 Enrollment ID: I20181002001488 |
| Provider Name | Natalia Saunders-roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063858249 PECOS PAC ID: 5092069393 Enrollment ID: I20181126000587 |
| Provider Name | Allison P Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295221158 PECOS PAC ID: 9537403498 Enrollment ID: I20181203003349 |
| Provider Name | Rose Boscaino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235615295 PECOS PAC ID: 5597009084 Enrollment ID: I20181211001250 |
| Provider Name | Kenya L King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962980292 PECOS PAC ID: 1052656899 Enrollment ID: I20181221002185 |
| Provider Name | Ruchia Handy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588131312 PECOS PAC ID: 7911242656 Enrollment ID: I20181227000583 |
| Provider Name | Todd Marlowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669942173 PECOS PAC ID: 9436494960 Enrollment ID: I20190102002022 |
| Provider Name | Jordan R Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669965000 PECOS PAC ID: 1557607280 Enrollment ID: I20190116002550 |
| Provider Name | Canisha Gillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063981892 PECOS PAC ID: 0446597009 Enrollment ID: I20190122000623 |
| Provider Name | Cynthia Marengo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255821088 PECOS PAC ID: 0840537759 Enrollment ID: I20190131001051 |
| Provider Name | Janette Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114438736 PECOS PAC ID: 7911262621 Enrollment ID: I20190222000635 |
| Provider Name | Tonya L Succio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902314479 PECOS PAC ID: 7315290749 Enrollment ID: I20190305003203 |
| Provider Name | Casey Belton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962865618 PECOS PAC ID: 8224377114 Enrollment ID: I20190312001518 |
| Provider Name | Christine Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124402888 PECOS PAC ID: 4688915655 Enrollment ID: I20190402000122 |
| Provider Name | Paul a Furino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902065931 PECOS PAC ID: 2062575236 Enrollment ID: I20190415000314 |
| Provider Name | Kendra Nicole Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689142259 PECOS PAC ID: 6002159860 Enrollment ID: I20190517000999 |
| Provider Name | Michelle Lynn Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851308696 PECOS PAC ID: 6406189919 Enrollment ID: I20190614000132 |
| Provider Name | Yvonka S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548681190 PECOS PAC ID: 1658605084 Enrollment ID: I20190619000058 |
| Provider Name | Sheryl Ann Meeuwsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730658790 PECOS PAC ID: 6406181015 Enrollment ID: I20190718000092 |
| Provider Name | Stephanie Marie Roque Midoneck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366971673 PECOS PAC ID: 7113254830 Enrollment ID: I20190802002680 |
| Provider Name | Tiffany Dawn Ragan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447793542 PECOS PAC ID: 8123393311 Enrollment ID: I20190809001104 |
| Provider Name | Brooke L Wacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033771563 PECOS PAC ID: 9335478692 Enrollment ID: I20190911002482 |
| Provider Name | Aundrea Shalise Merchant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740823723 PECOS PAC ID: 0143652636 Enrollment ID: I20191121002747 |
| Provider Name | Katsie Bellamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669027991 PECOS PAC ID: 5698100980 Enrollment ID: I20200114003173 |
| Provider Name | James Anthony Hornyak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609264100 PECOS PAC ID: 5597190678 Enrollment ID: I20200117001696 |
| Provider Name | Delia Isaac |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073972378 PECOS PAC ID: 2062847809 Enrollment ID: I20200124000283 |
| Provider Name | Desislava Y Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124676622 PECOS PAC ID: 2668808478 Enrollment ID: I20200221000512 |
| Provider Name | Cynthia N Conseillant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194224568 PECOS PAC ID: 1254768724 Enrollment ID: I20200221001182 |
| Provider Name | Raheen Bush |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689214819 PECOS PAC ID: 7618304676 Enrollment ID: I20200304000383 |
| Provider Name | Bridgette K Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962035634 PECOS PAC ID: 3971931353 Enrollment ID: I20200318000899 |
| Provider Name | Tony Potter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245467828 PECOS PAC ID: 1153750138 Enrollment ID: I20200327000234 |
| Provider Name | Brett Engle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922525831 PECOS PAC ID: 8820427511 Enrollment ID: I20200331003562 |
| Provider Name | Natasha Leslie Roper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174183701 PECOS PAC ID: 4284064288 Enrollment ID: I20200414003935 |
| Provider Name | Tanisha Cieply |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326675646 PECOS PAC ID: 4880015031 Enrollment ID: I20200527000420 |
| Provider Name | Melissa Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720499866 PECOS PAC ID: 3870914609 Enrollment ID: I20200603003073 |
| Provider Name | Racquel Findlay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629222351 PECOS PAC ID: 4587087374 Enrollment ID: I20200713002107 |
| Provider Name | Jesus Antonio Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184710527 PECOS PAC ID: 8628493152 Enrollment ID: I20200731000268 |
| Provider Name | Cynthia Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033732276 PECOS PAC ID: 8022434760 Enrollment ID: I20200812002399 |
| Provider Name | Marie F Cime Meristil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457864803 PECOS PAC ID: 5395074231 Enrollment ID: I20200914002086 |
| Provider Name | Alexa L Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265065767 PECOS PAC ID: 1759709249 Enrollment ID: I20200915002977 |
| Provider Name | Lindsey Porubcan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306451216 PECOS PAC ID: 8527487388 Enrollment ID: I20200928001416 |
| Provider Name | Brittney Murray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043556624 PECOS PAC ID: 3971922121 Enrollment ID: I20201007002606 |
| Provider Name | Benjamin Kyle Hancock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992332373 PECOS PAC ID: 0840610564 Enrollment ID: I20201020000105 |
| Provider Name | Meredith Leigh Templin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811599822 PECOS PAC ID: 4587076534 Enrollment ID: I20201215002755 |
| Provider Name | Brittany L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386203818 PECOS PAC ID: 1759794894 Enrollment ID: I20210108000829 |
| Provider Name | Catherine Bedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871663138 PECOS PAC ID: 5597179895 Enrollment ID: I20210128000217 |
| Provider Name | Daniel M Victor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659969137 PECOS PAC ID: 8820402852 Enrollment ID: I20210202002007 |
| Provider Name | Felicia Hansen-vela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508408840 PECOS PAC ID: 4082020854 Enrollment ID: I20210303001889 |
| Provider Name | Allison Delores Brathwaite Delpesche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417515321 PECOS PAC ID: 8921417114 Enrollment ID: I20210428002769 |
| Provider Name | Marianne Y Alfaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558949990 PECOS PAC ID: 4789093915 Enrollment ID: I20210429001226 |
| Provider Name | Jennan F Thacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669076238 PECOS PAC ID: 6002225174 Enrollment ID: I20210503001834 |
| Provider Name | Robert D Desmarais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679067383 PECOS PAC ID: 6901137983 Enrollment ID: I20210511003124 |
| Provider Name | Rick Stephan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538517529 PECOS PAC ID: 9335558899 Enrollment ID: I20210513000385 |
| Provider Name | Timekia Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326683558 PECOS PAC ID: 4284043621 Enrollment ID: I20210514000722 |
| Provider Name | Priscille M Joglar Pagan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861469140 PECOS PAC ID: 1850301888 Enrollment ID: I20210602003288 |
| Provider Name | Gaurav Kulkarni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962714162 PECOS PAC ID: 9335374842 Enrollment ID: I20210614003259 |
| Provider Name | Douglas Scott Quirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124697503 PECOS PAC ID: 4284035080 Enrollment ID: I20210630003784 |
| Provider Name | Tamika Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891363982 PECOS PAC ID: 5698178028 Enrollment ID: I20210722003468 |
| Provider Name | Kelly Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396251054 PECOS PAC ID: 0648674002 Enrollment ID: I20210806000826 |
| Provider Name | Marie Neviaser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689176893 PECOS PAC ID: 3678800380 Enrollment ID: I20210809002521 |
| Provider Name | Paula R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821564576 PECOS PAC ID: 0042623167 Enrollment ID: I20210811002548 |
| Provider Name | Nadia a Insanally |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942633094 PECOS PAC ID: 2567867419 Enrollment ID: I20210816003466 |
| Provider Name | Erika Charrell Albertie-young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508530668 PECOS PAC ID: 2668877937 Enrollment ID: I20210825000234 |
| Provider Name | Marlene Caridad Egusquiza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669014460 PECOS PAC ID: 9931505922 Enrollment ID: I20210830002865 |
| Provider Name | Salacia Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497263297 PECOS PAC ID: 1355747924 Enrollment ID: I20210907001852 |
| Provider Name | Joel Socarras-rosa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780866541 PECOS PAC ID: 3779649884 Enrollment ID: I20210927001382 |
| Provider Name | Jasmine a Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376213611 PECOS PAC ID: 9931507092 Enrollment ID: I20211005000974 |
| Provider Name | Rita Thanga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508480229 PECOS PAC ID: 0648678326 Enrollment ID: I20211011001288 |
| Provider Name | Julie B. Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568138030 PECOS PAC ID: 2466850912 Enrollment ID: I20211013002262 |
| Provider Name | Anzola Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154092245 PECOS PAC ID: 3173912342 Enrollment ID: I20211109000777 |
| Provider Name | Anna Varela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275206716 PECOS PAC ID: 7618366790 Enrollment ID: I20211110002651 |
| Provider Name | Yulia Zhirnova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972273514 PECOS PAC ID: 2163811092 Enrollment ID: I20211116000840 |
| Provider Name | Nadege Innocent Telcy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598266777 PECOS PAC ID: 3375932064 Enrollment ID: I20211118001898 |
| Provider Name | Laura Lee Mclaughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790137420 PECOS PAC ID: 0446640734 Enrollment ID: I20211130002039 |
| Provider Name | Moses Enakiruvie Ekakitie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538831110 PECOS PAC ID: 7214329929 Enrollment ID: I20220110000025 |
| Provider Name | Travis Nolan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205448560 PECOS PAC ID: 2567854128 Enrollment ID: I20220112000890 |
| Provider Name | Kaydean J Vickers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063908242 PECOS PAC ID: 6204255805 Enrollment ID: I20220113000569 |
| Provider Name | Yanysel Gonzalez Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538824727 PECOS PAC ID: 2264824556 Enrollment ID: I20220118002446 |
| Provider Name | Emlyne St Helen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053785980 PECOS PAC ID: 4587964051 Enrollment ID: I20220124001702 |
| Provider Name | Benarah Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720608250 PECOS PAC ID: 7911399829 Enrollment ID: I20220126000467 |
| Provider Name | Ariana Libby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467893644 PECOS PAC ID: 3577707496 Enrollment ID: I20220201000980 |
| Provider Name | Jerika Terese Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922762467 PECOS PAC ID: 0446643597 Enrollment ID: I20220214000054 |
| Provider Name | Jessica Matos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306479399 PECOS PAC ID: 2668866831 Enrollment ID: I20220303002649 |
| Provider Name | Adara C Abdalah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295321412 PECOS PAC ID: 0749675262 Enrollment ID: I20220321001261 |
| Provider Name | Frances N Bernasko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386242329 PECOS PAC ID: 2062673247 Enrollment ID: I20220330002789 |
| Provider Name | Lindsay Kathleen Nowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164176186 PECOS PAC ID: 3577959931 Enrollment ID: I20220412000464 |
| Provider Name | Raciel Alonso Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902550460 PECOS PAC ID: 3971990110 Enrollment ID: I20220419000006 |
| Provider Name | Natascha Katovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699421560 PECOS PAC ID: 0648667758 Enrollment ID: I20220420000053 |
| Provider Name | Natalie Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598426371 PECOS PAC ID: 3577950401 Enrollment ID: I20220425000826 |
| Provider Name | Sabrina M Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316172851 PECOS PAC ID: 0446559140 Enrollment ID: I20220427002243 |
| Provider Name | Roxana P Cevallos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760822811 PECOS PAC ID: 9032506746 Enrollment ID: I20220427003168 |
| Provider Name | Raziela Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114512506 PECOS PAC ID: 3870970635 Enrollment ID: I20220517000334 |
| Provider Name | Erica Tilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982355178 PECOS PAC ID: 7416334016 Enrollment ID: I20220520001105 |
| Provider Name | Lisa Marie Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972170926 PECOS PAC ID: 8325427362 Enrollment ID: I20220621002926 |
| Provider Name | Deshire Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932854726 PECOS PAC ID: 8426437260 Enrollment ID: I20220624000352 |
| Provider Name | Maria Cristina Silva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619281151 PECOS PAC ID: 2567842560 Enrollment ID: I20220708000658 |
| Provider Name | Jessica a Enos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376273904 PECOS PAC ID: 6406238526 Enrollment ID: I20220804003685 |
| Provider Name | Shaquitia Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144830191 PECOS PAC ID: 0446633382 Enrollment ID: I20220810001970 |
| Provider Name | Ulinda Coralee Mcdowall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528700929 PECOS PAC ID: 7214310887 Enrollment ID: I20220815000826 |
| Provider Name | Yanett Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487386132 PECOS PAC ID: 3476936519 Enrollment ID: I20220822003527 |
| Provider Name | Maxine Reeves Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295478733 PECOS PAC ID: 1557745577 Enrollment ID: I20220825000122 |
| Provider Name | Michael a Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366068298 PECOS PAC ID: 8820472269 Enrollment ID: I20220902000011 |
| Provider Name | Alicia Dionne Betancourt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215663265 PECOS PAC ID: 8628452018 Enrollment ID: I20220902001898 |
| Provider Name | Kristin Maclao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699409318 PECOS PAC ID: 9335523554 Enrollment ID: I20220907000568 |
| Provider Name | Paul Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770219701 PECOS PAC ID: 7719362623 Enrollment ID: I20220913003024 |
| Provider Name | Yanet Quiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841926276 PECOS PAC ID: 2961888904 Enrollment ID: I20220928003749 |
| Provider Name | Janile Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588122386 PECOS PAC ID: 6507242047 Enrollment ID: I20221006000636 |
| Provider Name | Cristina Elena Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174259709 PECOS PAC ID: 5597141945 Enrollment ID: I20221007002347 |
| Provider Name | Jill Rockey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811503808 PECOS PAC ID: 6800262163 Enrollment ID: I20221012001638 |
| Provider Name | Da'twan Laurice Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346973187 PECOS PAC ID: 4183090129 Enrollment ID: I20221017002767 |
| Provider Name | Audrey Kathryn Dona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598486482 PECOS PAC ID: 9739557265 Enrollment ID: I20221115000542 |
| Provider Name | Jennifer Perryman Seay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346957388 PECOS PAC ID: 0840668315 Enrollment ID: I20221115002181 |
| Provider Name | Leslie Sikaffy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831716687 PECOS PAC ID: 1951798644 Enrollment ID: I20221208001841 |
| Provider Name | Tirsit Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376603951 PECOS PAC ID: 7719269620 Enrollment ID: I20221220001310 |
| Provider Name | Nancy Motherway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548509219 PECOS PAC ID: 5496133621 Enrollment ID: I20230130002672 |
| Provider Name | Sasha Gay Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265148894 PECOS PAC ID: 2567834559 Enrollment ID: I20230221003069 |
| Provider Name | Vanessa Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003351453 PECOS PAC ID: 0143693911 Enrollment ID: I20230224001766 |
| Provider Name | Wilson Tadeu Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619683778 PECOS PAC ID: 9234502063 Enrollment ID: I20230227001415 |
| Provider Name | Tania Sophia Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295445914 PECOS PAC ID: 4284008244 Enrollment ID: I20230315001178 |
| Provider Name | Hanna Soliman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154078129 PECOS PAC ID: 1658745286 Enrollment ID: I20230323000061 |
| Provider Name | Stacey Dowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295434637 PECOS PAC ID: 4486028941 Enrollment ID: I20230323001996 |
| Provider Name | Sreejithkumar Sasidharan Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710579669 PECOS PAC ID: 5799150934 Enrollment ID: I20230331001317 |
| Provider Name | Krystle Mcgrady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194366799 PECOS PAC ID: 3274908017 Enrollment ID: I20230411000105 |
| Provider Name | Khadene Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902502008 PECOS PAC ID: 8022483668 Enrollment ID: I20230412001614 |
| Provider Name | Carmen Herbruger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922346477 PECOS PAC ID: 7810362365 Enrollment ID: I20230414000157 |
| Provider Name | Carla Selene Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487357331 PECOS PAC ID: 4284099300 Enrollment ID: I20230425001331 |
| Provider Name | Yvonne Benco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598468845 PECOS PAC ID: 1153787460 Enrollment ID: I20230511001441 |
| Provider Name | Cyndia Milord-giordani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598486912 PECOS PAC ID: 6305202862 Enrollment ID: I20230525002252 |
| Provider Name | Layla Elizabeth Hermance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942978176 PECOS PAC ID: 7517324080 Enrollment ID: I20230530000589 |
| Provider Name | Marsha M. Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649960998 PECOS PAC ID: 3375900731 Enrollment ID: I20230531001806 |
| Provider Name | Mandy Jo Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558056671 PECOS PAC ID: 8921465105 Enrollment ID: I20230602000601 |
| Provider Name | Heidi Arroyo-munoz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740583715 PECOS PAC ID: 6608233689 Enrollment ID: I20230607000019 |
| Provider Name | Jenrry Medinilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760173660 PECOS PAC ID: 1254798085 Enrollment ID: I20230608002875 |
| Provider Name | Keisha Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558061887 PECOS PAC ID: 9537527825 Enrollment ID: I20230619000901 |
| Provider Name | Abbdady Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710522016 PECOS PAC ID: 1254790124 Enrollment ID: I20230711000062 |
| Provider Name | Christopher a Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922794809 PECOS PAC ID: 3375902174 Enrollment ID: I20230711001504 |
| Provider Name | Timothy Mahaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386329514 PECOS PAC ID: 8224498613 Enrollment ID: I20230717003156 |
| Provider Name | Jennifer Reaves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801483029 PECOS PAC ID: 0941661599 Enrollment ID: I20230731001546 |
| Provider Name | Anthony Bisignano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467133025 PECOS PAC ID: 3870955057 Enrollment ID: I20230821001221 |
| Provider Name | Kathia Zina Cajuste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093409229 PECOS PAC ID: 8426411422 Enrollment ID: I20230823003529 |
| Provider Name | Dayana Amoros |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568023091 PECOS PAC ID: 8022495068 Enrollment ID: I20230828000747 |
| Provider Name | Terence Vereen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063192185 PECOS PAC ID: 7113380775 Enrollment ID: I20230829004533 |
| Provider Name | Melody Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285316661 PECOS PAC ID: 1850754334 Enrollment ID: I20230831000197 |
| Provider Name | Josue Guerrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467131110 PECOS PAC ID: 5395109136 Enrollment ID: I20230913001414 |
| Provider Name | Juan Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194436170 PECOS PAC ID: 0840654448 Enrollment ID: I20230915000388 |
| Provider Name | Lisandra Castillo Llanes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467138420 PECOS PAC ID: 3678937174 Enrollment ID: I20230918001369 |
| Provider Name | Sita D'oyen Russ |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164134862 PECOS PAC ID: 2365896404 Enrollment ID: I20230925000070 |
| Provider Name | Samuel Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811674757 PECOS PAC ID: 3577917590 Enrollment ID: I20230925003806 |
| Provider Name | Debbie Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336780857 PECOS PAC ID: 1951755644 Enrollment ID: I20230928003555 |
| Provider Name | Lynn M Chaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346763083 PECOS PAC ID: 0446605612 Enrollment ID: I20231006002824 |
| Provider Name | Chelsie Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912583063 PECOS PAC ID: 0547615742 Enrollment ID: I20231009000102 |
| Provider Name | Zayna Imani Alexis Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770361123 PECOS PAC ID: 8325493133 Enrollment ID: I20231014000681 |
| Provider Name | Kandis Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912685751 PECOS PAC ID: 4880049519 Enrollment ID: I20231016001168 |
| Provider Name | Kim Durrant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225719396 PECOS PAC ID: 5698121721 Enrollment ID: I20231026001043 |
| Provider Name | Cristina Rivera Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184962136 PECOS PAC ID: 0345480711 Enrollment ID: I20231026002230 |
| Provider Name | Debra Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700668233 PECOS PAC ID: 9234585209 Enrollment ID: I20231026003722 |
| Provider Name | Eddie Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992941280 PECOS PAC ID: 6406203405 Enrollment ID: I20231113003601 |
| Provider Name | Stephanie Marin-field |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528484938 PECOS PAC ID: 1759739162 Enrollment ID: I20231126000038 |
| Provider Name | Chyade Dobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942081609 PECOS PAC ID: 9032567482 Enrollment ID: I20231127001420 |
| Provider Name | Jacqueline Anne Maple |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356863823 PECOS PAC ID: 1850749763 Enrollment ID: I20231201002101 |
| Provider Name | Jessica M Hutchings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760263974 PECOS PAC ID: 8628428596 Enrollment ID: I20231219002878 |
| Provider Name | Shari-jo Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659157345 PECOS PAC ID: 8921458233 Enrollment ID: I20231228003928 |
| Provider Name | Kathleen Ruth Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336547017 PECOS PAC ID: 2769832997 Enrollment ID: I20231229000919 |
| Provider Name | Marie E Emmanuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457123176 PECOS PAC ID: 8426408535 Enrollment ID: I20240102000437 |
| Provider Name | Lisa M Loving |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649761891 PECOS PAC ID: 7012368780 Enrollment ID: I20240106000209 |
| Provider Name | Sendy Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154199230 PECOS PAC ID: 4587015920 Enrollment ID: I20240110000651 |
| Provider Name | Susan Forbes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619228640 PECOS PAC ID: 2264884261 Enrollment ID: I20240116000327 |
| Provider Name | Edward S Toler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619152592 PECOS PAC ID: 3072964766 Enrollment ID: I20240118000780 |
| Provider Name | Sadeep Kumbhamuelil John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124890827 PECOS PAC ID: 2163875238 Enrollment ID: I20240125002097 |
| Provider Name | Lenora Enix |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295707495 PECOS PAC ID: 8921067497 Enrollment ID: I20240131003182 |
| Provider Name | Maudlen Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457124356 PECOS PAC ID: 2466805700 Enrollment ID: I20240202000199 |
| Provider Name | Reinier Galvez Piedra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528709060 PECOS PAC ID: 5496199770 Enrollment ID: I20240214002184 |
| Provider Name | Mark Gagnon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467229401 PECOS PAC ID: 2466897624 Enrollment ID: I20240227002945 |
| Provider Name | Maria Belen Rojas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659873677 PECOS PAC ID: 7911343116 Enrollment ID: I20240311001532 |
| Provider Name | Jennyffer Castillo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912769100 PECOS PAC ID: 2860838745 Enrollment ID: I20240313004338 |
| Provider Name | Alyshamyre Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952167926 PECOS PAC ID: 3072950534 Enrollment ID: I20240320002414 |
| Provider Name | Diane Heribacka |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700169752 PECOS PAC ID: 3577900919 Enrollment ID: I20240321001660 |
| Provider Name | Lindy Sorenson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811278328 PECOS PAC ID: 7517304801 Enrollment ID: I20240321004070 |
| Provider Name | Brian Eddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780335299 PECOS PAC ID: 8729425699 Enrollment ID: I20240327002303 |
| Provider Name | Samantha a Hindman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730632639 PECOS PAC ID: 9931547486 Enrollment ID: I20240403003168 |
| Provider Name | Amy Riche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518735570 PECOS PAC ID: 7719325034 Enrollment ID: I20240405001862 |
| Provider Name | Vickie Moles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427825090 PECOS PAC ID: 7113365008 Enrollment ID: I20240411001020 |
| Provider Name | Erin Lynn Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699528554 PECOS PAC ID: 5193165009 Enrollment ID: I20240425001859 |
| Provider Name | Elizabeth S Wigle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376013680 PECOS PAC ID: 1759721418 Enrollment ID: I20240429000283 |
| Provider Name | Craig Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215789714 PECOS PAC ID: 9234579574 Enrollment ID: I20240502003502 |
| Provider Name | Courtny Coerver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811551294 PECOS PAC ID: 4385084680 Enrollment ID: I20240503001476 |
| Provider Name | Nicole Gabana |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700481785 PECOS PAC ID: 2466892575 Enrollment ID: I20240506003219 |
| Provider Name | David Coronado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083171458 PECOS PAC ID: 3870934904 Enrollment ID: I20240507003434 |
| Provider Name | Silvia V Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023888773 PECOS PAC ID: 8123460201 Enrollment ID: I20240521001269 |
| Provider Name | Terran C Dillhyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265293591 PECOS PAC ID: 9537501598 Enrollment ID: I20240523000108 |
| Provider Name | Evelyn Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891422291 PECOS PAC ID: 1658713987 Enrollment ID: I20240531000971 |
| Provider Name | Lynda Gannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922236066 PECOS PAC ID: 9638611742 Enrollment ID: I20240604003949 |
| Provider Name | Sean Malott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497479174 PECOS PAC ID: 2163966649 Enrollment ID: I20240626001875 |
| Provider Name | Michelle Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225489917 PECOS PAC ID: 2264976612 Enrollment ID: I20240627000232 |
| Provider Name | Rosali Lora De Rojas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710335724 PECOS PAC ID: 6800330424 Enrollment ID: I20240706000002 |
| Provider Name | Jake Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609480383 PECOS PAC ID: 6103361852 Enrollment ID: I20240717002955 |
| Provider Name | Elizabeth Suzanne Balser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881181568 PECOS PAC ID: 1759826431 Enrollment ID: I20240717004246 |
| Provider Name | Nichole Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851606990 PECOS PAC ID: 6204024946 Enrollment ID: I20240729004666 |
| Provider Name | Heather Wilbur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467200030 PECOS PAC ID: 8426595190 Enrollment ID: I20240731002029 |
| Provider Name | Michelle Jenice Mcgriff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083489009 PECOS PAC ID: 9830636794 Enrollment ID: I20240808004772 |
| Provider Name | Norman Gabriel Oliver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922718659 PECOS PAC ID: 6103364344 Enrollment ID: I20240819002669 |
| Provider Name | Whitney Telfort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669200127 PECOS PAC ID: 0547708604 Enrollment ID: I20240820003207 |
| Provider Name | Ericka Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093586406 PECOS PAC ID: 5092253021 Enrollment ID: I20240821001671 |
| Provider Name | Diamond Esperanza Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740823087 PECOS PAC ID: 9133668114 Enrollment ID: I20240822003031 |
| Provider Name | Sharmaine Wilder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881051670 PECOS PAC ID: 2264971977 Enrollment ID: I20240826004183 |
| Provider Name | Silvia Ximena Martinez Viera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396356192 PECOS PAC ID: 7214476860 Enrollment ID: I20240827001649 |
| Provider Name | Kemeisha Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194383505 PECOS PAC ID: 7315486594 Enrollment ID: I20240902000455 |
| Provider Name | Ena Dumond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629810437 PECOS PAC ID: 2860931045 Enrollment ID: I20240902000480 |
| Provider Name | Mary Sarfo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386494185 PECOS PAC ID: 4082154133 Enrollment ID: I20240904003331 |
| Provider Name | Brian P Walsh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376023317 PECOS PAC ID: 9133669617 Enrollment ID: I20240911001318 |
| Provider Name | Tracy-ann Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962246850 PECOS PAC ID: 8325588817 Enrollment ID: I20240911001743 |
| Provider Name | Christian Dopico |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295239820 PECOS PAC ID: 7911448691 Enrollment ID: I20240920003148 |
| Provider Name | Nederia Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598592156 PECOS PAC ID: 9537691522 Enrollment ID: I20241015003985 |
| Provider Name | Veronika Toussaint |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164058418 PECOS PAC ID: 8921531724 Enrollment ID: I20241101000039 |
| Provider Name | Sherry Ann Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801616586 PECOS PAC ID: 9335673979 Enrollment ID: I20241105003268 |
| Provider Name | Kervin Isaac |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679343982 PECOS PAC ID: 6800321357 Enrollment ID: I20241121001416 |
| Provider Name | Carlos De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740008150 PECOS PAC ID: 0648705442 Enrollment ID: I20241202003485 |
| Provider Name | Adrieene Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386487502 PECOS PAC ID: 2163958794 Enrollment ID: I20241206000359 |
| Provider Name | Ginette Moise |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568220481 PECOS PAC ID: 5496281578 Enrollment ID: I20241212001989 |
| Provider Name | Leticia M Christie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174366470 PECOS PAC ID: 1153859103 Enrollment ID: I20250105000122 |
| Provider Name | Karine Lubin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114334810 PECOS PAC ID: 8325576275 Enrollment ID: I20250107000026 |
| Provider Name | Catherine M Njagi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033380944 PECOS PAC ID: 1254869126 Enrollment ID: I20250107000959 |
| Provider Name | Sahiris Aponte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659946879 PECOS PAC ID: 5597293696 Enrollment ID: I20250116000854 |
| Provider Name | Nikkia Chanel Gattuso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396553350 PECOS PAC ID: 9739618802 Enrollment ID: I20250120000556 |
| Provider Name | Luis Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700475571 PECOS PAC ID: 8527597061 Enrollment ID: I20250128003627 |
| Provider Name | Hailey Cruz-pellan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497427538 PECOS PAC ID: 2466982558 Enrollment ID: I20250204003358 |
| Provider Name | Matthew Pritikin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942838412 PECOS PAC ID: 9537699640 Enrollment ID: I20250204003956 |
| Provider Name | Candace Thomson-bott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962771915 PECOS PAC ID: 5193158046 Enrollment ID: I20250207000345 |
| Provider Name | Crystal Rivera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922773431 PECOS PAC ID: 3274063128 Enrollment ID: I20250207002169 |
| Provider Name | Katrina Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598200115 PECOS PAC ID: 7416477732 Enrollment ID: I20250217003197 |
| Provider Name | Darci Winans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376378612 PECOS PAC ID: 4082134879 Enrollment ID: I20250224002591 |
| Provider Name | Sierra Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164228581 PECOS PAC ID: 2466973722 Enrollment ID: I20250304001348 |
| Provider Name | Samantha Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598573123 PECOS PAC ID: 3476074592 Enrollment ID: I20250305002952 |
| Provider Name | Minu Elizabeth Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912718495 PECOS PAC ID: 8022539014 Enrollment ID: I20250306001592 |
| Provider Name | Pierre Cius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194536938 PECOS PAC ID: 1254853633 Enrollment ID: I20250314000451 |
| Provider Name | Timothy Matson Price |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306558689 PECOS PAC ID: 0345762019 Enrollment ID: I20250321003592 |
| Provider Name | Yolayda Roque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346060738 PECOS PAC ID: 4688197072 Enrollment ID: I20250326002214 |
| Provider Name | Kellie Regan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265263057 PECOS PAC ID: 5890218010 Enrollment ID: I20250328001526 |
| Provider Name | Jessica Rearick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275331407 PECOS PAC ID: 8224552955 Enrollment ID: I20250403002386 |
| Provider Name | Melisa Budhna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700324498 PECOS PAC ID: 9234654914 Enrollment ID: I20250415001847 |
| Provider Name | Maria Malpica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245036441 PECOS PAC ID: 2961927082 Enrollment ID: I20250421002686 |
| Provider Name | Marc Lazarre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912705302 PECOS PAC ID: 6305361270 Enrollment ID: I20250423002067 |
| Provider Name | Susan Ramsey-french |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134825656 PECOS PAC ID: 5698292555 Enrollment ID: I20250505003055 |
| Provider Name | Taylor Woodard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740087378 PECOS PAC ID: 6901323146 Enrollment ID: I20250509003145 |
| Provider Name | Karen Pauline Depardieu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194276600 PECOS PAC ID: 7618495789 Enrollment ID: I20250513003180 |
| Provider Name | Rene Enrique Camacho- Cordoba |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962740027 PECOS PAC ID: 6901324896 Enrollment ID: I20250514002941 |
| Provider Name | Sarrah Obeid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508656554 PECOS PAC ID: 4284152737 Enrollment ID: I20250519000860 |
| Provider Name | Alicia Renee Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427281633 PECOS PAC ID: 7618495904 Enrollment ID: I20250520002407 |
| Provider Name | Megan Mccray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417747791 PECOS PAC ID: 8729597711 Enrollment ID: I20250602001469 |
| Provider Name | Cheyenne Carolyn Emery |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881144848 PECOS PAC ID: 4082124961 Enrollment ID: I20250610001746 |
| Provider Name | Jabbar Akari Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932907136 PECOS PAC ID: 2264943083 Enrollment ID: I20250617004358 |
| Provider Name | Alicia Budhna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205287851 PECOS PAC ID: 3274046701 Enrollment ID: I20250627004004 |
| Provider Name | Linda Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467246108 PECOS PAC ID: 0446763650 Enrollment ID: I20250701002538 |
| Provider Name | Teldra Horne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134921331 PECOS PAC ID: 5294248373 Enrollment ID: I20250701003885 |
| Provider Name | Sarah Sebban |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386120632 PECOS PAC ID: 6608380159 Enrollment ID: I20250708002469 |
| Provider Name | Rhonda Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205620440 PECOS PAC ID: 7214441526 Enrollment ID: I20250709001671 |
| Provider Name | Jessica Lynn Konkol |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366226623 PECOS PAC ID: 2567976590 Enrollment ID: I20250710001314 |
| Provider Name | Dewona Kalay Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861213787 PECOS PAC ID: 0446765390 Enrollment ID: I20250711000867 |
| Provider Name | Valerie Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720819956 PECOS PAC ID: 8820503188 Enrollment ID: I20250715003191 |
| Provider Name | Qunesha Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780577445 PECOS PAC ID: 1557876851 Enrollment ID: I20250715004165 |
| Provider Name | Shannon Bodkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184514390 PECOS PAC ID: 8426564477 Enrollment ID: I20250717004305 |
| Provider Name | Antuan Benitez Gil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467258632 PECOS PAC ID: 1759897622 Enrollment ID: I20250718001915 |
| Provider Name | Wendee Morgan Whittaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225920689 PECOS PAC ID: 8820505860 Enrollment ID: I20250725001293 |
| Provider Name | Branshonda Levine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194263830 PECOS PAC ID: 1355858085 Enrollment ID: I20250728003965 |
| Provider Name | Melisa Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376314112 PECOS PAC ID: 2062929607 Enrollment ID: I20250729000292 |
| Provider Name | Shaneiria Scott Crews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306626866 PECOS PAC ID: 7719494954 Enrollment ID: I20250730003947 |
| Provider Name | Annie Blystone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104617513 PECOS PAC ID: 2163920760 Enrollment ID: I20250813000237 |
| Provider Name | Keane Archibald Wilkinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093188435 PECOS PAC ID: 3173022738 Enrollment ID: I20250819005325 |
| Provider Name | Dargel Rodriguez Mederos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174065726 PECOS PAC ID: 8729580907 Enrollment ID: I20250906000442 |
| Provider Name | Michael Charles Connolly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952424616 PECOS PAC ID: 9234632837 Enrollment ID: I20250910003559 |
| Provider Name | Sophia Walden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497226500 PECOS PAC ID: 1254834724 Enrollment ID: I20250911000769 |
| Provider Name | Denise Marie Wasmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699908020 PECOS PAC ID: 2264935345 Enrollment ID: I20250913000055 |
| Provider Name | Anabel Bobes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780037218 PECOS PAC ID: 0143724898 Enrollment ID: I20250917000812 |
| Provider Name | Jillanne Hecker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205390978 PECOS PAC ID: 0840701447 Enrollment ID: I20250919001000 |
| Provider Name | Whitney Dopico |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578067674 PECOS PAC ID: 6002311842 Enrollment ID: I20250924000316 |
| Provider Name | Kristin Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801380282 PECOS PAC ID: 8426554171 Enrollment ID: I20251001002137 |
| Provider Name | Denise Marie-ann Kennedy-batchelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194548396 PECOS PAC ID: 8729584339 Enrollment ID: I20251002002157 |
| Provider Name | Victoria Waltrip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689356412 PECOS PAC ID: 8224535141 Enrollment ID: I20251008000164 |
| Provider Name | Letty Appelboom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659028496 PECOS PAC ID: 7911404744 Enrollment ID: I20251008001914 |
| Provider Name | Marie Chelda Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346055340 PECOS PAC ID: 0749787471 Enrollment ID: I20251008004065 |
| Provider Name | Daniel Shawn Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013702000 PECOS PAC ID: 0042707713 Enrollment ID: I20251015004358 |
| Provider Name | Brittney M Girgenti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851820120 PECOS PAC ID: 1254828775 Enrollment ID: I20251016003814 |
| Provider Name | Sade Egalite |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033805148 PECOS PAC ID: 3072002427 Enrollment ID: I20251027004696 |
| Provider Name | Steven Terezakis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538661319 PECOS PAC ID: 3173012481 Enrollment ID: I20251028001776 |
| Provider Name | Tarita Byas-harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164117123 PECOS PAC ID: 9436648607 Enrollment ID: I20251028003557 |
| Provider Name | Lily Maltezos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265304190 PECOS PAC ID: 3678062239 Enrollment ID: I20251103000851 |
| Provider Name | Jordan Talbot |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932794237 PECOS PAC ID: 8022508506 Enrollment ID: I20251104000855 |
| Provider Name | Alison Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801765706 PECOS PAC ID: 2163912809 Enrollment ID: I20251110003235 |
| Provider Name | Coral Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790653889 PECOS PAC ID: 9234620717 Enrollment ID: I20251112002464 |
| Provider Name | Michaelle Valcourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902494354 PECOS PAC ID: 5597256776 Enrollment ID: I20251115000303 |
| Provider Name | Giselle Plasencia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669332029 PECOS PAC ID: 7618469677 Enrollment ID: I20251126000939 |
| Provider Name | Alexandra Swallows |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922452226 PECOS PAC ID: 8628561537 Enrollment ID: I20251130000124 |
| Provider Name | Lenamari Oyola-velazquez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962372953 PECOS PAC ID: 8022501899 Enrollment ID: I20251202000578 |
| Provider Name | Alexeis Menendez Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871467050 PECOS PAC ID: 7618460270 Enrollment ID: I20251202002815 |
| Provider Name | Heather Renee Bostick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851252241 PECOS PAC ID: 3870086291 Enrollment ID: I20251204000751 |
| Provider Name | Yvette K Tshiupula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689463192 PECOS PAC ID: 3375036619 Enrollment ID: I20251204001558 |
| Provider Name | Sidraya Bussie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942678156 PECOS PAC ID: 3870088024 Enrollment ID: I20251224001566 |
| Provider Name | Marni Peterson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023729993 PECOS PAC ID: 9739675836 Enrollment ID: I20251228000152 |
| Provider Name | Michael Zack Jantaworn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063223741 PECOS PAC ID: 3971099623 Enrollment ID: I20251231003160 |
| Provider Name | Oseremen Aiworia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275324105 PECOS PAC ID: 1153817853 Enrollment ID: I20260101000330 |
| Provider Name | Jeffrey Cardona |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376294785 PECOS PAC ID: 2163918558 Enrollment ID: I20260106002260 |
| Provider Name | Shanice Jasmin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760346977 PECOS PAC ID: 2567958895 Enrollment ID: I20260106003625 |
| Provider Name | Tenasia Wynn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487351730 PECOS PAC ID: 8123504313 Enrollment ID: I20260107003219 |
| Provider Name | Lauren Meinelt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033913454 PECOS PAC ID: 4789160391 Enrollment ID: I20260114001137 |
| Provider Name | Emitenne Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386516417 PECOS PAC ID: 8325528706 Enrollment ID: I20260216000041 |
| Provider Name | Suzette Gordon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013229848 PECOS PAC ID: 3678053972 Enrollment ID: I20260217000008 |
| Provider Name | Juan Manuel Camacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588514962 PECOS PAC ID: 9436639317 Enrollment ID: I20260218003414 |
| Provider Name | Mariah Patton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760344295 PECOS PAC ID: 6103307657 Enrollment ID: I20260224001103 |
| Provider Name | Shanika Alfred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437001872 PECOS PAC ID: 3870074115 Enrollment ID: I20260224004345 |
| Provider Name | Emily Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881552628 PECOS PAC ID: 4284118233 Enrollment ID: I20260318002100 |
| Provider Name | Elizabeth Townsend |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174066450 PECOS PAC ID: 7416431010 Enrollment ID: I20260321000510 |
| Provider Name | Schillena Stephens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689220824 PECOS PAC ID: 8325522824 Enrollment ID: I20260323003602 |
| Provider Name | Shannon Lamar Chavis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033589387 PECOS PAC ID: 8123503372 Enrollment ID: I20260326001197 |
| Provider Name | Kelly Nicole Reed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962186965 PECOS PAC ID: 1951886837 Enrollment ID: I20260328000486 |
| Provider Name | Jaquice Lavette Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790639862 PECOS PAC ID: 9931684677 Enrollment ID: I20260331000688 |
| Provider Name | Sandra Barrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427913573 PECOS PAC ID: 9133694938 Enrollment ID: I20260409001027 |
| Provider Name | Hilda Canon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730027400 PECOS PAC ID: 6305311929 Enrollment ID: I20260410001094 |
| Provider Name | Aimee Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043166226 PECOS PAC ID: 9830666031 Enrollment ID: I20260424001862 |
| Provider Name | Kaye Dickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124969597 PECOS PAC ID: 3274002191 Enrollment ID: I20260520000227 |
| Provider Name | Collin Charles Uvanni |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710397450 PECOS PAC ID: 4183194509 Enrollment ID: I20260527002830 |
| Provider Name | Shalem Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407796824 PECOS PAC ID: 7719457704 Enrollment ID: I20260601001031 |
| Provider Name | Lucia Saputelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427206200 PECOS PAC ID: 3678044070 Enrollment ID: I20260606000110 |
| Provider Name | Tanishula Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578402822 PECOS PAC ID: 4981176450 Enrollment ID: I20260616001529 |
| Provider Name | Laporsha Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093648933 PECOS PAC ID: 4789156837 Enrollment ID: I20260618004671 |
Siva MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2845 Se 3rd Ct, Ocala, FL 34471 Phone: 352-369-5300 Fax: 352-369-5309 |
Central Florida Heart Group P.A. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6600 Sw Hwy 200, Suite 300, Ocala, FL 34476 Phone: 352-237-4116 Fax: 352-237-1785 |
Munroe Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1511 Sw 1st Ave, Ocala, FL 34471 Phone: 352-867-8311 Fax: 352-867-1053 |
Integrative Health Care and Physical Medicine Ocala LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3256 S Pine Ave Ste 301, Ocala, FL 34471 Phone: 352-369-6325 Fax: 352-369-6329 |
Poonam Warman M D P a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Se Magnolia Ext Ste 202, Ocala, FL 34471 Phone: 352-369-6139 |
Marion Internal Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 Se Lake Weir Ave, Ocala, FL 34471 Phone: 352-629-9634 Fax: 352-629-6350 |