| Duke University Health System, Inc. | |
|
Erwin Rd Durham NC 27710-0001 | |
| (919) 684-8111 | |
| Not Available |
| Full Name | Duke University Health System, Inc. |
|---|---|
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | Erwin Rd, Durham, North Carolina |
| Authorized Official Name and Position | John Stuart Smith (VP, FINANCE) |
| Authorized Official Contact | 9196138995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Duke University Health System, Inc. Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | Duke University Health System, Inc. Erwin Rd Durham NC 27710-0001 Ph: (919) 684-8111 |
| NPI Number | 1558392977 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 07/11/2022 |
| Medicare PECOS PAC ID | 2567372345 |
|---|---|
| Medicare Enrollment ID | O20031201000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558392977 | NPI | - | NPPES |
| 8000318 | Medicaid | NC | |
| 012WC | Other | NC | GROUP # BCBS S. WORKERS |
| Provider Name | Jennifer Nixon Pierce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225089691 PECOS PAC ID: 2961483300 Enrollment ID: I20040601000350 |
| Provider Name | Clyde C Gilbert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730169368 PECOS PAC ID: 6800871708 Enrollment ID: I20040623001415 |
| Provider Name | Carolee Ann West |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174574578 PECOS PAC ID: 6406832245 Enrollment ID: I20040624000839 |
| Provider Name | Tiffany E Shubert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043228794 PECOS PAC ID: 5294715447 Enrollment ID: I20040720001304 |
| Provider Name | Brenda W Poirier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619207032 PECOS PAC ID: 1254393598 Enrollment ID: I20041029000558 |
| Provider Name | Catherine L Dunston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811078256 PECOS PAC ID: 9436117058 Enrollment ID: I20041229000717 |
| Provider Name | Jeannine M Sherer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932240058 PECOS PAC ID: 3870545718 Enrollment ID: I20050218000336 |
| Provider Name | Cindy Cook Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780638825 PECOS PAC ID: 0648222547 Enrollment ID: I20050218000812 |
| Provider Name | Birgit Reher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144389610 PECOS PAC ID: 8426005703 Enrollment ID: I20050407001301 |
| Provider Name | Marc Edward Caruana |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912958927 PECOS PAC ID: 4486687118 Enrollment ID: I20050914000197 |
| Provider Name | Shelley Rice |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1558425272 PECOS PAC ID: 0648205450 Enrollment ID: I20050929001295 |
| Provider Name | Cooley L Gaffigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790842292 PECOS PAC ID: 7315965951 Enrollment ID: I20051102000999 |
| Provider Name | April Wall Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154491314 PECOS PAC ID: 9133148505 Enrollment ID: I20051115000399 |
| Provider Name | Jane M Pedersen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154371516 PECOS PAC ID: 5890714869 Enrollment ID: I20051118000411 |
| Provider Name | Sheela J Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871695486 PECOS PAC ID: 9335169911 Enrollment ID: I20051128000606 |
| Provider Name | Rushad D Shroff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982603775 PECOS PAC ID: 2365464609 Enrollment ID: I20051229000520 |
| Provider Name | Maitreya B Thakkar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225022056 PECOS PAC ID: 0345264578 Enrollment ID: I20060114000078 |
| Provider Name | Laura W Tymas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710945670 PECOS PAC ID: 3274548128 Enrollment ID: I20060215000243 |
| Provider Name | Jessica A Hartzell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093838328 PECOS PAC ID: 6406861079 Enrollment ID: I20060217000636 |
| Provider Name | Andrew M Ball |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730156001 PECOS PAC ID: 0749295236 Enrollment ID: I20060221000322 |
| Provider Name | Anne C Ford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013070887 PECOS PAC ID: 9638189400 Enrollment ID: I20060425000535 |
| Provider Name | Richard A Clendaniel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568546166 PECOS PAC ID: 5193735637 Enrollment ID: I20060428000249 |
| Provider Name | Kitza P Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699762724 PECOS PAC ID: 3173528353 Enrollment ID: I20060921000278 |
| Provider Name | Brigid Marie Kolasa Dohse |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558464016 PECOS PAC ID: 7113978701 Enrollment ID: I20061114000081 |
| Provider Name | Joseph Chapman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275501918 PECOS PAC ID: 2062417033 Enrollment ID: I20070122000583 |
| Provider Name | Kristina Whisnant Breedlove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366533838 PECOS PAC ID: 9638170277 Enrollment ID: I20070124000461 |
| Provider Name | Susanne S Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427150242 PECOS PAC ID: 8123029428 Enrollment ID: I20070130000311 |
| Provider Name | Ruth N Digiovanni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619042892 PECOS PAC ID: 4183626740 Enrollment ID: I20070209000627 |
| Provider Name | Kellie Berne Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831257419 PECOS PAC ID: 7618079609 Enrollment ID: I20070221000617 |
| Provider Name | Amelia B Beatty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710040555 PECOS PAC ID: 9739281569 Enrollment ID: I20070226000666 |
| Provider Name | Kathryn M Andolsek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275624348 PECOS PAC ID: 7517061443 Enrollment ID: I20070402000373 |
| Provider Name | Melanie H Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700937760 PECOS PAC ID: 7618071317 Enrollment ID: I20070406000376 |
| Provider Name | Thomas Gregory Winn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215982442 PECOS PAC ID: 1254346182 Enrollment ID: I20070605000315 |
| Provider Name | Charles A Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912077595 PECOS PAC ID: 6204934474 Enrollment ID: I20070612000310 |
| Provider Name | Virginia Christine Simmons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558431056 PECOS PAC ID: 2466551858 Enrollment ID: I20070626000494 |
| Provider Name | Julia B Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780639278 PECOS PAC ID: 2961593017 Enrollment ID: I20070803000541 |
| Provider Name | Michael Alan Neal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891876215 PECOS PAC ID: 0547218380 Enrollment ID: I20070824000020 |
| Provider Name | Kelly S Batts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497804116 PECOS PAC ID: 7113011362 Enrollment ID: I20070918000678 |
| Provider Name | Rosalinda C Canizares |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528252269 PECOS PAC ID: 2668567744 Enrollment ID: I20071004000230 |
| Provider Name | Susan E Totten |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265559660 PECOS PAC ID: 6507952249 Enrollment ID: I20071011000251 |
| Provider Name | Ellen K Weinel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184745838 PECOS PAC ID: 1658469218 Enrollment ID: I20071114000585 |
| Provider Name | Shona Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780872507 PECOS PAC ID: 4981793452 Enrollment ID: I20071205000725 |
| Provider Name | Jenny Biggs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154501732 PECOS PAC ID: 4688764087 Enrollment ID: I20071224000004 |
| Provider Name | Laura L Wrenn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609915461 PECOS PAC ID: 2567545734 Enrollment ID: I20080211000735 |
| Provider Name | Elizabeth L Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730238759 PECOS PAC ID: 0244318558 Enrollment ID: I20080425000482 |
| Provider Name | Graciela Cristina De Angelis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629281399 PECOS PAC ID: 2567540727 Enrollment ID: I20080429000326 |
| Provider Name | Catherine A Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891879953 PECOS PAC ID: 6406935303 Enrollment ID: I20080505000032 |
| Provider Name | Diane A Catalano |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114123858 PECOS PAC ID: 6406925601 Enrollment ID: I20080514000212 |
| Provider Name | Erin L Blackburn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1043485204 PECOS PAC ID: 7810062536 Enrollment ID: I20080814000641 |
| Provider Name | Nayana Abrol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497956205 PECOS PAC ID: 5294800231 Enrollment ID: I20080826000440 |
| Provider Name | Cameron R Wolfe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396910543 PECOS PAC ID: 4880760511 Enrollment ID: I20080904000208 |
| Provider Name | Mary Ann B Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538223292 PECOS PAC ID: 0648347757 Enrollment ID: I20080915000624 |
| Provider Name | Robert W Wiese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457432569 PECOS PAC ID: 1153498761 Enrollment ID: I20080924000295 |
| Provider Name | Remy Rene Coeytaux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326143645 PECOS PAC ID: 5597833426 Enrollment ID: I20081006000390 |
| Provider Name | Barbara K Berkley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558511824 PECOS PAC ID: 3577621010 Enrollment ID: I20081028000069 |
| Provider Name | Shieghetha L Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144471947 PECOS PAC ID: 6709947617 Enrollment ID: I20081210000884 |
| Provider Name | Patricia L Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104902840 PECOS PAC ID: 0244395119 Enrollment ID: I20090210000667 |
| Provider Name | Sofia H Rydin-gray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629216460 PECOS PAC ID: 9638235856 Enrollment ID: I20090312000686 |
| Provider Name | Julia B Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679657720 PECOS PAC ID: 5991862674 Enrollment ID: I20090324000696 |
| Provider Name | Dawn M Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740408780 PECOS PAC ID: 1850449323 Enrollment ID: I20090511000584 |
| Provider Name | Jonathan Gregory Bae |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467625509 PECOS PAC ID: 7911057161 Enrollment ID: I20090609000385 |
| Provider Name | Corina M Martinez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982830527 PECOS PAC ID: 0446303382 Enrollment ID: I20090724000601 |
| Provider Name | June S Kennedy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710113451 PECOS PAC ID: 5890848733 Enrollment ID: I20090724000607 |
| Provider Name | Jill L Freck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457587180 PECOS PAC ID: 2062565922 Enrollment ID: I20090725000136 |
| Provider Name | Kimberly A Keyser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477789113 PECOS PAC ID: 9133272974 Enrollment ID: I20090727000747 |
| Provider Name | Heather S Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720214364 PECOS PAC ID: 8123171964 Enrollment ID: I20090727000758 |
| Provider Name | Ann M Husk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023244753 PECOS PAC ID: 9830242569 Enrollment ID: I20090728000906 |
| Provider Name | Cheryl L Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639306830 PECOS PAC ID: 9739232307 Enrollment ID: I20090729000454 |
| Provider Name | Jaime L Blanton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811123490 PECOS PAC ID: 4082767538 Enrollment ID: I20090730000194 |
| Provider Name | Linda M Patrikios |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093941015 PECOS PAC ID: 7012060577 Enrollment ID: I20090730000397 |
| Provider Name | Robert Francis Bruzga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699901314 PECOS PAC ID: 3274686746 Enrollment ID: I20090730000414 |
| Provider Name | Jenna Austell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285860916 PECOS PAC ID: 4183777675 Enrollment ID: I20090730000589 |
| Provider Name | Alanna C Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922234640 PECOS PAC ID: 7214080654 Enrollment ID: I20090731000543 |
| Provider Name | Linda P Cates |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932335858 PECOS PAC ID: 1759434194 Enrollment ID: I20090731000552 |
| Provider Name | Lisa Massa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124259270 PECOS PAC ID: 0244385599 Enrollment ID: I20090910000100 |
| Provider Name | Tereon N Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164672382 PECOS PAC ID: 8527104884 Enrollment ID: I20090930000499 |
| Provider Name | Rachel C Breslin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194955211 PECOS PAC ID: 0042356297 Enrollment ID: I20091002000266 |
| Provider Name | Peter J Duquette |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356677611 PECOS PAC ID: 5395883557 Enrollment ID: I20091109000120 |
| Provider Name | Elisabetta Politi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639334998 PECOS PAC ID: 0941340327 Enrollment ID: I20091215000611 |
| Provider Name | Deborah D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205163045 PECOS PAC ID: 7315088978 Enrollment ID: I20100105000637 |
| Provider Name | Niraj Chandrakant Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407940596 PECOS PAC ID: 7618979337 Enrollment ID: I20100112000856 |
| Provider Name | Susan P Blackford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932258944 PECOS PAC ID: 4880735877 Enrollment ID: I20100113000407 |
| Provider Name | Karen J Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861724627 PECOS PAC ID: 6204971252 Enrollment ID: I20100302000955 |
| Provider Name | Margaret T Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609817865 PECOS PAC ID: 4587799895 Enrollment ID: I20100311000777 |
| Provider Name | Kristina L Eiden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376765966 PECOS PAC ID: 7315916814 Enrollment ID: I20100331001001 |
| Provider Name | Wendy P Bush |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164474359 PECOS PAC ID: 1759310014 Enrollment ID: I20100430000565 |
| Provider Name | Kimberly Briggs Mann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003146192 PECOS PAC ID: 9436288727 Enrollment ID: I20100525000627 |
| Provider Name | Maureen C Butts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366760415 PECOS PAC ID: 6204965437 Enrollment ID: I20100527000128 |
| Provider Name | Robert C Kinnan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023279668 PECOS PAC ID: 2567592264 Enrollment ID: I20100607000422 |
| Provider Name | Carolyn E Keeler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083804058 PECOS PAC ID: 1052442415 Enrollment ID: I20100629000124 |
| Provider Name | Christine B Tenekjian |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194980474 PECOS PAC ID: 6305977406 Enrollment ID: I20100707000315 |
| Provider Name | Kara M Mitchell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972738037 PECOS PAC ID: 8325172448 Enrollment ID: I20100811000694 |
| Provider Name | Gary E Macy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740364892 PECOS PAC ID: 3678607587 Enrollment ID: I20100813000846 |
| Provider Name | Lori A Roskin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740591114 PECOS PAC ID: 4688708415 Enrollment ID: I20100816001067 |
| Provider Name | Derrick T King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467766162 PECOS PAC ID: 3173647146 Enrollment ID: I20100826001152 |
| Provider Name | Kathleen Elizabeth West |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437204419 PECOS PAC ID: 9739203456 Enrollment ID: I20100902000413 |
| Provider Name | Anne-marie Defranco Telford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063552834 PECOS PAC ID: 8628193331 Enrollment ID: I20100918000200 |
| Provider Name | Christine A Kornegay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801104518 PECOS PAC ID: 0244422632 Enrollment ID: I20101004000777 |
| Provider Name | Kathryn Douglass Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275754111 PECOS PAC ID: 4486847472 Enrollment ID: I20101022000470 |
| Provider Name | Whitney E Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073813705 PECOS PAC ID: 0143416032 Enrollment ID: I20101117001326 |
| Provider Name | Anne B Harrington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205980349 PECOS PAC ID: 3072709278 Enrollment ID: I20101130001199 |
| Provider Name | Brian S Schiff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740319276 PECOS PAC ID: 7618157066 Enrollment ID: I20110202000561 |
| Provider Name | Adam J White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790932184 PECOS PAC ID: 0345421723 Enrollment ID: I20110217000436 |
| Provider Name | Katherine Hansen Kalinowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588964233 PECOS PAC ID: 7719168939 Enrollment ID: I20110222000387 |
| Provider Name | Christina L Holladay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255637724 PECOS PAC ID: 1557543642 Enrollment ID: I20110310000623 |
| Provider Name | Pamela Bowden Brisson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427348101 PECOS PAC ID: 9234314568 Enrollment ID: I20110429000400 |
| Provider Name | Nancy J Lelle-michel |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1083904361 PECOS PAC ID: 7517143555 Enrollment ID: I20110509000816 |
| Provider Name | Tywan J Lindsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023129152 PECOS PAC ID: 3870771892 Enrollment ID: I20110622000379 |
| Provider Name | Christina Leanne Ankney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245523398 PECOS PAC ID: 4385815877 Enrollment ID: I20110913000585 |
| Provider Name | Jamie Elizabeth Corbett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629367289 PECOS PAC ID: 4385816958 Enrollment ID: I20111004000839 |
| Provider Name | Barbara A Mclurkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871656652 PECOS PAC ID: 2264605864 Enrollment ID: I20111026000703 |
| Provider Name | Jennifer M Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639453285 PECOS PAC ID: 4486828696 Enrollment ID: I20111129000077 |
| Provider Name | Adam I Perlman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720086945 PECOS PAC ID: 6204876790 Enrollment ID: I20111201000783 |
| Provider Name | Mary Thorp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063548915 PECOS PAC ID: 2365617248 Enrollment ID: I20111205000073 |
| Provider Name | Troy R Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487931671 PECOS PAC ID: 0042485989 Enrollment ID: I20111205000700 |
| Provider Name | Josephine H Macmang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861785610 PECOS PAC ID: 0446425136 Enrollment ID: I20111207000785 |
| Provider Name | Fletcher L Hartsell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720282544 PECOS PAC ID: 2961678735 Enrollment ID: I20111228000286 |
| Provider Name | Teresa H Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497028559 PECOS PAC ID: 9638338478 Enrollment ID: I20120314000063 |
| Provider Name | Robin Leigh Siska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407086481 PECOS PAC ID: 1052572161 Enrollment ID: I20120417000782 |
| Provider Name | Lizbeth A Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558673814 PECOS PAC ID: 0547421372 Enrollment ID: I20120420000684 |
| Provider Name | Mashael S Al-hegelan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043492960 PECOS PAC ID: 5799948162 Enrollment ID: I20120522001074 |
| Provider Name | Patricia L Mcgugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891015145 PECOS PAC ID: 5698939320 Enrollment ID: I20120611000015 |
| Provider Name | Robert Blessing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841349859 PECOS PAC ID: 3971767591 Enrollment ID: I20120612000340 |
| Provider Name | Thomas A Murdy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750648176 PECOS PAC ID: 6406011469 Enrollment ID: I20120626000392 |
| Provider Name | Misty Woods Corcoran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427319581 PECOS PAC ID: 7517113426 Enrollment ID: I20120808000970 |
| Provider Name | Dana Pierson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811252828 PECOS PAC ID: 4183871528 Enrollment ID: I20120820001196 |
| Provider Name | Millicent B Brown |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285863852 PECOS PAC ID: 1456508837 Enrollment ID: I20120821000498 |
| Provider Name | Brien R Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548598899 PECOS PAC ID: 9739336876 Enrollment ID: I20120824000712 |
| Provider Name | Katie Talbert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144575457 PECOS PAC ID: 3072761741 Enrollment ID: I20120921000446 |
| Provider Name | Katie S Pruka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992054266 PECOS PAC ID: 1254580707 Enrollment ID: I20120927000528 |
| Provider Name | Richard Brian Pitts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063775054 PECOS PAC ID: 8325299001 Enrollment ID: I20121105000563 |
| Provider Name | Lisa Jane Avery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477866515 PECOS PAC ID: 5193976777 Enrollment ID: I20121107000430 |
| Provider Name | Jessica Frost Main |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679837363 PECOS PAC ID: 2567613961 Enrollment ID: I20121112000728 |
| Provider Name | Julie Elizabeth Rennie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417208653 PECOS PAC ID: 2860643707 Enrollment ID: I20121127000276 |
| Provider Name | Jennifer Kathryn Medina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346550522 PECOS PAC ID: 4587817523 Enrollment ID: I20121226000417 |
| Provider Name | Lisa M Whitley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306108527 PECOS PAC ID: 6406009752 Enrollment ID: I20130117000047 |
| Provider Name | Tess S John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205171642 PECOS PAC ID: 7810132149 Enrollment ID: I20130314000285 |
| Provider Name | Carolyn Beth Patrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093065880 PECOS PAC ID: 5193961068 Enrollment ID: I20130419000098 |
| Provider Name | Nicole M Caviness |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811952344 PECOS PAC ID: 9830337245 Enrollment ID: I20130524000111 |
| Provider Name | Lisa Hughes Lapeze |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972854511 PECOS PAC ID: 4587802657 Enrollment ID: I20130531000092 |
| Provider Name | Luke A Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861762536 PECOS PAC ID: 5092955336 Enrollment ID: I20130709000598 |
| Provider Name | Tricia Ann Koch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760829063 PECOS PAC ID: 6608017520 Enrollment ID: I20130718000502 |
| Provider Name | India Green Bynum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538503941 PECOS PAC ID: 1153562244 Enrollment ID: I20130801000498 |
| Provider Name | Ingrid Katarina Maple |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629414727 PECOS PAC ID: 4688817638 Enrollment ID: I20130823000746 |
| Provider Name | Sara A Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699118604 PECOS PAC ID: 2860636008 Enrollment ID: I20130910000448 |
| Provider Name | Heather A Toth |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649603606 PECOS PAC ID: 1658515770 Enrollment ID: I20130911000430 |
| Provider Name | Kristen Lattimore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447683149 PECOS PAC ID: 2961637160 Enrollment ID: I20131024000180 |
| Provider Name | Amanda Albertson Heath |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184051484 PECOS PAC ID: 8820224827 Enrollment ID: I20131121001668 |
| Provider Name | Patrick T Ward |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134551807 PECOS PAC ID: 7113153982 Enrollment ID: I20131126001912 |
| Provider Name | Meghann Nadine Toilolo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700223450 PECOS PAC ID: 9436385242 Enrollment ID: I20131127001235 |
| Provider Name | Neal C Depersia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346310927 PECOS PAC ID: 9436385051 Enrollment ID: I20131203001767 |
| Provider Name | Sarah E Cottingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780018580 PECOS PAC ID: 7810124468 Enrollment ID: I20131205001881 |
| Provider Name | Marissa Anna Touhey Holsten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811284805 PECOS PAC ID: 8527295344 Enrollment ID: I20131223001655 |
| Provider Name | Amanda K Hall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992136030 PECOS PAC ID: 9638307416 Enrollment ID: I20140125000026 |
| Provider Name | Nicole R Peralta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457590044 PECOS PAC ID: 4082771357 Enrollment ID: I20140213001552 |
| Provider Name | Emily Gibson Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235416272 PECOS PAC ID: 4587800263 Enrollment ID: I20140217001227 |
| Provider Name | David C Tucker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306279336 PECOS PAC ID: 8527298868 Enrollment ID: I20140305001607 |
| Provider Name | Janel L Solanki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861649022 PECOS PAC ID: 2769559251 Enrollment ID: I20140320002133 |
| Provider Name | Jayson Mark Michnowicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811329816 PECOS PAC ID: 7810129491 Enrollment ID: I20140414001018 |
| Provider Name | Kimberlyn P Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861589277 PECOS PAC ID: 6901804079 Enrollment ID: I20140507000139 |
| Provider Name | Nicole Morales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982030680 PECOS PAC ID: 9830315266 Enrollment ID: I20140721002212 |
| Provider Name | William S Yancy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598851974 PECOS PAC ID: 1759507023 Enrollment ID: I20140722001636 |
| Provider Name | Candace Parks Passaro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457763245 PECOS PAC ID: 3678791944 Enrollment ID: I20140828000306 |
| Provider Name | Matthew Wertman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639588288 PECOS PAC ID: 2163642422 Enrollment ID: I20141008001927 |
| Provider Name | Jeremiah J Olivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477969616 PECOS PAC ID: 7618199035 Enrollment ID: I20141119000301 |
| Provider Name | Amanda M Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255747275 PECOS PAC ID: 2961624309 Enrollment ID: I20141119001207 |
| Provider Name | Ashley Fagert Kinsey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770984056 PECOS PAC ID: 8325260680 Enrollment ID: I20141121000482 |
| Provider Name | Sandra Grace Rende |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114335510 PECOS PAC ID: 7214259068 Enrollment ID: I20141204002122 |
| Provider Name | William Renkas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760884605 PECOS PAC ID: 7113240458 Enrollment ID: I20141217002890 |
| Provider Name | Colleen Danielle Sparrow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124364682 PECOS PAC ID: 5395705156 Enrollment ID: I20150106000166 |
| Provider Name | Jennifer Anne Bent |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437493459 PECOS PAC ID: 3173847480 Enrollment ID: I20150115000047 |
| Provider Name | Gretchen Correll |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083012926 PECOS PAC ID: 1254655988 Enrollment ID: I20150128001200 |
| Provider Name | Megan I Keith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801187810 PECOS PAC ID: 3779724190 Enrollment ID: I20150210001011 |
| Provider Name | Cynthia Berardinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063733418 PECOS PAC ID: 5294051470 Enrollment ID: I20150305001532 |
| Provider Name | Sara J Neill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710258314 PECOS PAC ID: 1759512338 Enrollment ID: I20150310000927 |
| Provider Name | Sarah E Mears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841689056 PECOS PAC ID: 4981921640 Enrollment ID: I20150318001487 |
| Provider Name | Leigh A Wilfley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386034379 PECOS PAC ID: 1153648480 Enrollment ID: I20150326000774 |
| Provider Name | Alicia Hiscox Parisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013231349 PECOS PAC ID: 3274710470 Enrollment ID: I20150326002052 |
| Provider Name | Kristal Lynn Barbee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255740551 PECOS PAC ID: 2961729017 Enrollment ID: I20150330000527 |
| Provider Name | Beth A King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245535475 PECOS PAC ID: 7810112463 Enrollment ID: I20150420001018 |
| Provider Name | Mindi Holt Ramsey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962893164 PECOS PAC ID: 4981922192 Enrollment ID: I20150420002192 |
| Provider Name | Marwa A Massry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023408168 PECOS PAC ID: 6709106552 Enrollment ID: I20150519002597 |
| Provider Name | Stacey T Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740677277 PECOS PAC ID: 4385956853 Enrollment ID: I20150713000625 |
| Provider Name | Eboni T Clarke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982913398 PECOS PAC ID: 2567775844 Enrollment ID: I20150715001416 |
| Provider Name | Leslie N Lynch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366674020 PECOS PAC ID: 0749596070 Enrollment ID: I20150902000285 |
| Provider Name | James G Salfia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689055147 PECOS PAC ID: 7618283862 Enrollment ID: I20150902001135 |
| Provider Name | Heidi Elizabeth Pongracz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043694417 PECOS PAC ID: 6305153453 Enrollment ID: I20150922001932 |
| Provider Name | Toya M Hart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649420837 PECOS PAC ID: 8820305998 Enrollment ID: I20150922002391 |
| Provider Name | Lorna M Troost |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750767901 PECOS PAC ID: 3072820059 Enrollment ID: I20150924000117 |
| Provider Name | Andrea Szematowicz Hartzell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770966764 PECOS PAC ID: 8224346028 Enrollment ID: I20150928002494 |
| Provider Name | Wendy Ballard Carels |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316314628 PECOS PAC ID: 3173831500 Enrollment ID: I20151002002504 |
| Provider Name | Julie A Reo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528435310 PECOS PAC ID: 9739498254 Enrollment ID: I20151023002452 |
| Provider Name | Joshua James Blevins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942565130 PECOS PAC ID: 7315256732 Enrollment ID: I20151024000175 |
| Provider Name | Brian Keith Hinchman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588710669 PECOS PAC ID: 6103823588 Enrollment ID: I20151028002023 |
| Provider Name | Julie A Lunich |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801934971 PECOS PAC ID: 3072822204 Enrollment ID: I20151028002849 |
| Provider Name | Christine Khelfa |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770638488 PECOS PAC ID: 9739240441 Enrollment ID: I20151029002789 |
| Provider Name | Catherine F Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790160745 PECOS PAC ID: 8527368448 Enrollment ID: I20151128000012 |
| Provider Name | Lesley Cutler Hodges |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164802849 PECOS PAC ID: 3678874377 Enrollment ID: I20151222002925 |
| Provider Name | Megan E Kauffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841669439 PECOS PAC ID: 7618279746 Enrollment ID: I20160107000183 |
| Provider Name | Carolina D Tennyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144691726 PECOS PAC ID: 5991008856 Enrollment ID: I20160127000415 |
| Provider Name | Caitlin R Cook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144699091 PECOS PAC ID: 6800199514 Enrollment ID: I20160128002699 |
| Provider Name | Christine M Baright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881077881 PECOS PAC ID: 2062715758 Enrollment ID: I20160129002426 |
| Provider Name | Kirstin M Sparrow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306182860 PECOS PAC ID: 7012211550 Enrollment ID: I20160203002851 |
| Provider Name | Allison L Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003271834 PECOS PAC ID: 8628374436 Enrollment ID: I20160303002435 |
| Provider Name | Stacy Marie Head |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770598203 PECOS PAC ID: 6507162278 Enrollment ID: I20160307000115 |
| Provider Name | Christopher Brice Boelter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821463167 PECOS PAC ID: 8022314525 Enrollment ID: I20160309001744 |
| Provider Name | Jennifer E Kern |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831396027 PECOS PAC ID: 3476852278 Enrollment ID: I20160428002359 |
| Provider Name | Jennifer L Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710304886 PECOS PAC ID: 5890910673 Enrollment ID: I20160502002064 |
| Provider Name | Anjali S Shelke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467743807 PECOS PAC ID: 0244529170 Enrollment ID: I20160517001293 |
| Provider Name | Jordan Mckenzie-solis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003270042 PECOS PAC ID: 4385934082 Enrollment ID: I20160609000014 |
| Provider Name | Mahesh Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194182915 PECOS PAC ID: 6507157930 Enrollment ID: I20160615001404 |
| Provider Name | Rachel J Carrier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396107462 PECOS PAC ID: 3870884588 Enrollment ID: I20160627001589 |
| Provider Name | Olivia L Tomasiello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164879078 PECOS PAC ID: 0840582524 Enrollment ID: I20160718000973 |
| Provider Name | Carolina Veronese |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760802664 PECOS PAC ID: 0143444000 Enrollment ID: I20160719001348 |
| Provider Name | Nia Schwann Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235276510 PECOS PAC ID: 3678761962 Enrollment ID: I20160815000500 |
| Provider Name | Jacob W Hollenbeck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033571724 PECOS PAC ID: 1951695873 Enrollment ID: I20160815002755 |
| Provider Name | Lesley S Hlad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407160864 PECOS PAC ID: 1759676331 Enrollment ID: I20160822000943 |
| Provider Name | Katherine F Flynt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083020192 PECOS PAC ID: 9133415623 Enrollment ID: I20160909000695 |
| Provider Name | Michelle M Dellascio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851747026 PECOS PAC ID: 8022304146 Enrollment ID: I20160915001034 |
| Provider Name | Justine M Wiltsie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609272087 PECOS PAC ID: 3577882331 Enrollment ID: I20160919000787 |
| Provider Name | Courtney W Matthews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780036244 PECOS PAC ID: 9436446390 Enrollment ID: I20160921001639 |
| Provider Name | Elizabeth Villalta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437530193 PECOS PAC ID: 2961790274 Enrollment ID: I20161019000454 |
| Provider Name | Andrea M Christian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164877536 PECOS PAC ID: 6002194420 Enrollment ID: I20161104001272 |
| Provider Name | Ashley M Gaudino |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033666227 PECOS PAC ID: 2860771409 Enrollment ID: I20161122001516 |
| Provider Name | Ann Mccollum Steele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891157194 PECOS PAC ID: 2163701624 Enrollment ID: I20161128001813 |
| Provider Name | Laura B Lumsden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174893135 PECOS PAC ID: 1850516519 Enrollment ID: I20161129000883 |
| Provider Name | Holly Wenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598210957 PECOS PAC ID: 1658651039 Enrollment ID: I20161130001239 |
| Provider Name | Christopher B Ritter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710435102 PECOS PAC ID: 3678853249 Enrollment ID: I20161219000264 |
| Provider Name | Brennan Collins Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649722935 PECOS PAC ID: 3678854643 Enrollment ID: I20170105001625 |
| Provider Name | Karen Theresa Augustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235681180 PECOS PAC ID: 6800177577 Enrollment ID: I20170111003665 |
| Provider Name | Debra Kay Myhr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023340445 PECOS PAC ID: 6204971823 Enrollment ID: I20170111003672 |
| Provider Name | Arkady Sue Millard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982057006 PECOS PAC ID: 0941596050 Enrollment ID: I20170130002698 |
| Provider Name | Rucha J Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265974075 PECOS PAC ID: 1759666365 Enrollment ID: I20170322001900 |
| Provider Name | Katie Leigh Hester |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558800060 PECOS PAC ID: 4880971753 Enrollment ID: I20170502000304 |
| Provider Name | Katherine Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245779826 PECOS PAC ID: 8527335843 Enrollment ID: I20170517000334 |
| Provider Name | Laura S Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194276857 PECOS PAC ID: 9931476975 Enrollment ID: I20170523002888 |
| Provider Name | Penny S Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033580832 PECOS PAC ID: 2961779632 Enrollment ID: I20170531000669 |
| Provider Name | Lindsey E Exner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821547399 PECOS PAC ID: 2163790031 Enrollment ID: I20170616002306 |
| Provider Name | Marina M Bova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992253173 PECOS PAC ID: 9335418839 Enrollment ID: I20170626002775 |
| Provider Name | Justin J Awruch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710425160 PECOS PAC ID: 7618248626 Enrollment ID: I20170809004160 |
| Provider Name | Kimberly Dawn Slawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710376587 PECOS PAC ID: 0749552313 Enrollment ID: I20170816002283 |
| Provider Name | Mark William Chandler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407291941 PECOS PAC ID: 7517185713 Enrollment ID: I20170825000422 |
| Provider Name | Michelle C Martwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457712887 PECOS PAC ID: 2769759802 Enrollment ID: I20170828003146 |
| Provider Name | Michelle A Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962927566 PECOS PAC ID: 9032483086 Enrollment ID: I20170914002883 |
| Provider Name | Jennifer E Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003343757 PECOS PAC ID: 6901170760 Enrollment ID: I20170919000673 |
| Provider Name | Zachary Michael Boyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750818662 PECOS PAC ID: 7113291428 Enrollment ID: I20170926002284 |
| Provider Name | Deborah Lee Sivret |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760463707 PECOS PAC ID: 5193090074 Enrollment ID: I20171003004634 |
| Provider Name | Justin Kretzschmar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144691403 PECOS PAC ID: 0042585739 Enrollment ID: I20171005002069 |
| Provider Name | Jennifer Merrimon Thornton-jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023531357 PECOS PAC ID: 5890060511 Enrollment ID: I20171005003433 |
| Provider Name | Novia Chantel Stevenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174905160 PECOS PAC ID: 5890060107 Enrollment ID: I20171011003087 |
| Provider Name | Daphne C Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235549551 PECOS PAC ID: 8123393469 Enrollment ID: I20171012000797 |
| Provider Name | Philip Barr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477522746 PECOS PAC ID: 7719982248 Enrollment ID: I20171019003266 |
| Provider Name | Amanda E Lemarier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134559891 PECOS PAC ID: 7719118330 Enrollment ID: I20171101003150 |
| Provider Name | Margaret A Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447528021 PECOS PAC ID: 9830455112 Enrollment ID: I20171102003274 |
| Provider Name | Yi-lin Liao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346605292 PECOS PAC ID: 9739488040 Enrollment ID: I20171103000583 |
| Provider Name | Ivy L Settlemires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699184762 PECOS PAC ID: 6901162981 Enrollment ID: I20171107002465 |
| Provider Name | Rachel Marie Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164720934 PECOS PAC ID: 2668738527 Enrollment ID: I20171108003050 |
| Provider Name | Koren Wagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508383506 PECOS PAC ID: 0547526220 Enrollment ID: I20171113003449 |
| Provider Name | Erin Nichole Wyant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639695711 PECOS PAC ID: 4587920137 Enrollment ID: I20171114003261 |
| Provider Name | Mary E Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013253871 PECOS PAC ID: 0244465979 Enrollment ID: I20171115003404 |
| Provider Name | Sarah S Hartung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154507978 PECOS PAC ID: 8325119266 Enrollment ID: I20171115004012 |
| Provider Name | Megan Elizabeth Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235517327 PECOS PAC ID: 5991061343 Enrollment ID: I20171117001553 |
| Provider Name | Anju Dheer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588942049 PECOS PAC ID: 8628335262 Enrollment ID: I20171206002154 |
| Provider Name | Valerie B Boyle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841328788 PECOS PAC ID: 3577821222 Enrollment ID: I20171229001194 |
| Provider Name | Monica Leigh Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306359120 PECOS PAC ID: 3577821248 Enrollment ID: I20171229002130 |
| Provider Name | Lauren E Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760751424 PECOS PAC ID: 3173748720 Enrollment ID: I20180103000127 |
| Provider Name | David Vincent Tallon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962852665 PECOS PAC ID: 6608135082 Enrollment ID: I20180110000301 |
| Provider Name | Melissa Gregory Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326318379 PECOS PAC ID: 6608091335 Enrollment ID: I20180117000286 |
| Provider Name | Anne Aldridge Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376901140 PECOS PAC ID: 8123387206 Enrollment ID: I20180118000046 |
| Provider Name | Katie Horne Chamberlain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932561669 PECOS PAC ID: 9234420670 Enrollment ID: I20180120000032 |
| Provider Name | Shannon C Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942570585 PECOS PAC ID: 1153546965 Enrollment ID: I20180122002897 |
| Provider Name | Kerry Lynn Simpson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437539004 PECOS PAC ID: 5597071423 Enrollment ID: I20180122002953 |
| Provider Name | Chamia N Maker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255885612 PECOS PAC ID: 4082994942 Enrollment ID: I20180123000790 |
| Provider Name | Emily Ellen Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396109526 PECOS PAC ID: 9830458611 Enrollment ID: I20180124002373 |
| Provider Name | Kathryn Boland Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225308273 PECOS PAC ID: 1456578194 Enrollment ID: I20180126002363 |
| Provider Name | Dayana Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801258405 PECOS PAC ID: 6305106014 Enrollment ID: I20180126002555 |
| Provider Name | Whitney Cavender |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669996419 PECOS PAC ID: 3274893805 Enrollment ID: I20180130002569 |
| Provider Name | Jane W Schutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326088444 PECOS PAC ID: 7810112547 Enrollment ID: I20180205000521 |
| Provider Name | Elizabeth Powell Retzlaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689943326 PECOS PAC ID: 7012132681 Enrollment ID: I20180205000811 |
| Provider Name | Amber Lynn Mcvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568810505 PECOS PAC ID: 1658631908 Enrollment ID: I20180205002204 |
| Provider Name | Sarah S Jernigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922271006 PECOS PAC ID: 6709953060 Enrollment ID: I20180206000839 |
| Provider Name | Elizabeth Romance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689196461 PECOS PAC ID: 3678833977 Enrollment ID: I20180206001306 |
| Provider Name | Beth A Connelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912251539 PECOS PAC ID: 5496973125 Enrollment ID: I20180208000193 |
| Provider Name | Ashley L Barba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518260900 PECOS PAC ID: 5698990307 Enrollment ID: I20180208002946 |
| Provider Name | Kelsey E Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952810368 PECOS PAC ID: 9335409358 Enrollment ID: I20180212001141 |
| Provider Name | Holly Marie Van Horn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730477241 PECOS PAC ID: 9335409259 Enrollment ID: I20180213003105 |
| Provider Name | Harrison Glenn Jones |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033228663 PECOS PAC ID: 4789945080 Enrollment ID: I20180301001624 |
| Provider Name | Jennifer L Blum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649225608 PECOS PAC ID: 5991066185 Enrollment ID: I20180305000839 |
| Provider Name | Michelle M Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366573743 PECOS PAC ID: 6103140744 Enrollment ID: I20180305002157 |
| Provider Name | Anusha Kumar Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538577242 PECOS PAC ID: 8325269798 Enrollment ID: I20180306001995 |
| Provider Name | Karma A Tockman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528220217 PECOS PAC ID: 0244591329 Enrollment ID: I20180306002667 |
| Provider Name | Sara J Pastoor |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952590671 PECOS PAC ID: 3779845599 Enrollment ID: I20180314002444 |
| Provider Name | Kenai Hattori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366995490 PECOS PAC ID: 5597044412 Enrollment ID: I20180320003032 |
| Provider Name | Aaron Rygiel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679097620 PECOS PAC ID: 1254693674 Enrollment ID: I20180324000009 |
| Provider Name | Theresa J E Hallenen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811263502 PECOS PAC ID: 8426310590 Enrollment ID: I20180329002504 |
| Provider Name | Joy Kerner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396957015 PECOS PAC ID: 8022370907 Enrollment ID: I20180410000247 |
| Provider Name | Stephanie L Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891085544 PECOS PAC ID: 6709001415 Enrollment ID: I20180416000426 |
| Provider Name | Sara Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205178928 PECOS PAC ID: 6204056526 Enrollment ID: I20180416001548 |
| Provider Name | Jill Ann Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437655735 PECOS PAC ID: 9638433246 Enrollment ID: I20180508001082 |
| Provider Name | Melissa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740521830 PECOS PAC ID: 4284850751 Enrollment ID: I20180514000851 |
| Provider Name | Lori C Walczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538438882 PECOS PAC ID: 0042434813 Enrollment ID: I20180515000797 |
| Provider Name | Rebecca Doll |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366610578 PECOS PAC ID: 7911261144 Enrollment ID: I20180515002908 |
| Provider Name | Androu Wahba |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942693775 PECOS PAC ID: 6901125434 Enrollment ID: I20180521000337 |
| Provider Name | Tiffany Dieso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124490008 PECOS PAC ID: 4082979844 Enrollment ID: I20180525000935 |
| Provider Name | Jennifer Grabowski Lakomiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700141348 PECOS PAC ID: 3779848452 Enrollment ID: I20180530001176 |
| Provider Name | Jong H Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093961120 PECOS PAC ID: 7113183245 Enrollment ID: I20180612001887 |
| Provider Name | Jonathan D Walter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114308392 PECOS PAC ID: 9133433048 Enrollment ID: I20180620001398 |
| Provider Name | Tony O Sandstrom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780670034 PECOS PAC ID: 8123063070 Enrollment ID: I20180620001679 |
| Provider Name | Jennifer Koren Richardson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265485338 PECOS PAC ID: 4082969738 Enrollment ID: I20180620001727 |
| Provider Name | Cara N Fong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881824530 PECOS PAC ID: 0749473049 Enrollment ID: I20180621001914 |
| Provider Name | Kevin Blaine Stewart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255829636 PECOS PAC ID: 8729334628 Enrollment ID: I20180709000124 |
| Provider Name | Frances A Reda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164898870 PECOS PAC ID: 5092006445 Enrollment ID: I20180710000892 |
| Provider Name | Jason A Boucher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841691839 PECOS PAC ID: 8820219868 Enrollment ID: I20180717000144 |
| Provider Name | Sally Mae Dunn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053802876 PECOS PAC ID: 8527315886 Enrollment ID: I20180718002526 |
| Provider Name | Holly M Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730583329 PECOS PAC ID: 0648597229 Enrollment ID: I20180720001772 |
| Provider Name | Rebecca B Elowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841556255 PECOS PAC ID: 0941451371 Enrollment ID: I20180808002308 |
| Provider Name | Jaime Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912255431 PECOS PAC ID: 2062642176 Enrollment ID: I20180815001388 |
| Provider Name | Jackelyn Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639416829 PECOS PAC ID: 5698905347 Enrollment ID: I20180817001691 |
| Provider Name | Christian Falyar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578895637 PECOS PAC ID: 4880721521 Enrollment ID: I20180821002320 |
| Provider Name | Myung C Woo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497141097 PECOS PAC ID: 9638428675 Enrollment ID: I20180823002408 |
| Provider Name | Tressie Shekinas Perry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639686876 PECOS PAC ID: 7012267883 Enrollment ID: I20180829002587 |
| Provider Name | Hideyo Tsumura |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033489240 PECOS PAC ID: 0244497816 Enrollment ID: I20180904002687 |
| Provider Name | Matthew Stephen Boulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316327323 PECOS PAC ID: 2860792546 Enrollment ID: I20180907002667 |
| Provider Name | Bradley Kevin Farrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205325107 PECOS PAC ID: 7517217466 Enrollment ID: I20180913002929 |
| Provider Name | Kelly Michelle Bullock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720572225 PECOS PAC ID: 0941551717 Enrollment ID: I20180919000058 |
| Provider Name | Jeanne Marie Beckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992145056 PECOS PAC ID: 2668697376 Enrollment ID: I20180919001290 |
| Provider Name | Aaron M Jamison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598256174 PECOS PAC ID: 6800147471 Enrollment ID: I20180920000762 |
| Provider Name | Andrea Janelle Chilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558739292 PECOS PAC ID: 4183975659 Enrollment ID: I20180921001438 |
| Provider Name | Sasmrita Belbase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366782039 PECOS PAC ID: 2668699943 Enrollment ID: I20180924000539 |
| Provider Name | Blair M Welborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467785840 PECOS PAC ID: 8426275504 Enrollment ID: I20180924002826 |
| Provider Name | Lindsey Wright Goeres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366836298 PECOS PAC ID: 1951619808 Enrollment ID: I20180925001097 |
| Provider Name | Jennifer Lee St.jean |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780034371 PECOS PAC ID: 4284929795 Enrollment ID: I20180925003546 |
| Provider Name | Trent J Forshey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457875767 PECOS PAC ID: 2062787781 Enrollment ID: I20180926000113 |
| Provider Name | Zachary Cole Huey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699253781 PECOS PAC ID: 7911259742 Enrollment ID: I20181005002161 |
| Provider Name | Sophia S Younts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821583642 PECOS PAC ID: 0042562795 Enrollment ID: I20181009000990 |
| Provider Name | Nicholas Nappi-kaehler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891286142 PECOS PAC ID: 9638422207 Enrollment ID: I20181029001313 |
| Provider Name | Erika Schwengel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780037309 PECOS PAC ID: 5799038360 Enrollment ID: I20181029001481 |
| Provider Name | Brandon John Kovash |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629558887 PECOS PAC ID: 9133473002 Enrollment ID: I20181112001882 |
| Provider Name | Rebecca Anne Gordon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164904702 PECOS PAC ID: 1557605888 Enrollment ID: I20181127002895 |
| Provider Name | Melissa Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619354586 PECOS PAC ID: 8527302579 Enrollment ID: I20181203002387 |
| Provider Name | Aime Laureen Grimsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396003604 PECOS PAC ID: 1355665134 Enrollment ID: I20181203003307 |
| Provider Name | Stephanie Lauren Lewis Hart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114289634 PECOS PAC ID: 6103055736 Enrollment ID: I20181206003601 |
| Provider Name | Robert J Stillwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770068397 PECOS PAC ID: 9335483775 Enrollment ID: I20181211003810 |
| Provider Name | Kimberly Hutter Sepe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073008686 PECOS PAC ID: 0345585758 Enrollment ID: I20181212003121 |
| Provider Name | Summer D Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295256824 PECOS PAC ID: 6901141159 Enrollment ID: I20181217003209 |
| Provider Name | Kirsten Ann Flanagan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205303401 PECOS PAC ID: 1557606621 Enrollment ID: I20181218001010 |
| Provider Name | Lisa M White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275012999 PECOS PAC ID: 4284979352 Enrollment ID: I20181218001018 |
| Provider Name | Nicolas J Sepe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144796483 PECOS PAC ID: 6103161724 Enrollment ID: I20181228002113 |
| Provider Name | Tara L Beuscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245332915 PECOS PAC ID: 5496898744 Enrollment ID: I20190102000720 |
| Provider Name | Alex G Vetter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780166314 PECOS PAC ID: 7517202070 Enrollment ID: I20190103000297 |
| Provider Name | Sarah P Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588148761 PECOS PAC ID: 8123364643 Enrollment ID: I20190103003115 |
| Provider Name | Hayley J Karan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255816500 PECOS PAC ID: 3375889678 Enrollment ID: I20190108000750 |
| Provider Name | Alan E Levinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235614181 PECOS PAC ID: 3173869435 Enrollment ID: I20190108003279 |
| Provider Name | Valerie Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316425648 PECOS PAC ID: 5597001438 Enrollment ID: I20190114001391 |
| Provider Name | Jessica Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669753448 PECOS PAC ID: 4284970161 Enrollment ID: I20190114002854 |
| Provider Name | Dakar S Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306325030 PECOS PAC ID: 3274879002 Enrollment ID: I20190115001817 |
| Provider Name | Nicholas L Robbins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902372303 PECOS PAC ID: 3274879085 Enrollment ID: I20190116001696 |
| Provider Name | Alicia M Ploeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760899306 PECOS PAC ID: 2668794710 Enrollment ID: I20190116002637 |
| Provider Name | Dianne Frances Mann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477074888 PECOS PAC ID: 2860764222 Enrollment ID: I20190116003620 |
| Provider Name | Christoffer Gregory Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538658323 PECOS PAC ID: 3971849514 Enrollment ID: I20190117003983 |
| Provider Name | Kevin M Tirado Roman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710461694 PECOS PAC ID: 1355687914 Enrollment ID: I20190118000766 |
| Provider Name | Rebecca Fillipo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710478409 PECOS PAC ID: 4981941564 Enrollment ID: I20190122001110 |
| Provider Name | Brittany A Countryman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184033623 PECOS PAC ID: 9234440116 Enrollment ID: I20190122003441 |
| Provider Name | Keisha Lancaster Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245715598 PECOS PAC ID: 2567709934 Enrollment ID: I20190123001291 |
| Provider Name | Jessica Bezdziecki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609342054 PECOS PAC ID: 3870830110 Enrollment ID: I20190124002990 |
| Provider Name | Ivy Cass Peters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710490230 PECOS PAC ID: 7214274364 Enrollment ID: I20190128001024 |
| Provider Name | Janice Minnich Fitch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154835296 PECOS PAC ID: 8022355189 Enrollment ID: I20190128001421 |
| Provider Name | Nora B Guge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811381056 PECOS PAC ID: 0840537684 Enrollment ID: I20190131002945 |
| Provider Name | Jillian P Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588141147 PECOS PAC ID: 6901143601 Enrollment ID: I20190201002129 |
| Provider Name | Guneet Kaur Chawla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053880757 PECOS PAC ID: 6507103298 Enrollment ID: I20190204002470 |
| Provider Name | Leslie A Beer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053784082 PECOS PAC ID: 1850663956 Enrollment ID: I20190205001228 |
| Provider Name | Antwan Jamal Cruell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992271688 PECOS PAC ID: 5597003152 Enrollment ID: I20190206003418 |
| Provider Name | Corrie B Beecher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366721730 PECOS PAC ID: 6901144278 Enrollment ID: I20190212000622 |
| Provider Name | Lauren E Bauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033602198 PECOS PAC ID: 9537407804 Enrollment ID: I20190212000629 |
| Provider Name | Kristen Lynn Little |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053728121 PECOS PAC ID: 3779821970 Enrollment ID: I20190213002796 |
| Provider Name | Christina M Aluri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154737161 PECOS PAC ID: 1759629686 Enrollment ID: I20190219000569 |
| Provider Name | Travis A Linton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962982611 PECOS PAC ID: 6406194349 Enrollment ID: I20190219000999 |
| Provider Name | Rachel S Gandy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134639917 PECOS PAC ID: 4385982248 Enrollment ID: I20190219001720 |
| Provider Name | Fatima Z Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053754325 PECOS PAC ID: 6901185867 Enrollment ID: I20190219001753 |
| Provider Name | Rebecca K Byrd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679779698 PECOS PAC ID: 7618215575 Enrollment ID: I20190219001868 |
| Provider Name | Gabriela A Perez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063905065 PECOS PAC ID: 3870831753 Enrollment ID: I20190219002514 |
| Provider Name | Laura E Case |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134634991 PECOS PAC ID: 6901144708 Enrollment ID: I20190220000960 |
| Provider Name | Stephen Mills |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376043661 PECOS PAC ID: 5193063949 Enrollment ID: I20190220002926 |
| Provider Name | Lori M Strickland |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730497827 PECOS PAC ID: 1557600244 Enrollment ID: I20190225000426 |
| Provider Name | Alisha Kettner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063713097 PECOS PAC ID: 2466633789 Enrollment ID: I20190225000543 |
| Provider Name | Whitney J Keene |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629588595 PECOS PAC ID: 1759620453 Enrollment ID: I20190225000791 |
| Provider Name | Ilana D Osten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912234725 PECOS PAC ID: 4981943578 Enrollment ID: I20190226001095 |
| Provider Name | Mary H Dameron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164991311 PECOS PAC ID: 9638418254 Enrollment ID: I20190226002511 |
| Provider Name | Anna K Waynick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619440047 PECOS PAC ID: 6204175680 Enrollment ID: I20190301000545 |
| Provider Name | Shannon L O'donnell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336394832 PECOS PAC ID: 4183963572 Enrollment ID: I20190301000654 |
| Provider Name | Latonya Y Jamison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629343835 PECOS PAC ID: 4183964018 Enrollment ID: I20190312003451 |
| Provider Name | Amanda Elizabeth Flory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285190025 PECOS PAC ID: 6709126253 Enrollment ID: I20190319002334 |
| Provider Name | Sarah T Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457852170 PECOS PAC ID: 1456691807 Enrollment ID: I20190320003271 |
| Provider Name | Tedrick Lamar Vernon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841778529 PECOS PAC ID: 6002156213 Enrollment ID: I20190326003019 |
| Provider Name | Elizabeth Weir |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740763499 PECOS PAC ID: 7618217746 Enrollment ID: I20190327000988 |
| Provider Name | Thomas Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760923775 PECOS PAC ID: 8123368123 Enrollment ID: I20190328001071 |
| Provider Name | Anne Pioppo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326576158 PECOS PAC ID: 9638419641 Enrollment ID: I20190328001253 |
| Provider Name | Jesse Michael Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710128426 PECOS PAC ID: 3274682778 Enrollment ID: I20190403003128 |
| Provider Name | Ashley D Lake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710428677 PECOS PAC ID: 2567703127 Enrollment ID: I20190408002535 |
| Provider Name | Rebecca A Quinones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699974857 PECOS PAC ID: 2466793062 Enrollment ID: I20190409000901 |
| Provider Name | Darcy L Cooper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902333727 PECOS PAC ID: 8527309137 Enrollment ID: I20190409001534 |
| Provider Name | Kristina A Wulff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992025837 PECOS PAC ID: 7911191903 Enrollment ID: I20190409003421 |
| Provider Name | Trevor B Matulys |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720510621 PECOS PAC ID: 5092056515 Enrollment ID: I20190410002910 |
| Provider Name | Jean T Bridges |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497270136 PECOS PAC ID: 3870834302 Enrollment ID: I20190410003179 |
| Provider Name | Daniel Sawyers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730620782 PECOS PAC ID: 4082955513 Enrollment ID: I20190411000322 |
| Provider Name | Laura E Juel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497282214 PECOS PAC ID: 6002157658 Enrollment ID: I20190412001140 |
| Provider Name | Melissa L Werz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427587971 PECOS PAC ID: 7012258304 Enrollment ID: I20190415002389 |
| Provider Name | Bryan T Hoch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699211920 PECOS PAC ID: 7517208721 Enrollment ID: I20190416000462 |
| Provider Name | Monica J Austin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750890802 PECOS PAC ID: 9032450259 Enrollment ID: I20190416001001 |
| Provider Name | Laura Good Kennedy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588153688 PECOS PAC ID: 8426399676 Enrollment ID: I20190416002160 |
| Provider Name | Brian W Wurzinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477093581 PECOS PAC ID: 8729329990 Enrollment ID: I20190416003059 |
| Provider Name | Robyn H Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093913592 PECOS PAC ID: 7517208788 Enrollment ID: I20190416003232 |
| Provider Name | Ziyan Zhang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770967119 PECOS PAC ID: 8527309681 Enrollment ID: I20190418000929 |
| Provider Name | Kelly P Hambrick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295236024 PECOS PAC ID: 4183966120 Enrollment ID: I20190423002700 |
| Provider Name | Christopher Antonelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598267080 PECOS PAC ID: 5092057315 Enrollment ID: I20190506002457 |
| Provider Name | Sherry S Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770532004 PECOS PAC ID: 1759445737 Enrollment ID: I20190508000020 |
| Provider Name | Michael S Essa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982145868 PECOS PAC ID: 8527300722 Enrollment ID: I20190508000145 |
| Provider Name | Zachary S Tally |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154808707 PECOS PAC ID: 2163764317 Enrollment ID: I20190508002431 |
| Provider Name | Michael R Murray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760913719 PECOS PAC ID: 9234472333 Enrollment ID: I20190513000931 |
| Provider Name | Alixandra Lakow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376028464 PECOS PAC ID: 6608119649 Enrollment ID: I20190515001798 |
| Provider Name | Amanda Beaty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730672775 PECOS PAC ID: 1759624588 Enrollment ID: I20190520001256 |
| Provider Name | Elizabeth Nixon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265969513 PECOS PAC ID: 6800139643 Enrollment ID: I20190520002024 |
| Provider Name | Cassandra L Mcguirk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467953059 PECOS PAC ID: 8729321260 Enrollment ID: I20190523002137 |
| Provider Name | Preston E Roundy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376070029 PECOS PAC ID: 5193058469 Enrollment ID: I20190601000054 |
| Provider Name | Mary Christine Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396194833 PECOS PAC ID: 6204121445 Enrollment ID: I20190603000003 |
| Provider Name | Richard A Rothman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184685125 PECOS PAC ID: 1254243975 Enrollment ID: I20190605002338 |
| Provider Name | Karen T Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679772826 PECOS PAC ID: 9931432911 Enrollment ID: I20190605003409 |
| Provider Name | Brendan Micahel Higgins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881157980 PECOS PAC ID: 0244563906 Enrollment ID: I20190612000076 |
| Provider Name | Kristin A Urbinati |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326116047 PECOS PAC ID: 0244541316 Enrollment ID: I20190621002174 |
| Provider Name | Brittany M Albert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093288946 PECOS PAC ID: 6608100862 Enrollment ID: I20190624000082 |
| Provider Name | Christian Bernard Mikesell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669982039 PECOS PAC ID: 1658605423 Enrollment ID: I20190627002046 |
| Provider Name | Leeana Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902366826 PECOS PAC ID: 8628304714 Enrollment ID: I20190726002242 |
| Provider Name | Denise H Tola |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053354894 PECOS PAC ID: 8022068410 Enrollment ID: I20190805002200 |
| Provider Name | Marianne C Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528367406 PECOS PAC ID: 7416131743 Enrollment ID: I20190806000941 |
| Provider Name | Rachael L Joyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093230401 PECOS PAC ID: 5991042707 Enrollment ID: I20190819004095 |
| Provider Name | Mary Constantino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821373648 PECOS PAC ID: 4981862687 Enrollment ID: I20190824000708 |
| Provider Name | Ellen Michal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366852329 PECOS PAC ID: 4385972520 Enrollment ID: I20190826001840 |
| Provider Name | Tara L Presser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316061724 PECOS PAC ID: 9234467374 Enrollment ID: I20190827002604 |
| Provider Name | Alison A Buchan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881252526 PECOS PAC ID: 7911236641 Enrollment ID: I20190905002763 |
| Provider Name | Callie Brown Beasley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003461583 PECOS PAC ID: 7517296148 Enrollment ID: I20190909000009 |
| Provider Name | Kristine K Tomovich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366607905 PECOS PAC ID: 4688974223 Enrollment ID: I20190910000379 |
| Provider Name | Scott Leroy Axtell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568027233 PECOS PAC ID: 5991034258 Enrollment ID: I20190911002408 |
| Provider Name | Roseanne L Erickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679132047 PECOS PAC ID: 5092045096 Enrollment ID: I20190917003647 |
| Provider Name | Jennifer Marie Bartlett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396305496 PECOS PAC ID: 8325378326 Enrollment ID: I20190917003798 |
| Provider Name | Michelle Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336602424 PECOS PAC ID: 5193055978 Enrollment ID: I20190920000881 |
| Provider Name | Taylor A Murray |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285294447 PECOS PAC ID: 1658601372 Enrollment ID: I20190924000403 |
| Provider Name | Benjamin C Ramger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952953846 PECOS PAC ID: 5597095240 Enrollment ID: I20190924001648 |
| Provider Name | Sara Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245707348 PECOS PAC ID: 5890025456 Enrollment ID: I20190924002453 |
| Provider Name | Catherine Guziewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306313028 PECOS PAC ID: 2062759749 Enrollment ID: I20190930000615 |
| Provider Name | Bart Nathaniel Satterfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669953543 PECOS PAC ID: 9335493204 Enrollment ID: I20191001002487 |
| Provider Name | Corrin E Mottern |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740840917 PECOS PAC ID: 4880925809 Enrollment ID: I20191007000004 |
| Provider Name | Angel Dineita Ballentine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386676724 PECOS PAC ID: 6204823628 Enrollment ID: I20191007001223 |
| Provider Name | Rachael A Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609281476 PECOS PAC ID: 1557589629 Enrollment ID: I20191008002825 |
| Provider Name | Shannon Brooke Icenhour |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144873670 PECOS PAC ID: 6507197365 Enrollment ID: I20191008003529 |
| Provider Name | Obinna Chika Ezeamurunamma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558924928 PECOS PAC ID: 6901137728 Enrollment ID: I20191009002020 |
| Provider Name | Benjamin Carrion |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649823782 PECOS PAC ID: 3274864764 Enrollment ID: I20191015001238 |
| Provider Name | Lauren Mcdonald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629593926 PECOS PAC ID: 9032482211 Enrollment ID: I20191030003689 |
| Provider Name | Sarah H Brooks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194133561 PECOS PAC ID: 7416289996 Enrollment ID: I20191102000350 |
| Provider Name | Courtney Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124583505 PECOS PAC ID: 6608208558 Enrollment ID: I20191113003529 |
| Provider Name | Feven Measho |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801355474 PECOS PAC ID: 4789016353 Enrollment ID: I20191120000995 |
| Provider Name | Jocelyn C Hoffman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790334274 PECOS PAC ID: 8426480039 Enrollment ID: I20191120002406 |
| Provider Name | Shannon Jo Wyatt-nyquist |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962050161 PECOS PAC ID: 6709219181 Enrollment ID: I20191126001892 |
| Provider Name | Sheenagh L Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386101970 PECOS PAC ID: 9638502016 Enrollment ID: I20191126002186 |
| Provider Name | Chelsea Espinoza |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073161196 PECOS PAC ID: 4981037116 Enrollment ID: I20191202002693 |
| Provider Name | Lauren N Vukin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215586680 PECOS PAC ID: 8022441021 Enrollment ID: I20191205000860 |
| Provider Name | Michelle Sadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740842905 PECOS PAC ID: 0244663268 Enrollment ID: I20191205002099 |
| Provider Name | Olivia D Fleming |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619518545 PECOS PAC ID: 3870926314 Enrollment ID: I20191213001640 |
| Provider Name | Amy M Collishaw |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528619319 PECOS PAC ID: 3072947506 Enrollment ID: I20191216002904 |
| Provider Name | Lidya Admassu Melesse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558820126 PECOS PAC ID: 9335573732 Enrollment ID: I20191217003047 |
| Provider Name | Nancy Beal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710535901 PECOS PAC ID: 5294169595 Enrollment ID: I20191219000679 |
| Provider Name | Rachel M Collins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336797943 PECOS PAC ID: 1052745189 Enrollment ID: I20191226001518 |
| Provider Name | Brittany W Fry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720635477 PECOS PAC ID: 7416381405 Enrollment ID: I20191228000168 |
| Provider Name | Lunday Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700128881 PECOS PAC ID: 7012341985 Enrollment ID: I20191231000794 |
| Provider Name | Madeline P Willcott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841856747 PECOS PAC ID: 0749614451 Enrollment ID: I20200103001995 |
| Provider Name | Gema Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285158576 PECOS PAC ID: 4789944034 Enrollment ID: I20200108001617 |
| Provider Name | Jashara C Banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699224485 PECOS PAC ID: 5496181182 Enrollment ID: I20200128001373 |
| Provider Name | Eleanor Morgan Henn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750837209 PECOS PAC ID: 5193151652 Enrollment ID: I20200203000555 |
| Provider Name | Jenna Lynn Silver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366088833 PECOS PAC ID: 2860828092 Enrollment ID: I20200207000488 |
| Provider Name | David Durant Dinsmore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427697622 PECOS PAC ID: 6204262108 Enrollment ID: I20200213001321 |
| Provider Name | Sarah Rosenquest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922470095 PECOS PAC ID: 3577990290 Enrollment ID: I20200219000168 |
| Provider Name | Kelley L Michnowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366934721 PECOS PAC ID: 9032546635 Enrollment ID: I20200220001095 |
| Provider Name | Diana Marquez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457823346 PECOS PAC ID: 1557798188 Enrollment ID: I20200220002303 |
| Provider Name | Kim Marion Carollo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972072114 PECOS PAC ID: 5496095697 Enrollment ID: I20200221002630 |
| Provider Name | Vincent H Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730549734 PECOS PAC ID: 6305136862 Enrollment ID: I20200224000446 |
| Provider Name | Jacqueline Ann Narron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134779861 PECOS PAC ID: 2769819176 Enrollment ID: I20200225001145 |
| Provider Name | Jeffrey Wakefield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255964789 PECOS PAC ID: 4688002744 Enrollment ID: I20200324001226 |
| Provider Name | Antonisha Lashea Floyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538519418 PECOS PAC ID: 2668801341 Enrollment ID: I20200331003388 |
| Provider Name | Matthew C Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174162671 PECOS PAC ID: 8729417357 Enrollment ID: I20200402003384 |
| Provider Name | Dana Noelle Robinson-hargrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689205817 PECOS PAC ID: 1759710114 Enrollment ID: I20200406002162 |
| Provider Name | Ursula Tomika White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912224726 PECOS PAC ID: 5395174759 Enrollment ID: I20200406002182 |
| Provider Name | Braylee B Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154838233 PECOS PAC ID: 9335578723 Enrollment ID: I20200406003478 |
| Provider Name | Meredith G Nye |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174726244 PECOS PAC ID: 9537598933 Enrollment ID: I20200407000340 |
| Provider Name | Shannon E Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720217334 PECOS PAC ID: 6305275405 Enrollment ID: I20200409003288 |
| Provider Name | Dan Cong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407132855 PECOS PAC ID: 3173798360 Enrollment ID: I20200413001795 |
| Provider Name | Dennis John Redmond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962034256 PECOS PAC ID: 6507296522 Enrollment ID: I20200415001258 |
| Provider Name | Jacinta Ingram Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962984187 PECOS PAC ID: 7719317684 Enrollment ID: I20200416000157 |
| Provider Name | Ciara E Brown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285001537 PECOS PAC ID: 0042640823 Enrollment ID: I20200417002943 |
| Provider Name | Melissa K Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619509510 PECOS PAC ID: 8921438714 Enrollment ID: I20200417003188 |
| Provider Name | Amy Klinepeter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558864231 PECOS PAC ID: 0941630479 Enrollment ID: I20200423001148 |
| Provider Name | Caitlin B Macgregor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821633595 PECOS PAC ID: 0648600106 Enrollment ID: I20200423002190 |
| Provider Name | Katherine A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780128983 PECOS PAC ID: 5698051449 Enrollment ID: I20200514002285 |
| Provider Name | Linda C Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447268099 PECOS PAC ID: 4183876063 Enrollment ID: I20200520003047 |
| Provider Name | Jaclynn Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518501394 PECOS PAC ID: 7810318094 Enrollment ID: I20200526000401 |
| Provider Name | Poojaben Sean Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366075145 PECOS PAC ID: 0446671457 Enrollment ID: I20200529001851 |
| Provider Name | Margaret Amelia Kleber |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346696937 PECOS PAC ID: 7517389869 Enrollment ID: I20200616000434 |
| Provider Name | Laura Horowitz Thompson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326416066 PECOS PAC ID: 4981970670 Enrollment ID: I20200618000001 |
| Provider Name | Casey Renae Yankalunas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417500257 PECOS PAC ID: 8426470550 Enrollment ID: I20200618002771 |
| Provider Name | Anna Fitzpatrick Sparr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760007165 PECOS PAC ID: 3678995719 Enrollment ID: I20200618002966 |
| Provider Name | Nicole L Helmke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790170256 PECOS PAC ID: 4789006735 Enrollment ID: I20200619000583 |
| Provider Name | Meghan Thompson Twisdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275154999 PECOS PAC ID: 5698197176 Enrollment ID: I20200630001112 |
| Provider Name | Jeneya Garrett Mclean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932627429 PECOS PAC ID: 3173946589 Enrollment ID: I20200701002769 |
| Provider Name | Kyle Gates Hiestand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013270511 PECOS PAC ID: 1052562527 Enrollment ID: I20200710001538 |
| Provider Name | Brandi Ann Vial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831612852 PECOS PAC ID: 8921366964 Enrollment ID: I20200721003120 |
| Provider Name | Jennifer K Kowalczyk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669093373 PECOS PAC ID: 5991129637 Enrollment ID: I20200728001095 |
| Provider Name | Hayley L Hedges |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023635752 PECOS PAC ID: 7214352624 Enrollment ID: I20200803000275 |
| Provider Name | Lisa Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326662883 PECOS PAC ID: 6002232246 Enrollment ID: I20200818002673 |
| Provider Name | Deborah Ann Ballard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699782391 PECOS PAC ID: 3072684257 Enrollment ID: I20200827003875 |
| Provider Name | Lindsay Victoria Dean |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760095491 PECOS PAC ID: 0648698068 Enrollment ID: I20200917001319 |
| Provider Name | Elizabeth E Devore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699244525 PECOS PAC ID: 1456779719 Enrollment ID: I20200917003135 |
| Provider Name | Melinda House Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265079131 PECOS PAC ID: 4587083605 Enrollment ID: I20200923001195 |
| Provider Name | Zainab A Riyami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366091258 PECOS PAC ID: 6305274895 Enrollment ID: I20201006001487 |
| Provider Name | Theresa Louise Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992338727 PECOS PAC ID: 3173942364 Enrollment ID: I20201008001053 |
| Provider Name | Alexander Arno |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013525492 PECOS PAC ID: 1557781713 Enrollment ID: I20201009000969 |
| Provider Name | Dhruthi Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508479270 PECOS PAC ID: 8820418908 Enrollment ID: I20201009002515 |
| Provider Name | Trey Anthony Washington |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164886834 PECOS PAC ID: 1850711904 Enrollment ID: I20201012001989 |
| Provider Name | Molly Christine Bonenberger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457962201 PECOS PAC ID: 9335569490 Enrollment ID: I20201012002324 |
| Provider Name | Samantha De Vel Brock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881934552 PECOS PAC ID: 5092135772 Enrollment ID: I20201019001791 |
| Provider Name | Brooke Powell Hatchett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932727294 PECOS PAC ID: 3375963069 Enrollment ID: I20201019002201 |
| Provider Name | Aniesha Mathur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225652274 PECOS PAC ID: 4082034798 Enrollment ID: I20201019003191 |
| Provider Name | Jessica Gray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144835307 PECOS PAC ID: 7719307305 Enrollment ID: I20201021000041 |
| Provider Name | Abby Elizabeth Dillard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285244921 PECOS PAC ID: 5294155750 Enrollment ID: I20201021003282 |
| Provider Name | Cameron Joseph Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598377566 PECOS PAC ID: 8820418304 Enrollment ID: I20201022000672 |
| Provider Name | Emily Ann Macek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508471806 PECOS PAC ID: 3870913254 Enrollment ID: I20201023002220 |
| Provider Name | Brook Elizabeth Orvis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336621747 PECOS PAC ID: 3173874104 Enrollment ID: I20201023002250 |
| Provider Name | Rebekah Marie Hardin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811510704 PECOS PAC ID: 1355751660 Enrollment ID: I20201027002380 |
| Provider Name | Lisa Eve Henning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528676392 PECOS PAC ID: 0042620296 Enrollment ID: I20201029001930 |
| Provider Name | Caroline Traczyk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316559800 PECOS PAC ID: 8022428168 Enrollment ID: I20201102000536 |
| Provider Name | Jennifer Renee Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952917742 PECOS PAC ID: 4587074448 Enrollment ID: I20201104000229 |
| Provider Name | Christopher O'neal Fry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447857529 PECOS PAC ID: 6204246119 Enrollment ID: I20201104002178 |
| Provider Name | Katie Lyn Stone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356854046 PECOS PAC ID: 9234549098 Enrollment ID: I20201105001631 |
| Provider Name | Clover Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336660489 PECOS PAC ID: 9436569209 Enrollment ID: I20201105001993 |
| Provider Name | William Beauregard Rowe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194338541 PECOS PAC ID: 2163832809 Enrollment ID: I20201106002539 |
| Provider Name | Michael Watson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366855488 PECOS PAC ID: 4486873825 Enrollment ID: I20201109000150 |
| Provider Name | Sarah Annette Adcock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033722202 PECOS PAC ID: 7810307568 Enrollment ID: I20201109000167 |
| Provider Name | Courtney Jonelle Jeffries |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063022523 PECOS PAC ID: 7517377278 Enrollment ID: I20201109000712 |
| Provider Name | Kyle Brendan Stapleton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831707066 PECOS PAC ID: 7416367008 Enrollment ID: I20201111000042 |
| Provider Name | Rebecca Dempre Griffin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023632742 PECOS PAC ID: 0547671950 Enrollment ID: I20201116000965 |
| Provider Name | William E Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770042376 PECOS PAC ID: 5698186971 Enrollment ID: I20201117001224 |
| Provider Name | Kasey Gragg Morgan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316551898 PECOS PAC ID: 2668883869 Enrollment ID: I20201119000589 |
| Provider Name | Kasey Elizabeth Mclaughlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083227896 PECOS PAC ID: 4587075544 Enrollment ID: I20201123001900 |
| Provider Name | Jose Lisandro Hernandez Perez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356808919 PECOS PAC ID: 0143631093 Enrollment ID: I20201124002741 |
| Provider Name | Christina Pyle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417498023 PECOS PAC ID: 5698186427 Enrollment ID: I20201130000292 |
| Provider Name | Maria Narisa Tucker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043824907 PECOS PAC ID: 6800207499 Enrollment ID: I20201203001753 |
| Provider Name | Robin Sheila Munsey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003330507 PECOS PAC ID: 4981016250 Enrollment ID: I20201209003027 |
| Provider Name | Benjamin David Teague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881214005 PECOS PAC ID: 2567874886 Enrollment ID: I20201210000947 |
| Provider Name | Erin Carla Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659998797 PECOS PAC ID: 8921410127 Enrollment ID: I20201211001565 |
| Provider Name | Wendy Wilson Bingham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427673276 PECOS PAC ID: 9638581630 Enrollment ID: I20201216001374 |
| Provider Name | Dorothy Alice Blake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326531393 PECOS PAC ID: 1355691239 Enrollment ID: I20201216002111 |
| Provider Name | Vrunda Kapadia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396390084 PECOS PAC ID: 7416369301 Enrollment ID: I20201217002375 |
| Provider Name | Julie C Ives |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114536513 PECOS PAC ID: 9234541087 Enrollment ID: I20201218002099 |
| Provider Name | Brittany Souder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558764944 PECOS PAC ID: 5294014080 Enrollment ID: I20210106002579 |
| Provider Name | Kathryn Rose Keurian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538774922 PECOS PAC ID: 1254745938 Enrollment ID: I20210121001322 |
| Provider Name | Catelin Kass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366051609 PECOS PAC ID: 7416361092 Enrollment ID: I20210121001759 |
| Provider Name | Mary Hooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497127856 PECOS PAC ID: 1456612225 Enrollment ID: I20210127002292 |
| Provider Name | Kasey Bethancourt Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699291351 PECOS PAC ID: 9830503630 Enrollment ID: I20210205000269 |
| Provider Name | Samantha Claire Stringfellow |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023613478 PECOS PAC ID: 5193139905 Enrollment ID: I20210205000813 |
| Provider Name | Samantha Anne Atkinson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124591284 PECOS PAC ID: 2365857893 Enrollment ID: I20210216001480 |
| Provider Name | Kristen Fontela Massey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083215495 PECOS PAC ID: 0244645547 Enrollment ID: I20210218002927 |
| Provider Name | Dena Lowry |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033649827 PECOS PAC ID: 0143645143 Enrollment ID: I20210219002195 |
| Provider Name | Janze Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033574694 PECOS PAC ID: 8527474477 Enrollment ID: I20210302000096 |
| Provider Name | Yana Ilinichna Ginzburg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598320897 PECOS PAC ID: 1759612443 Enrollment ID: I20210302002794 |
| Provider Name | Luciana Beture |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467072611 PECOS PAC ID: 4183030760 Enrollment ID: I20210305000207 |
| Provider Name | Anna Michelle Bueton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962017111 PECOS PAC ID: 0244646719 Enrollment ID: I20210308001656 |
| Provider Name | Nicholas Daniel Tricarico |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114528429 PECOS PAC ID: 8123434214 Enrollment ID: I20210316001165 |
| Provider Name | Briana Lynn Marvich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801434139 PECOS PAC ID: 4981010907 Enrollment ID: I20210316002818 |
| Provider Name | Jessica Small Jarvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215536784 PECOS PAC ID: 1850707803 Enrollment ID: I20210317000718 |
| Provider Name | Lindsey Michele Gregg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457936916 PECOS PAC ID: 5698182558 Enrollment ID: I20210322001621 |
| Provider Name | Tracy Lee Boggs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932637691 PECOS PAC ID: 8123435674 Enrollment ID: I20210329001712 |
| Provider Name | Cherith Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265049316 PECOS PAC ID: 5092122457 Enrollment ID: I20210331001059 |
| Provider Name | Ryan Robert Kimball |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659968022 PECOS PAC ID: 0143637405 Enrollment ID: I20210402000401 |
| Provider Name | Janet Strollo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871706986 PECOS PAC ID: 8820406747 Enrollment ID: I20210414001033 |
| Provider Name | Lindsay Patricia Dutko |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780813246 PECOS PAC ID: 2769890532 Enrollment ID: I20210415000737 |
| Provider Name | Brian Joseph Bacchi |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447633078 PECOS PAC ID: 7517375264 Enrollment ID: I20210416001297 |
| Provider Name | Ryan R Plesher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447867700 PECOS PAC ID: 2769890433 Enrollment ID: I20210419000204 |
| Provider Name | Ranndi C Bitner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326631201 PECOS PAC ID: 5698183309 Enrollment ID: I20210419001952 |
| Provider Name | Jennifer Lynne Lord |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831352988 PECOS PAC ID: 3375951858 Enrollment ID: I20210422000046 |
| Provider Name | Tracy Anne Llewellyn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215521208 PECOS PAC ID: 0244648616 Enrollment ID: I20210423001232 |
| Provider Name | Sarah Louise Stidham |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811495310 PECOS PAC ID: 5698183895 Enrollment ID: I20210427001880 |
| Provider Name | Kalie Brooke Mitchell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417449547 PECOS PAC ID: 6901215128 Enrollment ID: I20210429000561 |
| Provider Name | Marisa Littmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720660368 PECOS PAC ID: 3779992847 Enrollment ID: I20210503001601 |
| Provider Name | Arthur Habakkuk Suarez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134341217 PECOS PAC ID: 2163831983 Enrollment ID: I20210507001363 |
| Provider Name | Rachel Ross Blackwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316946205 PECOS PAC ID: 5890871719 Enrollment ID: I20210511002327 |
| Provider Name | Megan Elizabeth Gold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497304174 PECOS PAC ID: 5294134599 Enrollment ID: I20210518002340 |
| Provider Name | Chelsey A Weinbrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538790571 PECOS PAC ID: 2769813567 Enrollment ID: I20210524000708 |
| Provider Name | Teresa Ann Toomey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275150005 PECOS PAC ID: 7517380835 Enrollment ID: I20210527000542 |
| Provider Name | Hiba Batool Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750813549 PECOS PAC ID: 0446659833 Enrollment ID: I20210607000205 |
| Provider Name | Vinay Pankaj Choksi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154828895 PECOS PAC ID: 0840690293 Enrollment ID: I20210607002646 |
| Provider Name | Lillian Zorra Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629602461 PECOS PAC ID: 2365872496 Enrollment ID: I20210615000248 |
| Provider Name | Melissa A Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902408412 PECOS PAC ID: 8426458282 Enrollment ID: I20210615003744 |
| Provider Name | Elise Desjardins Stanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104412493 PECOS PAC ID: 2567862337 Enrollment ID: I20210616000153 |
| Provider Name | Oliver Mikael Kautzer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851972996 PECOS PAC ID: 6709287196 Enrollment ID: I20210623000330 |
| Provider Name | Kendall Taylor Parsons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326649518 PECOS PAC ID: 7618378472 Enrollment ID: I20210630002351 |
| Provider Name | Juliet Idiagbonya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386224723 PECOS PAC ID: 9234530882 Enrollment ID: I20210702000995 |
| Provider Name | Kathryn Marie Donato |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003426719 PECOS PAC ID: 8527460054 Enrollment ID: I20210707001027 |
| Provider Name | Douglas Richard Hilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477059202 PECOS PAC ID: 7911244975 Enrollment ID: I20210707001275 |
| Provider Name | Tori Shae Holmes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891305512 PECOS PAC ID: 5395147672 Enrollment ID: I20210708002760 |
| Provider Name | Angela Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013175926 PECOS PAC ID: 7810076601 Enrollment ID: I20210708003053 |
| Provider Name | Nicole Lynn Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649784471 PECOS PAC ID: 0547662439 Enrollment ID: I20210715000158 |
| Provider Name | Amanda Blair Cole |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477031300 PECOS PAC ID: 8729480637 Enrollment ID: I20210715001037 |
| Provider Name | Jennifer Lyn Hurley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427124668 PECOS PAC ID: 1355743147 Enrollment ID: I20210716000061 |
| Provider Name | Catherine Anne Cheely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669057865 PECOS PAC ID: 5991108698 Enrollment ID: I20210719001739 |
| Provider Name | Heather Lynn Eustis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467817627 PECOS PAC ID: 8426451857 Enrollment ID: I20210722003741 |
| Provider Name | Christopher Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871551960 PECOS PAC ID: 4688689086 Enrollment ID: I20210727000489 |
| Provider Name | Jillian Solis Frink Klemm |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063080869 PECOS PAC ID: 3971906017 Enrollment ID: I20210727000977 |
| Provider Name | Olivia Marie Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699343970 PECOS PAC ID: 9638570708 Enrollment ID: I20210803000472 |
| Provider Name | Leonid Bederman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972044238 PECOS PAC ID: 2264859305 Enrollment ID: I20210805000069 |
| Provider Name | Bailey Thomas Dodd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639767916 PECOS PAC ID: 9032513502 Enrollment ID: I20210805000158 |
| Provider Name | Michelle Reade Christopher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518402585 PECOS PAC ID: 4789088279 Enrollment ID: I20210805001023 |
| Provider Name | Malcolm Debaun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134509003 PECOS PAC ID: 6305277088 Enrollment ID: I20210812001685 |
| Provider Name | Julie Marie Steinbrink |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437595386 PECOS PAC ID: 3173823952 Enrollment ID: I20210817002776 |
| Provider Name | Adepeju Adeola Bolaji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790310274 PECOS PAC ID: 7517362346 Enrollment ID: I20210817003241 |
| Provider Name | Carrie Marie Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013996727 PECOS PAC ID: 0345291092 Enrollment ID: I20210817003454 |
| Provider Name | Melanie Renee Carlson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902458466 PECOS PAC ID: 5395140867 Enrollment ID: I20210820002309 |
| Provider Name | Erin Nichole Hadley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477122471 PECOS PAC ID: 3870998313 Enrollment ID: I20210823001160 |
| Provider Name | Stephanie Milagros Palacios |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558858175 PECOS PAC ID: 8820493091 Enrollment ID: I20210826000376 |
| Provider Name | Nicholas Thomas Leblond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659942019 PECOS PAC ID: 7315343274 Enrollment ID: I20210901002461 |
| Provider Name | Sara Uribe Dorn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124793120 PECOS PAC ID: 7618373499 Enrollment ID: I20210901003757 |
| Provider Name | Christopher Michael Hux |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255715413 PECOS PAC ID: 7315253317 Enrollment ID: I20210909003382 |
| Provider Name | Jessica D Szydlowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710374012 PECOS PAC ID: 2365746013 Enrollment ID: I20210920000335 |
| Provider Name | Ashley S Corle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457933871 PECOS PAC ID: 3072916584 Enrollment ID: I20210922002293 |
| Provider Name | Melissa Catherine Mcdonald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700471802 PECOS PAC ID: 2264839976 Enrollment ID: I20210923000388 |
| Provider Name | Kyle Mark Wolfe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255005781 PECOS PAC ID: 5395142731 Enrollment ID: I20210928000151 |
| Provider Name | Heather Mae Mcgovern |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477220978 PECOS PAC ID: 6901203371 Enrollment ID: I20210928001198 |
| Provider Name | Keller Elizabeth Dixon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083381263 PECOS PAC ID: 9638576978 Enrollment ID: I20210929000555 |
| Provider Name | Saejin Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093484602 PECOS PAC ID: 0941608079 Enrollment ID: I20211004003092 |
| Provider Name | Matthew James Doell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710578711 PECOS PAC ID: 8224436126 Enrollment ID: I20211007000397 |
| Provider Name | Brandon Chase Surber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093223687 PECOS PAC ID: 5698173540 Enrollment ID: I20211007002275 |
| Provider Name | Lauren Nicole Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194495507 PECOS PAC ID: 7113325861 Enrollment ID: I20211011000304 |
| Provider Name | Alyson L. Jasper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023600335 PECOS PAC ID: 1557769247 Enrollment ID: I20211011001816 |
| Provider Name | Haiyun Tang Niemzyk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649841750 PECOS PAC ID: 5597163287 Enrollment ID: I20211011002082 |
| Provider Name | Cheyne Michael Kulessa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508536335 PECOS PAC ID: 5991103566 Enrollment ID: I20211012002317 |
| Provider Name | Laura Elizabeth Shpak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396227914 PECOS PAC ID: 8426456872 Enrollment ID: I20211014003343 |
| Provider Name | Razu Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114505757 PECOS PAC ID: 3072911361 Enrollment ID: I20211018002893 |
| Provider Name | Kenlyn Riggs Young |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144502113 PECOS PAC ID: 9638567456 Enrollment ID: I20211028000828 |
| Provider Name | Lauren Grant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386262640 PECOS PAC ID: 1557759073 Enrollment ID: I20211102001292 |
| Provider Name | Jillian Nyswonger Sugg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780032672 PECOS PAC ID: 8527456953 Enrollment ID: I20211103002705 |
| Provider Name | Katharine Blair Bleecher |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255879292 PECOS PAC ID: 0749679132 Enrollment ID: I20211104002289 |
| Provider Name | Hannah Akbarzadeh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407427156 PECOS PAC ID: 4981093283 Enrollment ID: I20211108000642 |
| Provider Name | Rachel Alexandra Sledge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003580598 PECOS PAC ID: 6103215413 Enrollment ID: I20211108000896 |
| Provider Name | Alyssa Lynn Davy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902478480 PECOS PAC ID: 7315336534 Enrollment ID: I20211110000019 |
| Provider Name | Andrew Joseph Claypool |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104234525 PECOS PAC ID: 8527457753 Enrollment ID: I20211110000319 |
| Provider Name | Allison Marie Bartkowiak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245905348 PECOS PAC ID: 6800285040 Enrollment ID: I20211110000773 |
| Provider Name | Anne Colleen Schmelzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376110262 PECOS PAC ID: 0244629319 Enrollment ID: I20211110002272 |
| Provider Name | Nicole Rae Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891371217 PECOS PAC ID: 4789073560 Enrollment ID: I20211117000388 |
| Provider Name | Matthew Shane Harville |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043869589 PECOS PAC ID: 6709118359 Enrollment ID: I20211119001206 |
| Provider Name | James Andrew Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689988552 PECOS PAC ID: 9638355761 Enrollment ID: I20211123002851 |
| Provider Name | Rebekah Hester Edie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033888359 PECOS PAC ID: 3971993395 Enrollment ID: I20211129001806 |
| Provider Name | Victoria Lynn Obler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386249241 PECOS PAC ID: 6406246685 Enrollment ID: I20211201003022 |
| Provider Name | Emily Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861887770 PECOS PAC ID: 3870813892 Enrollment ID: I20211208003556 |
| Provider Name | Caitlyn Dora Adams |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861063331 PECOS PAC ID: 6507256336 Enrollment ID: I20211209000616 |
| Provider Name | Maggie Lou Stewart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134886468 PECOS PAC ID: 0143610881 Enrollment ID: I20211211000092 |
| Provider Name | Allison Walker Cutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770151219 PECOS PAC ID: 3870983570 Enrollment ID: I20211213001934 |
| Provider Name | Christina P Pate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174846760 PECOS PAC ID: 5597156190 Enrollment ID: I20211215000642 |
| Provider Name | Jonathan Carpenter Earles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992467005 PECOS PAC ID: 9739570342 Enrollment ID: I20211215000791 |
| Provider Name | Samantha Claire Davey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639717168 PECOS PAC ID: 0345660817 Enrollment ID: I20220104002920 |
| Provider Name | Henry Lazaro Delgado Avila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649840315 PECOS PAC ID: 2062803893 Enrollment ID: I20220105000227 |
| Provider Name | Cassie Anne Sharon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528679743 PECOS PAC ID: 3678965357 Enrollment ID: I20220111000055 |
| Provider Name | Elizabeth Wardwell Christy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982056222 PECOS PAC ID: 3971995473 Enrollment ID: I20220112002982 |
| Provider Name | Christina Maria Proch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407442866 PECOS PAC ID: 6305238775 Enrollment ID: I20220114000499 |
| Provider Name | Jacob Robbie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245999135 PECOS PAC ID: 8729470109 Enrollment ID: I20220114000671 |
| Provider Name | Tiffany Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790350767 PECOS PAC ID: 0244622306 Enrollment ID: I20220121001763 |
| Provider Name | Kuang-shrian Chang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154959419 PECOS PAC ID: 9133536287 Enrollment ID: I20220131001360 |
| Provider Name | Samantha Hoyle Green |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518618248 PECOS PAC ID: 6103219969 Enrollment ID: I20220131002333 |
| Provider Name | Erica Rao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780336909 PECOS PAC ID: 9335532852 Enrollment ID: I20220205000096 |
| Provider Name | Rachel Deborah Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982379210 PECOS PAC ID: 0941693477 Enrollment ID: I20220207000044 |
| Provider Name | Chelsea Danielle Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366941866 PECOS PAC ID: 3173886298 Enrollment ID: I20220207000998 |
| Provider Name | Liya Bitsuan Lakew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417610379 PECOS PAC ID: 6608269683 Enrollment ID: I20220216000463 |
| Provider Name | Payal Merchant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447904958 PECOS PAC ID: 0648663559 Enrollment ID: I20220216002109 |
| Provider Name | Abby Tomlinson Lewis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457005159 PECOS PAC ID: 2466846191 Enrollment ID: I20220223001588 |
| Provider Name | Danilton Glenn Clarke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295308393 PECOS PAC ID: 1557755915 Enrollment ID: I20220228002733 |
| Provider Name | Katherine A Gallagher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487322384 PECOS PAC ID: 2860886256 Enrollment ID: I20220301001352 |
| Provider Name | Jennifer Anne Franceschelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447311758 PECOS PAC ID: 2062675879 Enrollment ID: I20220303001996 |
| Provider Name | Megan Leigh Wolfe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740932367 PECOS PAC ID: 9830584747 Enrollment ID: I20220310002916 |
| Provider Name | Jina Mosley-woodard |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184045015 PECOS PAC ID: 3779978457 Enrollment ID: I20220316000014 |
| Provider Name | Anne Marie Hardy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669608204 PECOS PAC ID: 2668867243 Enrollment ID: I20220317001053 |
| Provider Name | Wen Chian Ouyang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164021788 PECOS PAC ID: 6507251824 Enrollment ID: I20220322003140 |
| Provider Name | Kelly Marlowe White |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316692155 PECOS PAC ID: 2365837630 Enrollment ID: I20220323001859 |
| Provider Name | Megan Leeanne Vrooman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174271324 PECOS PAC ID: 0648666743 Enrollment ID: I20220329001527 |
| Provider Name | Hanna Clay Lyons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447615190 PECOS PAC ID: 9234525221 Enrollment ID: I20220330002204 |
| Provider Name | Kathleen Ann Moreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841952025 PECOS PAC ID: 3173919198 Enrollment ID: I20220331000100 |
| Provider Name | Amanda Kimberly Stauder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144709460 PECOS PAC ID: 8123414158 Enrollment ID: I20220331000261 |
| Provider Name | Judith Joy-simone Saintange |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427400084 PECOS PAC ID: 9436444221 Enrollment ID: I20220401002369 |
| Provider Name | Terrence William Brophy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780331124 PECOS PAC ID: 6002202702 Enrollment ID: I20220406000347 |
| Provider Name | Sarah Anne Kempel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801436076 PECOS PAC ID: 7214323955 Enrollment ID: I20220406002000 |
| Provider Name | Shaniquewa Downes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154992816 PECOS PAC ID: 3971999269 Enrollment ID: I20220414000280 |
| Provider Name | Jamie Elizabeth Thomson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285014464 PECOS PAC ID: 7810383007 Enrollment ID: I20220418000337 |
| Provider Name | Summer Langston Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285190157 PECOS PAC ID: 8729320643 Enrollment ID: I20220420000386 |
| Provider Name | Matthew James Hillsinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124514351 PECOS PAC ID: 6002203668 Enrollment ID: I20220428001999 |
| Provider Name | Jess Gilliam Godfrey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871237438 PECOS PAC ID: 6406234160 Enrollment ID: I20220608001989 |
| Provider Name | Katherine Elise Mccaffrey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043801798 PECOS PAC ID: 1052790466 Enrollment ID: I20220615001029 |
| Provider Name | Linsey Mae Gremillion |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568927978 PECOS PAC ID: 4486996386 Enrollment ID: I20220628001218 |
| Provider Name | Marybelle Jo Mikesell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235702952 PECOS PAC ID: 6204216617 Enrollment ID: I20220701000852 |
| Provider Name | Louise Margaret Williamson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225774144 PECOS PAC ID: 7315327145 Enrollment ID: I20220711000727 |
| Provider Name | Hailey Lynn Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073286613 PECOS PAC ID: 6901287622 Enrollment ID: I20220713000178 |
| Provider Name | Colton Walker Owczarzak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053058768 PECOS PAC ID: 4082095435 Enrollment ID: I20220718001213 |
| Provider Name | Sibu Varghese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366189656 PECOS PAC ID: 6305227307 Enrollment ID: I20220722000373 |
| Provider Name | Teague Edythe Murphy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750948840 PECOS PAC ID: 7113308057 Enrollment ID: I20220722002471 |
| Provider Name | Emily Lynne Russell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124659982 PECOS PAC ID: 9133501091 Enrollment ID: I20220809002285 |
| Provider Name | Rudmary Aimeed Hernandez Baez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578292223 PECOS PAC ID: 1355724246 Enrollment ID: I20220809003848 |
| Provider Name | Charlotte Alexandra Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366117384 PECOS PAC ID: 5991188674 Enrollment ID: I20220812000647 |
| Provider Name | Laura Anne Bacigalupi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811644040 PECOS PAC ID: 0345623088 Enrollment ID: I20220813000314 |
| Provider Name | Hannah Nikki Travlos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114590601 PECOS PAC ID: 1052794633 Enrollment ID: I20220815001184 |
| Provider Name | Taylor Noel Mcmichael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750908778 PECOS PAC ID: 7214310325 Enrollment ID: I20220822002306 |
| Provider Name | Lindsay Elizabeth Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932851839 PECOS PAC ID: 2668856345 Enrollment ID: I20220830000363 |
| Provider Name | Kaitlyn Lewis Bachman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851870935 PECOS PAC ID: 5890044796 Enrollment ID: I20220830002375 |
| Provider Name | Alyssa Ryanne Hayman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750019634 PECOS PAC ID: 8729462064 Enrollment ID: I20220906000135 |
| Provider Name | Chanelle Elise Tignor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255093324 PECOS PAC ID: 1052795192 Enrollment ID: I20220908002208 |
| Provider Name | Joshua Malutan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861072894 PECOS PAC ID: 7810385952 Enrollment ID: I20220908003537 |
| Provider Name | Obed Kamunga Mulenda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942955489 PECOS PAC ID: 0840675963 Enrollment ID: I20220909002301 |
| Provider Name | Stefanie Michele Stoller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992430748 PECOS PAC ID: 2264817139 Enrollment ID: I20220913001012 |
| Provider Name | Christopher Victor Barron-graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013636463 PECOS PAC ID: 1658756374 Enrollment ID: I20220916001003 |
| Provider Name | Johnny Philebaum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891413480 PECOS PAC ID: 7618352337 Enrollment ID: I20220916001197 |
| Provider Name | Michael John Losensky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861120099 PECOS PAC ID: 7618353509 Enrollment ID: I20220929002353 |
| Provider Name | Kelly Mullahy Hopson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083349963 PECOS PAC ID: 6002292760 Enrollment ID: I20221003002911 |
| Provider Name | Lucas Vrooman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093438905 PECOS PAC ID: 8527444900 Enrollment ID: I20221010000100 |
| Provider Name | Shivon Latice Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922755875 PECOS PAC ID: 5890161145 Enrollment ID: I20221012001207 |
| Provider Name | Bious Wingate Williamson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871127449 PECOS PAC ID: 7618343732 Enrollment ID: I20221014001048 |
| Provider Name | Delia Hearon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770184657 PECOS PAC ID: 0042686032 Enrollment ID: I20221017000774 |
| Provider Name | Kiley Alyss Winstead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215315825 PECOS PAC ID: 9032585971 Enrollment ID: I20221018003457 |
| Provider Name | Ethan Daniel Pierson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528788817 PECOS PAC ID: 3375919137 Enrollment ID: I20221019000699 |
| Provider Name | Jennifer Lynn Knezovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871232363 PECOS PAC ID: 7113393521 Enrollment ID: I20221026000287 |
| Provider Name | John Samuel Justyn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063089910 PECOS PAC ID: 0941602288 Enrollment ID: I20221026001948 |
| Provider Name | Eileen Anne Callahan-coolbaugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356072722 PECOS PAC ID: 8224405584 Enrollment ID: I20221031001329 |
| Provider Name | Cameron James Hummel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629798053 PECOS PAC ID: 8123495280 Enrollment ID: I20221102000129 |
| Provider Name | Kelsey Margaret Getzloff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689207284 PECOS PAC ID: 7214304294 Enrollment ID: I20221103002199 |
| Provider Name | Katherine Michelle Selby Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104548254 PECOS PAC ID: 8820465842 Enrollment ID: I20221104000471 |
| Provider Name | Hannah Marie Thomas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750984423 PECOS PAC ID: 7315314168 Enrollment ID: I20221108000259 |
| Provider Name | Emily Goodnight Hummel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922730183 PECOS PAC ID: 9537536198 Enrollment ID: I20221110002217 |
| Provider Name | Abby Caitlin Niedermann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326610395 PECOS PAC ID: 7315315603 Enrollment ID: I20221117000646 |
| Provider Name | Kaitlyn Sluka Pietrzak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356789663 PECOS PAC ID: 4284878422 Enrollment ID: I20221117001376 |
| Provider Name | Elizabeth Rachel Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679209217 PECOS PAC ID: 4183092307 Enrollment ID: I20221119000254 |
| Provider Name | Cheyenne Marie Gasper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720701345 PECOS PAC ID: 9032587167 Enrollment ID: I20221122000870 |
| Provider Name | Heather Lynn Stoner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629648670 PECOS PAC ID: 9436527579 Enrollment ID: I20221122001168 |
| Provider Name | Elizabeth W Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225768484 PECOS PAC ID: 9133597016 Enrollment ID: I20221128000642 |
| Provider Name | David Michael Chiesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225768815 PECOS PAC ID: 9032588074 Enrollment ID: I20221213002604 |
| Provider Name | Jeffrey David Labrecque |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891229076 PECOS PAC ID: 7618347956 Enrollment ID: I20230103002145 |
| Provider Name | Avni Mehta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174102347 PECOS PAC ID: 9335519479 Enrollment ID: I20230105001473 |
| Provider Name | Bianca Glaze |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689212276 PECOS PAC ID: 4789054891 Enrollment ID: I20230106000971 |
| Provider Name | Tyler Lang Ross |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295194561 PECOS PAC ID: 3274822382 Enrollment ID: I20230111001033 |
| Provider Name | Jeff Gene Mynhier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578140760 PECOS PAC ID: 5395116131 Enrollment ID: I20230113001829 |
| Provider Name | Krista Scherer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487371514 PECOS PAC ID: 9234500620 Enrollment ID: I20230123001235 |
| Provider Name | Sara Beth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538715081 PECOS PAC ID: 9335510684 Enrollment ID: I20230124001156 |
| Provider Name | Nikki Rhea Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578297420 PECOS PAC ID: 5092186247 Enrollment ID: I20230125002869 |
| Provider Name | Zi Yang Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164092110 PECOS PAC ID: 3072901875 Enrollment ID: I20230130001238 |
| Provider Name | Ernest Theodore Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235844960 PECOS PAC ID: 4688046576 Enrollment ID: I20230201002725 |
| Provider Name | Caitlin Jean Montgomery |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710262274 PECOS PAC ID: 1355713280 Enrollment ID: I20230202001000 |
| Provider Name | Kendall Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548973662 PECOS PAC ID: 7012389802 Enrollment ID: I20230203000917 |
| Provider Name | Erin Jo Falls |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932817509 PECOS PAC ID: 1456723436 Enrollment ID: I20230221002526 |
| Provider Name | Stacy Laughton Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164990354 PECOS PAC ID: 3274906227 Enrollment ID: I20230222002455 |
| Provider Name | Alyssa L Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447965736 PECOS PAC ID: 4587037239 Enrollment ID: I20230301000176 |
| Provider Name | Maria Alejandra Rodriguez Contreras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972874410 PECOS PAC ID: 9931421724 Enrollment ID: I20230302002834 |
| Provider Name | Matthew Tracey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962117689 PECOS PAC ID: 9234502519 Enrollment ID: I20230307003216 |
| Provider Name | Margaret Embury Witek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659859031 PECOS PAC ID: 3476807793 Enrollment ID: I20230309002318 |
| Provider Name | Stephanie Leigh Igo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952008385 PECOS PAC ID: 6800260332 Enrollment ID: I20230323000215 |
| Provider Name | Kaye Elizabeth Loren Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861106130 PECOS PAC ID: 0042684573 Enrollment ID: I20230323000369 |
| Provider Name | Leslie Sierra-arevalo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134655319 PECOS PAC ID: 0648644187 Enrollment ID: I20230323001039 |
| Provider Name | Grace Jae Hyun Herr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679113724 PECOS PAC ID: 4587038724 Enrollment ID: I20230329003353 |
| Provider Name | Shreya Tailor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396042420 PECOS PAC ID: 8123492378 Enrollment ID: I20230329003409 |
| Provider Name | Kimberly Marie Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881145852 PECOS PAC ID: 5092093591 Enrollment ID: I20230404000455 |
| Provider Name | Anne Kathleen Pursifull |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285301317 PECOS PAC ID: 4587054499 Enrollment ID: I20230405002497 |
| Provider Name | Jennifer L Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033778360 PECOS PAC ID: 1254735475 Enrollment ID: I20230417003004 |
| Provider Name | Hannah Marie Larson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730883471 PECOS PAC ID: 3678938651 Enrollment ID: I20230426001367 |
| Provider Name | Rachel Elizabeth Pierce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386284925 PECOS PAC ID: 5496110397 Enrollment ID: I20230427003186 |
| Provider Name | Isabella Anna Gorski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407555204 PECOS PAC ID: 7416312293 Enrollment ID: I20230501000880 |
| Provider Name | Annie Delany Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861104507 PECOS PAC ID: 4385009018 Enrollment ID: I20230502000397 |
| Provider Name | Aisha Ayana Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871123273 PECOS PAC ID: 8527423136 Enrollment ID: I20230504001418 |
| Provider Name | Claire Marine Fanto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457050445 PECOS PAC ID: 6002271517 Enrollment ID: I20230504002164 |
| Provider Name | Norwyn Y Espiritu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740804855 PECOS PAC ID: 0941625057 Enrollment ID: I20230505000067 |
| Provider Name | Justin Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891493235 PECOS PAC ID: 5395101752 Enrollment ID: I20230510001663 |
| Provider Name | Janea Piecuch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316121999 PECOS PAC ID: 2567520265 Enrollment ID: I20230512000443 |
| Provider Name | Sarah Kathleen Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194227835 PECOS PAC ID: 9638541329 Enrollment ID: I20230515000752 |
| Provider Name | Jordan Pittman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679273767 PECOS PAC ID: 9133585375 Enrollment ID: I20230515001001 |
| Provider Name | Catherine Harvey Brabender |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609575448 PECOS PAC ID: 3072979087 Enrollment ID: I20230517002756 |
| Provider Name | Susan Michelle Kokot |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992252787 PECOS PAC ID: 2163888934 Enrollment ID: I20230521000095 |
| Provider Name | Kelsi Autumn Kephart |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568977163 PECOS PAC ID: 2062818701 Enrollment ID: I20230522000683 |
| Provider Name | Nathalie Montano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710683131 PECOS PAC ID: 2365809795 Enrollment ID: I20230531000337 |
| Provider Name | Elisabeth Jasmin Mueller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699472225 PECOS PAC ID: 5890152961 Enrollment ID: I20230605002135 |
| Provider Name | Meredith Leigh Kauffman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841868783 PECOS PAC ID: 8628435443 Enrollment ID: I20230608002328 |
| Provider Name | Samantha Marie Loebbaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821706631 PECOS PAC ID: 2567829377 Enrollment ID: I20230609002859 |
| Provider Name | Jeanne Ann Braddick |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669162756 PECOS PAC ID: 5698133551 Enrollment ID: I20230626000190 |
| Provider Name | Jeffrey Alan Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386025997 PECOS PAC ID: 6709183668 Enrollment ID: I20230629000033 |
| Provider Name | Elizabeth Kimley Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558063065 PECOS PAC ID: 7416316724 Enrollment ID: I20230705002459 |
| Provider Name | Nicole Marie Kneisler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619505336 PECOS PAC ID: 3173982980 Enrollment ID: I20230711001590 |
| Provider Name | Naomi Alexis Klingbeil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528752730 PECOS PAC ID: 0840650685 Enrollment ID: I20230712002028 |
| Provider Name | Savannah Jane Samuel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912633520 PECOS PAC ID: 3779943329 Enrollment ID: I20230714001622 |
| Provider Name | Avani Sanjeev Mangoli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700237336 PECOS PAC ID: 5597050492 Enrollment ID: I20230727003882 |
| Provider Name | Derrick Cephano Glymph |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023123544 PECOS PAC ID: 2264475391 Enrollment ID: I20230807002980 |
| Provider Name | Catherine Abigail Mathews |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578148789 PECOS PAC ID: 1759790561 Enrollment ID: I20230814002422 |
| Provider Name | Sarah Kerr Gibson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467817817 PECOS PAC ID: 1456659788 Enrollment ID: I20230817003177 |
| Provider Name | Samantha Lynn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154009926 PECOS PAC ID: 3870955008 Enrollment ID: I20230818002601 |
| Provider Name | Crosby Mitchell Culp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073019857 PECOS PAC ID: 5890159032 Enrollment ID: I20230906004454 |
| Provider Name | Ikeogu Kalu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831858018 PECOS PAC ID: 1052705191 Enrollment ID: I20230912003310 |
| Provider Name | Stacey Link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437833142 PECOS PAC ID: 2961866652 Enrollment ID: I20230913004199 |
| Provider Name | Kristi Anna Dotson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295460038 PECOS PAC ID: 5799149316 Enrollment ID: I20230915001165 |
| Provider Name | Cody Michael Ballay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174216428 PECOS PAC ID: 7315301769 Enrollment ID: I20230919000002 |
| Provider Name | Paige Elizabeth Romer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699468843 PECOS PAC ID: 3072967223 Enrollment ID: I20230921004328 |
| Provider Name | Kayleigh Elizabeth Rathbun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619661725 PECOS PAC ID: 9032563135 Enrollment ID: I20230922002692 |
| Provider Name | Ryan Kane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841752862 PECOS PAC ID: 6406189745 Enrollment ID: I20230922003455 |
| Provider Name | Dalila Rapalo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164948139 PECOS PAC ID: 5799050449 Enrollment ID: I20231007000835 |
| Provider Name | Vanessa Ann Sillaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962180091 PECOS PAC ID: 3577918770 Enrollment ID: I20231009000404 |
| Provider Name | Heather Freddoso Lenzmeier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821668070 PECOS PAC ID: 6507211661 Enrollment ID: I20231009003455 |
| Provider Name | Cameron Renee Hatlevig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316519325 PECOS PAC ID: 0648625673 Enrollment ID: I20231011003690 |
| Provider Name | Tashelle Teia Peigan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417640244 PECOS PAC ID: 3274988134 Enrollment ID: I20231012000873 |
| Provider Name | Chesney Chea Ward |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669151015 PECOS PAC ID: 7113372608 Enrollment ID: I20231019000101 |
| Provider Name | Kathleen Laplaca Burrows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023891702 PECOS PAC ID: 7315393691 Enrollment ID: I20231023001679 |
| Provider Name | Alyssa Podwika King |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376291229 PECOS PAC ID: 8527414614 Enrollment ID: I20231025003424 |
| Provider Name | Margaret Grace Gartman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487149688 PECOS PAC ID: 7719398502 Enrollment ID: I20231026000357 |
| Provider Name | Hope Elizabeth Arrowood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699559880 PECOS PAC ID: 9537515309 Enrollment ID: I20231031000783 |
| Provider Name | Joshua William Blackburn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790569408 PECOS PAC ID: 4981050507 Enrollment ID: I20231101003865 |
| Provider Name | Olivia Christiana Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497444236 PECOS PAC ID: 6901253590 Enrollment ID: I20231102003653 |
| Provider Name | Leah Ashley Mincey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477205102 PECOS PAC ID: 3577910942 Enrollment ID: I20231106003799 |
| Provider Name | Brooke Anne Colligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245918762 PECOS PAC ID: 3577910579 Enrollment ID: I20231113003662 |
| Provider Name | Nandit Dhavalbhai Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841077229 PECOS PAC ID: 7911354725 Enrollment ID: I20231115001872 |
| Provider Name | Thomas James Willauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851831945 PECOS PAC ID: 0648627406 Enrollment ID: I20231115003633 |
| Provider Name | Jorge Eduardo Arriagada |
|---|---|
| Provider Type | Practitioner - Pediatric Dentistry |
| Provider Identifiers | NPI Number: 1497134241 PECOS PAC ID: 5799132452 Enrollment ID: I20231117000756 |
| Provider Name | Maria Gabriela Espino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942870431 PECOS PAC ID: 7618325358 Enrollment ID: I20231120000196 |
| Provider Name | Hannah Osborne |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831880459 PECOS PAC ID: 3173971850 Enrollment ID: I20231120001872 |
| Provider Name | Nichole Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922456391 PECOS PAC ID: 6204284359 Enrollment ID: I20231129003202 |
| Provider Name | William Dillon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588089361 PECOS PAC ID: 2668820572 Enrollment ID: I20231201002143 |
| Provider Name | Alexis Rosa Chandik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922705417 PECOS PAC ID: 4587013032 Enrollment ID: I20231211000370 |
| Provider Name | James Edward Fernandes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588940381 PECOS PAC ID: 8820447204 Enrollment ID: I20231211001520 |
| Provider Name | Luis Felipe Freile |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598380214 PECOS PAC ID: 5092164905 Enrollment ID: I20231218000138 |
| Provider Name | Lesley Moran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487871497 PECOS PAC ID: 5092165928 Enrollment ID: I20231219001089 |
| Provider Name | William E Sanders |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730618000 PECOS PAC ID: 3870943061 Enrollment ID: I20231229002885 |
| Provider Name | Theresa G Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326248790 PECOS PAC ID: 9537510516 Enrollment ID: I20240104001762 |
| Provider Name | Frantz Joseph Dor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235721093 PECOS PAC ID: 2567844624 Enrollment ID: I20240108003257 |
| Provider Name | Lillian Grace Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851176093 PECOS PAC ID: 3577914951 Enrollment ID: I20240110001988 |
| Provider Name | Pratibha Verma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528533387 PECOS PAC ID: 6002267226 Enrollment ID: I20240111002787 |
| Provider Name | Jessica Lee Backhus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205417086 PECOS PAC ID: 3274984315 Enrollment ID: I20240112002106 |
| Provider Name | Shane Thomas Mathew |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629769914 PECOS PAC ID: 5395196471 Enrollment ID: I20240112003473 |
| Provider Name | Tyrone E Pitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659159143 PECOS PAC ID: 4284086729 Enrollment ID: I20240119002143 |
| Provider Name | Erinn N Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326795493 PECOS PAC ID: 3375995673 Enrollment ID: I20240123002216 |
| Provider Name | Kelly Anne Meggs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932795101 PECOS PAC ID: 1355755356 Enrollment ID: I20240126003024 |
| Provider Name | Elizabeth Joanne Tsao |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851071799 PECOS PAC ID: 7113370602 Enrollment ID: I20240131004204 |
| Provider Name | Michelle Zheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215704945 PECOS PAC ID: 9931542115 Enrollment ID: I20240205001570 |
| Provider Name | Taylor Blanche Drolshagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275226078 PECOS PAC ID: 5698118511 Enrollment ID: I20240208000001 |
| Provider Name | Jordan Bissette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700654795 PECOS PAC ID: 5890138416 Enrollment ID: I20240209002681 |
| Provider Name | Marino Joseph Bucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831950906 PECOS PAC ID: 9234572645 Enrollment ID: I20240213000460 |
| Provider Name | Meaghan Elizabeth Paluck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922875038 PECOS PAC ID: 9436594819 Enrollment ID: I20240226000102 |
| Provider Name | Yvonna Yvonne Jones |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679354823 PECOS PAC ID: 8325483266 Enrollment ID: I20240229004202 |
| Provider Name | Kaylee Christina Manley-wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558122457 PECOS PAC ID: 2264877877 Enrollment ID: I20240305000844 |
| Provider Name | Corey Muggler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932979192 PECOS PAC ID: 5991141665 Enrollment ID: I20240316000002 |
| Provider Name | Jennifer Eve Bachman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104028075 PECOS PAC ID: 4082050778 Enrollment ID: I20240318000180 |
| Provider Name | Jordan Christopher Waite |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598528374 PECOS PAC ID: 6204273840 Enrollment ID: I20240319002036 |
| Provider Name | Matthew Aaron Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750010658 PECOS PAC ID: 7012396658 Enrollment ID: I20240319002956 |
| Provider Name | Jena Nicole Mueller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497264493 PECOS PAC ID: 0547526303 Enrollment ID: I20240321001332 |
| Provider Name | Tyler Paige Trudo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104697028 PECOS PAC ID: 2860839206 Enrollment ID: I20240321001588 |
| Provider Name | Madia Marie Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760246532 PECOS PAC ID: 4284071580 Enrollment ID: I20240322000094 |
| Provider Name | Eric Petty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326081449 PECOS PAC ID: 6002837614 Enrollment ID: I20240326000211 |
| Provider Name | Christine Elizabeth Parrilli-johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700456100 PECOS PAC ID: 0840637690 Enrollment ID: I20240328001413 |
| Provider Name | Christina Rosenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063271013 PECOS PAC ID: 3971941758 Enrollment ID: I20240329002714 |
| Provider Name | Hayden Dale Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982486098 PECOS PAC ID: 6709225394 Enrollment ID: I20240416000728 |
| Provider Name | Kayo Nakama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417640632 PECOS PAC ID: 6800235318 Enrollment ID: I20240417001110 |
| Provider Name | Amy Sonski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063612158 PECOS PAC ID: 4981787520 Enrollment ID: I20240418004237 |
| Provider Name | David Scott Pickus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902661507 PECOS PAC ID: 1658710876 Enrollment ID: I20240419001925 |
| Provider Name | Rachel Liu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366077836 PECOS PAC ID: 5698104651 Enrollment ID: I20240421000001 |
| Provider Name | Benjamin Thomas Mueller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730698630 PECOS PAC ID: 5890051619 Enrollment ID: I20240422002807 |
| Provider Name | Jose Alejandro Raez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043848385 PECOS PAC ID: 1355781311 Enrollment ID: I20240424004211 |
| Provider Name | Laura Horan Caparosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326722760 PECOS PAC ID: 7214377027 Enrollment ID: I20240426002149 |
| Provider Name | Feresha Patel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750848610 PECOS PAC ID: 1658711098 Enrollment ID: I20240501003936 |
| Provider Name | Heather Starr Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689965725 PECOS PAC ID: 4880034156 Enrollment ID: I20240503000531 |
| Provider Name | Tronda Lee Moss |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366593600 PECOS PAC ID: 7618318791 Enrollment ID: I20240508000297 |
| Provider Name | Stephanie Joe Parken |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639370463 PECOS PAC ID: 6002257904 Enrollment ID: I20240509001334 |
| Provider Name | Jordan Alan Maynard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366294233 PECOS PAC ID: 5193166957 Enrollment ID: I20240510000194 |
| Provider Name | Chelsea Miller Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497508196 PECOS PAC ID: 6103267927 Enrollment ID: I20240510002362 |
| Provider Name | Marcelle Elizabeth Morrison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952187247 PECOS PAC ID: 8325480478 Enrollment ID: I20240521003870 |
| Provider Name | Jamie L Ullmark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366534463 PECOS PAC ID: 3678548864 Enrollment ID: I20240531001918 |
| Provider Name | Kimberly Sue Reynolds |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720716822 PECOS PAC ID: 6608318761 Enrollment ID: I20240605001111 |
| Provider Name | Alydia Ann Meinecke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831953116 PECOS PAC ID: 6406399500 Enrollment ID: I20240618000573 |
| Provider Name | Megan Lyndsy Trauth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053161620 PECOS PAC ID: 1557804309 Enrollment ID: I20240620003172 |
| Provider Name | Kara Elisabeth Truskolawski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326822271 PECOS PAC ID: 9133663586 Enrollment ID: I20240627000060 |
| Provider Name | Lindsey Jae Siska |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053064048 PECOS PAC ID: 8921542986 Enrollment ID: I20240701003349 |
| Provider Name | Dustyn Walton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164189080 PECOS PAC ID: 3678019957 Enrollment ID: I20240723001968 |
| Provider Name | Ryan Daniel Slauer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295297117 PECOS PAC ID: 7214473552 Enrollment ID: I20240723004119 |
| Provider Name | Joe Carpenter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730578402 PECOS PAC ID: 1759828098 Enrollment ID: I20240803000620 |
| Provider Name | Michele Irene Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548993751 PECOS PAC ID: 3577000629 Enrollment ID: I20240807000311 |
| Provider Name | Basma Abdalla Mohamed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902037385 PECOS PAC ID: 3577791581 Enrollment ID: I20240807001849 |
| Provider Name | Taylor Dulaney Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588363956 PECOS PAC ID: 7911444930 Enrollment ID: I20240807003471 |
| Provider Name | Ryan Luke Stoltzfus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790163582 PECOS PAC ID: 2365732161 Enrollment ID: I20240819004380 |
| Provider Name | Hope Dryden Stelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083456354 PECOS PAC ID: 8022556174 Enrollment ID: I20240820002577 |
| Provider Name | Justin Anthony Martino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679323273 PECOS PAC ID: 5799223855 Enrollment ID: I20240820003364 |
| Provider Name | Sabrina Jean Glover |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821799297 PECOS PAC ID: 9739553983 Enrollment ID: I20240821002323 |
| Provider Name | Meghan Nicole Edwards |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306616206 PECOS PAC ID: 2163960139 Enrollment ID: I20240821003633 |
| Provider Name | Alyssa Bush |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851131015 PECOS PAC ID: 1153860077 Enrollment ID: I20240823000411 |
| Provider Name | Andres William Carro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710727631 PECOS PAC ID: 0941749865 Enrollment ID: I20240823000516 |
| Provider Name | Brandon James Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497597603 PECOS PAC ID: 0941749790 Enrollment ID: I20240826001288 |
| Provider Name | Emma Lynn Kosbab |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023576147 PECOS PAC ID: 7113466863 Enrollment ID: I20240827001224 |
| Provider Name | Andreas Wailani Remis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861121667 PECOS PAC ID: 4183005390 Enrollment ID: I20240827002533 |
| Provider Name | Laura Keel Sisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588200877 PECOS PAC ID: 3274969050 Enrollment ID: I20240829003080 |
| Provider Name | Liza Isabelle Fhanfin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881068104 PECOS PAC ID: 0143510891 Enrollment ID: I20240903002199 |
| Provider Name | Diana Luisa Sojda Fedurek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487411559 PECOS PAC ID: 4587104401 Enrollment ID: I20240906000496 |
| Provider Name | Marc Tito Sangalang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710602040 PECOS PAC ID: 3678942190 Enrollment ID: I20240910000637 |
| Provider Name | Gregory O'connor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164982872 PECOS PAC ID: 6103151352 Enrollment ID: I20240912001174 |
| Provider Name | Charles Alexander Haugh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508546516 PECOS PAC ID: 8921548157 Enrollment ID: I20240913002003 |
| Provider Name | Johanna Sue Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326888546 PECOS PAC ID: 3072054279 Enrollment ID: I20240916000345 |
| Provider Name | Edward Keenan Bixby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992268353 PECOS PAC ID: 4486987062 Enrollment ID: I20240920000635 |
| Provider Name | Melanie Schmuck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700302569 PECOS PAC ID: 2264973908 Enrollment ID: I20240920001415 |
| Provider Name | Michelle Marin Bridgeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053153668 PECOS PAC ID: 4183165871 Enrollment ID: I20240921000061 |
| Provider Name | Katherine Elizabeth Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689327173 PECOS PAC ID: 9032594130 Enrollment ID: I20240926001307 |
| Provider Name | Holland Morton Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720827975 PECOS PAC ID: 1951832146 Enrollment ID: I20240927003253 |
| Provider Name | Aryn Brienne Cunningham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396576476 PECOS PAC ID: 1254862329 Enrollment ID: I20240930002667 |
| Provider Name | Ricardo Morales Santos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467284158 PECOS PAC ID: 9436680535 Enrollment ID: I20240930003902 |
| Provider Name | Russell J Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043841687 PECOS PAC ID: 7517349558 Enrollment ID: I20241001003986 |
| Provider Name | Grace Catherine Ernstberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427637800 PECOS PAC ID: 5597166967 Enrollment ID: I20241002002170 |
| Provider Name | Sarvari Kunta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205318466 PECOS PAC ID: 0042741605 Enrollment ID: I20241007002402 |
| Provider Name | Matthew Gibson Marvell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659995579 PECOS PAC ID: 2961875513 Enrollment ID: I20241011001521 |
| Provider Name | Jordan Mckenzie Burnett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548003320 PECOS PAC ID: 7012449291 Enrollment ID: I20241011004096 |
| Provider Name | Jordan Jamaal Patterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750134151 PECOS PAC ID: 0143752345 Enrollment ID: I20241014000080 |
| Provider Name | Meredith Addie Dickens |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598503211 PECOS PAC ID: 4880126093 Enrollment ID: I20241014000794 |
| Provider Name | Alexandra Bocharnikov Loriaux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801424296 PECOS PAC ID: 5496287518 Enrollment ID: I20241015000474 |
| Provider Name | Thomas Frazier Wyatt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558124669 PECOS PAC ID: 4385176114 Enrollment ID: I20241017001016 |
| Provider Name | Haley Marie Mills |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679304224 PECOS PAC ID: 2668904335 Enrollment ID: I20241018002307 |
| Provider Name | Abhiram Shyamsundar Harohalli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740937176 PECOS PAC ID: 9638539653 Enrollment ID: I20241024000601 |
| Provider Name | Modou Lamin Jawo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326889734 PECOS PAC ID: 0941733117 Enrollment ID: I20241025002426 |
| Provider Name | Kaylee Ann Sanford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972336063 PECOS PAC ID: 1951834001 Enrollment ID: I20241028001657 |
| Provider Name | Isaiah Rakarl Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528725835 PECOS PAC ID: 2860882321 Enrollment ID: I20241030002851 |
| Provider Name | Lauren Padgett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407396955 PECOS PAC ID: 0345773156 Enrollment ID: I20241101000187 |
| Provider Name | Monica Kyung-mi Gomez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023417284 PECOS PAC ID: 3971036500 Enrollment ID: I20241104002302 |
| Provider Name | Casey Anne Roy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346003027 PECOS PAC ID: 3375077993 Enrollment ID: I20241105002154 |
| Provider Name | Megan Alexandra Kirkman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205213618 PECOS PAC ID: 5193259729 Enrollment ID: I20241105002680 |
| Provider Name | Katherine Kaiser Moffitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477953438 PECOS PAC ID: 7012441652 Enrollment ID: I20241105003049 |
| Provider Name | Corry Mark Brinken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184454951 PECOS PAC ID: 0547794182 Enrollment ID: I20241105003147 |
| Provider Name | Jacqueline N Thornhill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194746370 PECOS PAC ID: 5597769190 Enrollment ID: I20241106000872 |
| Provider Name | Tabetha Victoria Elie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891527545 PECOS PAC ID: 8628502176 Enrollment ID: I20241107000004 |
| Provider Name | Amr Mahmoud Saleh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841881513 PECOS PAC ID: 4789118167 Enrollment ID: I20241107001291 |
| Provider Name | Iris Wood Burns |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275240897 PECOS PAC ID: 9830623271 Enrollment ID: I20241107003895 |
| Provider Name | Kerry Lynn Graham |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669104691 PECOS PAC ID: 7012441462 Enrollment ID: I20241107004282 |
| Provider Name | Tyanna Shawn Eaddy-harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326748021 PECOS PAC ID: 3870027147 Enrollment ID: I20241108001175 |
| Provider Name | Aidan Berry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992329197 PECOS PAC ID: 6507288198 Enrollment ID: I20241111003491 |
| Provider Name | Danielle Green |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285982058 PECOS PAC ID: 9830344670 Enrollment ID: I20241113002620 |
| Provider Name | Jeni Erickson Melvin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497587398 PECOS PAC ID: 9436683315 Enrollment ID: I20241114002846 |
| Provider Name | Grace Jewell Russo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245058072 PECOS PAC ID: 7517491327 Enrollment ID: I20241114004325 |
| Provider Name | Tena Shizuma Rollman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023861762 PECOS PAC ID: 6608300496 Enrollment ID: I20241115002805 |
| Provider Name | Erin Christina Moore |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376118331 PECOS PAC ID: 1557896172 Enrollment ID: I20241119004527 |
| Provider Name | Teoma Lashawn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548490162 PECOS PAC ID: 1456488386 Enrollment ID: I20241120000007 |
| Provider Name | Alana Nicole Zicari |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932728052 PECOS PAC ID: 0042745465 Enrollment ID: I20241121004548 |
| Provider Name | Samara Carly Badash |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215407432 PECOS PAC ID: 6709311673 Enrollment ID: I20241202001851 |
| Provider Name | Violeta Saenz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932641230 PECOS PAC ID: 1759658073 Enrollment ID: I20241203002913 |
| Provider Name | Emily Claire Almond |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588411128 PECOS PAC ID: 2466988019 Enrollment ID: I20241206000822 |
| Provider Name | Jacob Louis Carey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548966401 PECOS PAC ID: 4385016831 Enrollment ID: I20241206001641 |
| Provider Name | Rhonda Lynetta Dickens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144614652 PECOS PAC ID: 7315473832 Enrollment ID: I20241206003666 |
| Provider Name | Robert Joseph Aaron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285167908 PECOS PAC ID: 0446512743 Enrollment ID: I20241208000002 |
| Provider Name | Lisa Kristen Honeycutt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821288234 PECOS PAC ID: 5496037400 Enrollment ID: I20241212002330 |
| Provider Name | Andrew Noe Rivas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033930243 PECOS PAC ID: 9032645080 Enrollment ID: I20241213001191 |
| Provider Name | Corinne Natica Lelia Hauck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598531022 PECOS PAC ID: 1052847050 Enrollment ID: I20241213003184 |
| Provider Name | Lita Gosoco Peeters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457361081 PECOS PAC ID: 9638279946 Enrollment ID: I20241216000173 |
| Provider Name | Monisha Anupam Motiwala |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851795678 PECOS PAC ID: 5193252054 Enrollment ID: I20241217002756 |
| Provider Name | Molly Ruble Gupta |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427722859 PECOS PAC ID: 8628505310 Enrollment ID: I20241218004421 |
| Provider Name | Breana Lee Chappuis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174165187 PECOS PAC ID: 7618404211 Enrollment ID: I20241220000744 |
| Provider Name | Cheng Tan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962179960 PECOS PAC ID: 4880121151 Enrollment ID: I20241227000483 |
| Provider Name | Meagan Grogan Britt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780426353 PECOS PAC ID: 7719414002 Enrollment ID: I20241227001328 |
| Provider Name | Maria Catherine Neville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285301630 PECOS PAC ID: 7719414770 Enrollment ID: I20250102003070 |
| Provider Name | Evan Priest |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578379350 PECOS PAC ID: 8123556735 Enrollment ID: I20250110000170 |
| Provider Name | Jason Pelletier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154097970 PECOS PAC ID: 1153713433 Enrollment ID: I20250110003378 |
| Provider Name | Jeremy Paul Blount |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689292088 PECOS PAC ID: 7719304732 Enrollment ID: I20250113002322 |
| Provider Name | Chad Robert Greene |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528822699 PECOS PAC ID: 6901334291 Enrollment ID: I20250114004065 |
| Provider Name | Katharina Maria Nevsimal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154150688 PECOS PAC ID: 6406385533 Enrollment ID: I20250117003050 |
| Provider Name | Martha Elizabeth Gordon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689218620 PECOS PAC ID: 0648609131 Enrollment ID: I20250206001616 |
| Provider Name | Shannon Langdale Aumer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134497126 PECOS PAC ID: 1759811615 Enrollment ID: I20250206002416 |
| Provider Name | Michele Donvito Cifaratta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629615745 PECOS PAC ID: 6709316169 Enrollment ID: I20250214000083 |
| Provider Name | Katelin Alanna Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689400038 PECOS PAC ID: 9032639307 Enrollment ID: I20250218001388 |
| Provider Name | Catherine Ashley Bergeron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376377325 PECOS PAC ID: 4183144306 Enrollment ID: I20250218003672 |
| Provider Name | Juan Guillermo Correa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881198091 PECOS PAC ID: 8820343007 Enrollment ID: I20250220000534 |
| Provider Name | Max-anthony Natale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568291052 PECOS PAC ID: 0446770481 Enrollment ID: I20250221000251 |
| Provider Name | Sean Powers Fricke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053088914 PECOS PAC ID: 9436679305 Enrollment ID: I20250221001786 |
| Provider Name | Emily Suzanne Bunton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346970142 PECOS PAC ID: 4082069521 Enrollment ID: I20250224000432 |
| Provider Name | Jason Maxwell Bohrer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164202529 PECOS PAC ID: 2961922497 Enrollment ID: I20250226003995 |
| Provider Name | Alexandra Emily D'elia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194540641 PECOS PAC ID: 3476073966 Enrollment ID: I20250227001963 |
| Provider Name | Julia Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508628926 PECOS PAC ID: 6800317264 Enrollment ID: I20250303001028 |
| Provider Name | Soo Jung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104640820 PECOS PAC ID: 3476074931 Enrollment ID: I20250313000123 |
| Provider Name | Peter Tyler O'connor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932904216 PECOS PAC ID: 6406378926 Enrollment ID: I20250313002522 |
| Provider Name | Elsa Isabel Althof |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962100396 PECOS PAC ID: 0345762654 Enrollment ID: I20250317001153 |
| Provider Name | Ashley Stanback Nettles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184364507 PECOS PAC ID: 4486176625 Enrollment ID: I20250318001183 |
| Provider Name | Stephen Ralph Gunderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023601457 PECOS PAC ID: 5193248698 Enrollment ID: I20250325003080 |
| Provider Name | Corey Jospeh Shedlock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699570325 PECOS PAC ID: 4880117324 Enrollment ID: I20250326000414 |
| Provider Name | Laura Jayne Barth |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316474786 PECOS PAC ID: 1951824408 Enrollment ID: I20250326000530 |
| Provider Name | Taylor Nicole Stockstad |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871012344 PECOS PAC ID: 3779006242 Enrollment ID: I20250326001254 |
| Provider Name | Tameka Kinyardia Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295206605 PECOS PAC ID: 9739602202 Enrollment ID: I20250326001375 |
| Provider Name | Amanda Coats Testino |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124689484 PECOS PAC ID: 9830612563 Enrollment ID: I20250402003090 |
| Provider Name | Andrea Coffey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568036978 PECOS PAC ID: 3274939517 Enrollment ID: I20250403003734 |
| Provider Name | Charis Reine Barnard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609593664 PECOS PAC ID: 7517323801 Enrollment ID: I20250404001440 |
| Provider Name | Kimberly Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598050742 PECOS PAC ID: 2163946377 Enrollment ID: I20250409002741 |
| Provider Name | Alex J Brooket |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013239714 PECOS PAC ID: 8729502778 Enrollment ID: I20250410003591 |
| Provider Name | Rebecca Anne Berube |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245056894 PECOS PAC ID: 9335664655 Enrollment ID: I20250420000020 |
| Provider Name | Sarah Patricia Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558177360 PECOS PAC ID: 7416472493 Enrollment ID: I20250422003740 |
| Provider Name | Christina Hope Davis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457177271 PECOS PAC ID: 8022534981 Enrollment ID: I20250424000645 |
| Provider Name | Karthikeyan Guru |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306658919 PECOS PAC ID: 0941726780 Enrollment ID: I20250424002662 |
| Provider Name | Morgan Leigh Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992128185 PECOS PAC ID: 1153546247 Enrollment ID: I20250428000780 |
| Provider Name | Elizabeth Rae Tubbs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588676258 PECOS PAC ID: 2769908102 Enrollment ID: I20250429000548 |
| Provider Name | Denice Nicole Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952118820 PECOS PAC ID: 3072039270 Enrollment ID: I20250430003297 |
| Provider Name | Amy Elizabeth Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609598887 PECOS PAC ID: 9436528304 Enrollment ID: I20250502001651 |
| Provider Name | Cassandra Dawn Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518551019 PECOS PAC ID: 2961929849 Enrollment ID: I20250505001417 |
| Provider Name | Mackenzie Ann Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851104210 PECOS PAC ID: 6507383270 Enrollment ID: I20250506002338 |
| Provider Name | Sydney Rae Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477376903 PECOS PAC ID: 4385161918 Enrollment ID: I20250507002662 |
| Provider Name | Stephanie A P Schuette |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942986591 PECOS PAC ID: 6103344288 Enrollment ID: I20250513003357 |
| Provider Name | Karen Elizabeth Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033488796 PECOS PAC ID: 2264658855 Enrollment ID: I20250514001059 |
| Provider Name | Nicole Jensen Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750186052 PECOS PAC ID: 9234658980 Enrollment ID: I20250527000529 |
| Provider Name | Christina Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174333488 PECOS PAC ID: 7618486895 Enrollment ID: I20250530000502 |
| Provider Name | Daniel Clifford Marcy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104616549 PECOS PAC ID: 1951810654 Enrollment ID: I20250604000684 |
| Provider Name | Sean Christaan Carlucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467864264 PECOS PAC ID: 1557871761 Enrollment ID: I20250606002841 |
Lincoln Community Health Center Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 Crutchfield St, Durham, NC 27704 Phone: 919-797-1943 Fax: 919-560-0302 | |
Duke University Affiliated Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4220 N Roxboro St, Durham, NC 27704 Phone: 919-471-1518 | |
Physicians Eldercare Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5306 Nc Highway 55 Ste 105, Durham, NC 27713 Phone: 337-991-9276 Fax: 337-943-0846 | |
Triangle Geriatrics & Palliative Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Rosehill Ave, Durham, NC 27705 Phone: 540-447-6614 | |
Duke University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Trent Dr, Sub-basement, Orange Zone, Durham, NC 27710 Phone: 919-681-9355 | |
Novant Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5107 Southpark Dr, Suite 104, Durham, NC 27713 Phone: 919-477-6900 Fax: 919-544-6210 | |
American Current Care Of North Carolina Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4104 Surles Court, Suite 11, Durham, NC 27703 Phone: 919-941-1911 Fax: 919-941-1901 |