DR. KENTRELL MONIQUE AVERY (NPI# 1265785836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265785836 |
| Entity Type | Individual |
| Full Name | DR. KENTRELL MONIQUE AVERY |
| Credential | PSY.D. |
| Practice Address |
1901 Veterans Memorial Drive U.S. Department of Veterans Affairs Temple TX 76504 |
| Practice Telephone | 2547432867 |
| Practice Fax Number | 2547430304 |
| Mailing Telephone | 2547432867 |
| Mailing Fax Number | 2547430304 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2013-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1217 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | N/A | N/A | 01 |
| Street Address |
1901 VETERANS MEMORIAL DRIVE U.S. DEPARTMENT OF VETERANS AFFAIRS |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790768554 | Katherine Kwok-mei Fong | Internal Medicine | 1901 Veterans Memorial Drive, Central Texas Veterans Healthcare - Ambulatory Care, Temple, TX 76504 | 2005-11-25 |
| 1467840793 | Alexander Gauna | Licensed Vocational Nurse | 1901 Veterans Memorial Drive, Temple, TX 76504 | 2015-01-09 |
| 1851597579 | Margaret Paula French | Occupational Therapist | 1901 Veterans Memorial Drive, Temple, TX 76504 | 2007-06-21 |
| 1720167281 | Manjankarini S. Thirumurthi | Internal Medicine | 1901 Veterans Memorial Drive, Central Texas Veterans Health Care System, Temple, TX 76504 | 2006-11-03 |
| 1972684041 | Quang Duy Vo | Pharmacist | 1901 Veterans Memorial Drive, Central Texas Veterans Health Care System - Pharmacy, Temple, TX 76504-7451 | 2006-10-17 |
| 1780793836 | James Toby Johnson | Rehabilitation Practitioner | 1901 Veterans Memorial Drive, Olin E Teague Medical Center, Temple, TX 76504 | 2006-08-30 |
| 1487661682 | Christopher James Brunell | Physician Assistant | 1901 Veterans Memorial Drive, Temple, TX 76504 | 2006-08-01 |
| 1801861448 | Elizabeth Uchenna, Ehirim Roberts | Nurse Practitioner | 1901 Veterans Memorial Drive, Temple, TX 76504 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| Find all providers in zip 76504 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407053143 | Delicia S Mclean | Psychologist | 1901 Veteran's Memorial Drive, 116b Mental Health Clinic, Temple, TX 76504 | 2007-06-27 |
| 1871506261 | Charles A Pierce | Psychologist | 4308 Oak Bluff Cir, Temple, TX 76502-3130 | 2006-08-15 |
| 1164482600 | Rosario Montgomery | Psychologist | 1220 S 49th St, Temple, TX 76504 | 2006-03-27 |
| 1003876855 | Gary R. Elkins | Psychologist | 2027 S 61st St, Suite 121, Temple, TX 76504-6867 | 2006-03-24 |
| 1225032790 | Frank Anthony Pugliese | Psychologist | 2027 South 61st St., Suite 126, Temple, TX 76504-6817 | 2005-06-11 |
| 1760991384 | Jessica Ramirez Crespo | Psychologist | 2401 S 31st St, Temple, TX 76508-0001 | 2017-09-26 |
| 1821498312 | Katrina Alexander | Psychologist | 1901 S 1st St, Temple, TX 76504-7451 | 2014-09-03 |
| 1700219508 | Candice Ackerman | Psychologist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2013-08-15 |
| 1134475403 | James Patrick Soeffing | Psychologist | 1901 S 1st St, Temple, TX 76504-7451 | 2012-07-24 |
| 1427335371 | Michael Strand | Psychologist | 7556 Honeysuckle, Temple, TX 76502-5631 | 2011-11-07 |
| Find all providers in TEMPLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.