MRS. REBA ANN GROVIJOHN (NPI# 1417227075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417227075 |
| Entity Type | Individual |
| Full Name | MRS. REBA ANN GROVIJOHN |
| Other Name | MS. REBA ANN CRAIG |
| Credential | PA-C |
| Practice Address |
2301 S Clear Creek Rd Suite 206 Killeen TX 76549-4143 |
| Practice Telephone | 2546285454 |
| Mailing Telephone | 2546285454 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA07492 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2301 S CLEAR CREEK RD SUITE 206 |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536781 | Arturo Romero | Obstetrics & Gynecology | 2301 S Clear Creek Rd, Ste 208, Killeen, TX 76549-4143 | 2005-05-30 |
| 1194258251 | Elenita Benitezpenuelas | Nurse Practitioner | 2301 S Clear Creek Rd, Suite 226, Killeen, TX 76549-4143 | 2017-04-06 |
| 1891166161 | Sandra Brown | Nurse Practitioner | 2301 S Clear Creek Rd, Suite 216, Killeen, TX 76549-4143 | 2015-10-13 |
| 1356751267 | Valerie Elise Marten-ellis | Optometrist | 2301 S Clear Creek Rd, Suite 116, Killeen, TX 76549-4143 | 2014-04-30 |
| 1164763082 | Raeshel Leanne Smith | Nurse Practitioner | 2301 S Clear Creek Rd, Ste 112, Killeen, TX 76549-4143 | 2013-03-04 |
| 1902142870 | Robert H Hansen IIi | Orthopaedic Surgery | 2301 S Clear Creek Rd, Suite 204, Killeen, TX 76549-4119 | 2012-12-21 |
| 1689939183 | Sukumar Mht Pllc | Internal Medicine | 2301 S Clear Creek Rd, Suite 112, Killeen, TX 76549-4143 | 2012-07-10 |
| 1598027880 | Ernesto Malave Md Pa | Family Medicine | 2301 S Clear Creek Rd, Suite 108, Killeen, TX 76549-4143 | 2012-06-12 |
| 1154633071 | Gabriel Orlando Colon-atencio | Technician, Other | 2301 S Clear Creek Rd, Ste. 126, Killeen, TX 76549-4143 | 2010-07-08 |
| 1295058295 | Pablo Leonardo Md Pa | Internal Medicine | 2301 S Clear Creek Rd, Suite 202, Killeen, TX 76549-4143 | 2010-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
| 1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
| 1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
| 1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
| Find all providers in zip 76549 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407303720 | Zachary Dallas | Physician Assistant | 2405 S Clear Creek Rd Ste 250, Killeen, TX 76549-5775 | 2016-09-02 |
| 1588062269 | Mark Malone, Md, Pa | Physician Assistant | 3400 E Central Texas Expy, Suite 101, Killeen, TX 76543-7325 | 2014-12-12 |
| 1205239803 | Amber Lee Kuklinski | Physician Assistant | 5407 Encino Oak Way, Killeen, TX 76542-5952 | 2014-09-27 |
| 1457787624 | Haley Fitzgerald Glasgow | Physician Assistant | 2405 S Clear Creek Rd Ste 102, Killeen, TX 76549-5775 | 2013-09-19 |
| 1952635013 | Michael Kelly Starnes | Physician Assistant | 2300 Clear Creek Rd Ste 203, Killeen, TX 76549-5404 | 2009-09-22 |
| 1952559742 | Julia Ann Anderson | Physician Assistant | 5200 Bunny Trl, Killeen, TX 76549-6930 | 2008-09-04 |
| 1558572560 | Christopher Richard Norelli | Physician Assistant | 2002 Fieldstone Dr, Killeen, TX 76549-8557 | 2007-05-24 |
| 1659433183 | Ann Arlene Slachta | Physician Assistant | Crdamc, Killeen, TX 76544 | 2006-12-14 |
| 1003849837 | Jentry Danielle Riddle | Physician Assistant | 4204 East Stan Schleuter Loop, Killeen, TX 76542-8352 | 2006-07-07 |
| 1316900624 | Patty Hicks | Physician Assistant | 2201 S W S Young Dr, Suite 111-b, Killeen, TX 76543-5317 | 2006-04-08 |
| Find all providers in KILLEEN | ||||
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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.