MRS. BROOKE BUCKENTINE SIMONES (NPI# 1437437845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437437845 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE BUCKENTINE SIMONES |
| Other Name | MS. BROOKE CHANDRA BUCKENTINE |
| Credential | PA-C |
| Practice Address |
2420 Heron Ln Victoria MN 55386-4558 |
| Mailing Address |
516 Delaware St Se Phillips-wangensteen Building 2-200 Minneapolis MN 55455-0356 |
| Practice Telephone | 9529949440 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2016-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 11322 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2420 HERON LN |
| City | VICTORIA |
| State | MN |
| Zip Code | 55386-4558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932647294 | Nathan Zachary Servey | Chiropractor | 1700 Stieger Lake Lane, Suite 103, Victoria, MN 55386 | 2017-02-07 |
| 1710433420 | Seek Eye Care, Pa | Optometrist | 7940 Victoria Drive, Suite 103, Victoria, MN 55386 | 2016-09-01 |
| 1801211586 | Jillyne Bobrowsky | Nutritionist | 8042 Victoria Drive, Victoria, MN 55386 | 2014-03-04 |
| 1730481391 | Robert Elmer Brown | Chiropractor | 8000 Rose, Victoria, MN 55386 | 2010-12-02 |
| 1952505323 | Kerber Psychological Services LLC | Community/Behavioral Health | 562 Bavaria Lane, Chaska, MN 55386 | 2007-06-12 |
| 1720182082 | Emily Ann Morisset | Speech-Language Pathologist | 1772 Steiger Lake Lane, Victoria, MN 55386 | 2006-09-08 |
| 1629172986 | Michele Therese Pulvermacher | Speech-Language Pathologist | 1772 Stieger Lake Lane, Victoria, MN 55386 | 2006-09-08 |
| 1093738692 | Active Living Chiropractic P.a. | Clinic/Center | 1550 Arboretum Blvd, Victoria, MN 55386 | 2006-07-25 |
| 1629566302 | Jeannie Marie Farrell | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386 | 2018-04-27 |
| 1477757698 | Katie Marie Skaro | Occupational Therapist | 1772 Stieger Lake Lane, Suite 100, Victoria, MN 55386 | 2007-06-12 |
| Find all providers in zip 55386 | ||||
| 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 |
|---|---|---|---|---|
| 1528600384 | Bertha P Mendieta | Physician Assistant | Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 | 2019-10-14 |
| 1790216547 | Jenna Denise Darilek | Physician Assistant | 2705 Hospital Dr Ste 100, Victoria, TX 77901-5776 | 2017-03-23 |
| 1689950891 | Albert Juarez Jr. | Physician Assistant | 602 Berkshire Ln, Victoria, TX 77904-1775 | 2011-11-01 |
| 1215943055 | Athena Bevette Baldwin | Physician Assistant | 2701 Hospital Drive, Citizen's Medical Center Ed, Victoria, TX 77901 | 2006-08-01 |
| 1508379082 | Rebecca Ware Copeland | Physician Assistant | 106 Springwood Dr Ste 100, Victoria, TX 77904-3394 | 2017-11-07 |
| 1013466127 | Courtney Thompson | Physician Assistant | 605 E San Antonio St Ste 520e, Victoria, TX 77901 | 2016-09-30 |
| 1003261744 | Sherri S Mccall-kyle | Physician Assistant | 2705 Hospital Dr, Suite 100, Victoria, TX 77901-5775 | 2016-05-02 |
| 1659794667 | Taylar Brooke Hayden | Physician Assistant | 605 E San Antonio St Ste 520e, Victoria, TX 77901-6086 | 2014-01-27 |
| 1265853659 | Oleander Physician Services Pa | Physician Assistant | 2701 Hospital Dr, Victoria, TX 77901-5748 | 2014-01-02 |
| 1346515103 | Oleander Emergency Medicine Associates Pa | Physician Assistant | 2701 Hospital Dr, Victoria, TX 77901-5748 | 2012-03-13 |
| Find all providers in VICTORIA | ||||
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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.