MR. PINKY BENNETT PRATT III (NPI# 1447564711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447564711 |
| Entity Type | Individual |
| Full Name | MR. PINKY BENNETT PRATT III |
| Credential | APRN, FNP-BC, FNP-C |
| Practice Address |
1020 S State Highway 16 Fredericksburg TX 78624-4471 |
| Mailing Address |
205 W Windcrest St Ste 130 Fredericksburg TX 78624-4478 |
| Practice Telephone | 8309904453 |
| Practice Fax Number | 8309901892 |
| Mailing Telephone | 2146495908 |
| Mailing Fax Number | 9724169238 |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2016-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
695742 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1020 S STATE HIGHWAY 16 |
| City | FREDERICKSBURG |
| State | TX |
| Zip Code | 78624-4471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770566861 | Marshall Wade Cunningham | Plastic Surgery | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2005-11-22 |
| 1679190045 | Brooke Eckert | Occupational Therapist | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2020-07-01 |
| 1942827597 | Angela Fiedler | Physical Therapist | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2020-06-30 |
| 1285251850 | Beverly Van Geffen | Physical Therapist | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2020-06-30 |
| 1164976569 | Cross Mountain Inpatient Services Pllc | Hospitalist | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2016-08-15 |
| 1598116907 | Texas Em-i Medical Services Pa | Physician Assistant | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2016-06-27 |
| 1235580648 | Barons Creek Emergency Physicians Pllc | Emergency Medicine | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2016-06-27 |
| 1609241553 | Winter Honig Peuziat | Nurse Practitioner | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2015-12-03 |
| 1851719025 | Gregory Shaun Wiggins | Nurse Anesthetist, Certified Registered | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2014-04-03 |
| 1417382441 | Fritztown Anesthesia Associates, Pllc | Nurse Anesthetist, Certified Registered | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2013-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992357669 | Cynthia Hui Kim | Registered Nurse | 1020 S State, Tx-16, Fredericksburg, TX 78624 | 2019-07-12 |
| 1023515533 | Fredericksburg Eye Associates, Pllc | Ophthalmology | 755 S. Washington St., Fredericksburg, TX 78624 | 2018-04-11 |
| 1922503358 | Ave Maria Hospice of Fredericksburg, LLC | Hospice Care, Community Based | 204 S. Adams St. #a, Fredericksburg, TX 78624 | 2018-03-27 |
| 1225568546 | David Ronald Rickerhauser | Counselor | 400 Prairie View Trail, Fredericksurg, TX 78624 | 2017-06-19 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1578836532 | James W. Harrington Jr. | Otolaryngology | 644 Red Oak Lane, Fredericksburg, TX 78624 | 2012-02-21 |
| 1366676447 | Pamela Elaine Hansen | Counselor | 607 Pesimmon Ct., Fredericksburg, TX 78624 | 2009-05-05 |
| 1457526048 | Celine Bicquart Ord | Radiology | 753 S Washington St Bldg D, Fredericksburg, TX 78624 | 2008-04-24 |
| 1669669024 | Rebecca S Prescott | Dentist | 408 N Milam St, Fredericksburg, TX 78624 | 2007-10-01 |
| 1407046626 | Charles Richard Massey Jr. | General Practice | 103 Goehmann Lane, Fredericksburg, TX 78624 | 2007-07-25 |
| Find all providers in zip 78624 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614049 | Christina Jolene Macfarlane | Nurse Practitioner | 6313 Forest Grove Dr, Fredericksburg, VA 22407-6343 | 2020-09-23 |
| 1912548876 | Carina Leite | Nurse Practitioner | 2306 Plank Rd Ste 100, Fredericksburg, VA 22401-4902 | 2019-10-02 |
| 1821643081 | Emily Torres | Nurse Practitioner | 621 Jefferson Davis Hwy Ste 201, Fredericksburg, VA 22401-4567 | 2019-08-05 |
| 1316468465 | Samantha Martin | Nurse Practitioner | 1975 Jefferson Davis Hwy, Fredericksburg, VA 22401-5298 | 2017-06-29 |
| 1568904399 | Michele Lyn Lattimer | Nurse Practitioner | 2601 Fall Hill Avenue, Fredericksburg, VA 22401 | 2016-11-10 |
| 1457757460 | Karen Julia Gardella | Nurse Practitioner | 3038 Patriot Ln, Fredericksburg, VA 22408-1728 | 2014-11-18 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1801200357 | Brooke Renae Sparks | Nurse Practitioner | 10718 Ballantraye Dr., Fredericksburg, VA 22407 | 2014-06-12 |
| 1487096731 | Carol Elizabeth Drever | Nurse Practitioner | 1301 Sam Perry Boulevard (moss Free Clinic), Suite 100, Fredericksburg, VA 22401 | 2013-07-26 |
| 1649529025 | Carlene Gordon | Nurse Practitioner | 125 Olde Greenwich Drive, Suite 220, Fredericksburg, VA 22408-4010 | 2012-08-31 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 78624 |
Please comment or provide details below to improve the information on MR. PINKY BENNETT PRATT III.
| 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.