AARON MATTHEW CERVANTES (NPI# 1558990382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558990382 |
| Entity Type | Individual |
| Full Name | AARON MATTHEW CERVANTES |
| Credential | PA-S |
| Practice Address |
1200 E Broadway Columbia MO 65215-0001 |
| Mailing Address |
17 Broadway Village Dr Apt 17c Columbia MO 65201-8647 |
| Practice Telephone | 9099932355 |
| Mailing Telephone | 9099932355 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MO | Student, Health Care |
| Street Address |
1200 E BROADWAY |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65215-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164043352 | Katherine Bollinger | Student in an Organized Health Care Education/Training Program | 1200 E Broadway, Columbia, MO 65215-0001 | 2020-04-29 |
| 1902427040 | Brooklynne Elizabeth Fogle | Student in an Organized Health Care Education/Training Program | 1200 E Broadway, Columbia, MO 65215-0001 | 2020-04-29 |
| 1548894454 | Kristen Amanda Fisher | Student in an Organized Health Care Education/Training Program | 1200 E Broadway, Columbia, MO 65215-0001 | 2020-02-29 |
| 1700417615 | Brandi Vanbooven | Physician Assistant | 1200 E Broadway, Columbia, MO 65215-1000 | 2020-01-29 |
| 1982138038 | Edward R Wilkerson | Specialist/Technologist | 1200 E Broadway, Columbia, MO 65215-1000 | 2017-04-15 |
| 1568653913 | Kimberly K. Smith | Counselor | 1200 E Broadway, Stephens College, Stamper Commons, Columbia, MO 65215-0001 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068175 | Chelsea Gordon Yates | Student in an Organized Health Care Education/Training Program | 1211 E Broadway, Columbia, MO 65215-0001 | 2020-03-23 |
| 1275721110 | Health Connection | Community Health Worker | 1507 E Broadway, Hillcrest Hall, Columbia, MO 65215-0001 | 2007-10-04 |
| 1144820168 | Myles Mcdonald Edwards | Student in an Organized Health Care Education/Training Program | 1211 E Broadway, Columbia, MO 65215-0001 | 2020-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568757 | Iman A Reed | Licensed Practical Nurse | 8 Ashbury Pl, Columbia, MS 39429-3729 | 2020-11-04 |
| 1144821307 | My Concierge Pt LLC | Clinic/Center | 9141 Gracious End Ct Apt 104, Columbia, MD 21046-2095 | 2020-11-04 |
| 1003417585 | Alexis Jacobs | Clinic/Center | 100 Mondamin Rd, Columbia, SC 29210-8216 | 2020-11-03 |
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1659972909 | Sheila L Knight | Home Health Aide | 412 Waterville Dr, Columbia, SC 29229-8131 | 2020-11-03 |
| 1386245710 | John Edward Gough | Counselor | 2715 Colonial Dr Bldg 200a, Columbia, SC 29203-6818 | 2020-11-03 |
| 1417558057 | Roberto Selonk Buechele | Dentist | 460 Killian Rd Ste 1, Columbia, SC 29203-9742 | 2020-11-02 |
| 1093316648 | Jaime Walker | Pharmacist | 8910 Route 108 Ste C, Columbia, MD 21045-2151 | 2020-11-02 |
| 1447851084 | Paris Gartmon | Nurse Practitioner | 630 Canalside St Unit 1016, Columbia, SC 29201-6030 | 2020-11-02 |
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| Find all providers in COLUMBIA | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313292 | Zachary Blake Riggs | Student in an Organized Health Care Education/Training Program | 2025 Gervais St Unit 321c, Columbia, SC 29204-1803 | 2020-07-12 |
| 1144848797 | Katrina Marie Linenko | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 3707c, Columbia, SC 29201-5622 | 2020-07-10 |
| 1790303402 | Kaitlyn Michele Pierce | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 1905c, Columbia, SC 29201-5607 | 2020-07-09 |
| 1316565211 | Erin Maureen Bryant | Student in an Organized Health Care Education/Training Program | 811 Polo Rd Apt 517, Columbia, SC 29223-4426 | 2020-07-08 |
| 1265050132 | Leona Joyce Keller | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 901, Columbia, SC 29201-5194 | 2020-07-08 |
| 1922626720 | Brett William Elder | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 3707, Columbia, SC 29201-5622 | 2020-07-08 |
| 1245858174 | Regina Duncan | Student in an Organized Health Care Education/Training Program | 1539 S Kilbourne Rd, Columbia, SC 29205-4708 | 2020-07-07 |
| 1972126043 | Sydney Allsbrook Funderburk | Student in an Organized Health Care Education/Training Program | 6401 Cloverdale Dr, Columbia, SC 29209-1840 | 2020-05-24 |
| 1841812591 | Chasitie Ann Mcintosh | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia South Carolina 29208, Columbia, SC 29208-0001 | 2020-05-15 |
| 1053933267 | Allyson Derrick | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia, Columbia, SC 29208-0001 | 2020-05-11 |
| Find all providers in COLUMBIA | ||||
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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.