VANESSA J GUNN (NPI# 1588996110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588996110 |
| Entity Type | Individual |
| Full Name | VANESSA J GUNN |
| Credential | PA-C |
| Practice Address |
902 W Randol Mill Rd Ste 120 Arlington TX 76012-2579 |
| Practice Telephone | 8178011503 |
| Practice Fax Number | 8178011508 |
| Mailing Telephone | 8178011503 |
| Mailing Fax Number | 8178011508 |
| Enumeration Date | 2010-02-07 |
| Last Update Date | 2016-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TX | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
557 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 126289 | 05 | |
| AL | 126872 | 05 | |
| MS | 07901322 | 05 | |
| MEDICARE | 102I975958 | 01 | |
| AL | 126869 | 05 | |
| AL | BLUE CROSS & BLUE SHIELD | 51112354 | 01 |
| AL | BLUE CROSS & BLUE SHIELD | 51112355 | 01 |
| AL | BLUE CROSS & BLUE SHIELD | 51112356 | 01 |
| AL | BLUE CROSS & BLUE SHIELD | 51112353 | 01 |
| AL | 126868 | 05 |
| Street Address |
902 W RANDOL MILL RD STE 120 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76012-2579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043415250 | Venkat Raghav Rapuri | Orthopaedic Surgery | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2007-06-18 |
| 1689221053 | Amy Carrillo Ali | Physician Assistant | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2019-08-21 |
| 1467961375 | Vibin Thomas Kuriakose | Physician Assistant | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2017-09-22 |
| 1376962530 | Drew Nathaniel Stal | Orthopaedic Surgery | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2014-04-15 |
| 1801057179 | Lindsey Nicole Dietrich | Orthopaedic Surgery | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2008-06-19 |
| 1114119542 | Shushan Jacob | Surgery | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
| 1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| 1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
| 1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
| Find all providers in zip 76012 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
| 1194257139 | Wade Aumiller | Physician Assistant | 1001 N Waldrop Dr Ste 403, Arlington, TX 76012-4703 | 2017-03-29 |
| 1619296274 | Kelly Dean Sanders | Physician Assistant | 7309 Winding Way Dr, Arlington, TX 76001-2006 | 2010-05-21 |
| 1902036239 | Prime Surgical Services | Physician Assistant | 3216 Winston Terrace #411, Arlington, TX 76014 | 2009-07-21 |
| 1588892251 | Yolanda Meashell Snell | Physician Assistant | 3216 Winston Terrace, 411, Arlington, TX 76014 | 2009-07-01 |
| 1598993917 | Tiffany Hoai Thu Dao | Physician Assistant | 3150 Waterside Dr, Arlington, TX 76012-2128 | 2009-06-24 |
| 1225177041 | Nora V Flores | Physician Assistant | 6505 Electra Dr, Arlington, TX 76001-7469 | 2007-02-06 |
| 1689221053 | Amy Carrillo Ali | Physician Assistant | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2019-08-21 |
| 1437631512 | Midhat Syed | Physician Assistant | 1001 N Waldrop Dr Ste 612, Arlington, TX 76012-4714 | 2018-09-05 |
| 1932695681 | Physician Assistant Services of Texas Orthopedic Spine Arlington Lllp | Physician Assistant | 707 Highlander Blvd, Arlington, TX 76015-4319 | 2018-07-05 |
| Find all providers in ARLINGTON | ||||
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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.