MRS. LESLIE MAE MITTAG (NPI# 1902121072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902121072 |
| Entity Type | Individual |
| Full Name | MRS. LESLIE MAE MITTAG |
| Credential | RN,BSN |
| Practice Address |
Usa Meddac Bavaria Cmr 411, Bldg 700, Rose Barracks Apo AE 09112 |
| Practice Telephone | 499662834709 |
| Practice Fax Number | 499662834721 |
| Mailing Telephone | 499662834709 |
| Mailing Fax Number | 499662834721 |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
626987 | TX | Nursing Service Providers |
| Street Address |
USA MEDDAC BAVARIA CMR 411, BLDG 700, ROSE BARRACKS |
| City | APO |
| State | AE |
| Zip Code | 09112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962487686 | Robert Allen Smith | Pediatrics | Usa Meddac Bavaria, Cmr 411 Bldg 700, Apo, AE 09112 | 2005-12-15 |
| 1134662299 | Rebecca Wagner | Physician Assistant | Usa Meddac Bavaria, Cmr 411 Bldg 700, Apo, AE 09112 | 2016-11-22 |
| 1730552514 | Daniela Panteloglous | Licensed Practical Nurse | Usa Meddac Bavaria, Apo, AE 09112 | 2015-11-03 |
| 1225409535 | Robin Smith | Registered Nurse | Usa Meddac Bavaria, Cmr 411 Bldg 700, Rose Barracks, Apo, AE 09112 | 2015-10-13 |
| 1073983771 | Charnele Mathies | Registered Nurse | Usa Meddac Bavaria, Cmr 411 Bldg 700, Rose Barracks, Apo, AE 09112 | 2015-10-07 |
| 1467822171 | Katherine Converse | Registered Nurse | Usa Meddac Bavaria, Cmr 411, Bldg 700 Rose Barracks, Apo, AE 09112 | 2015-10-07 |
| 1588030936 | Melissa Blair | Registered Nurse | Usa Meddac Bavaria, Cmr 411, Bldg 700, Rose Barracks, Apo, AE 09112 | 2015-08-19 |
| 1124494687 | Hugh Anstett | Social Worker | Usa Meddac Bavaria, Cmr 411, Bldg 700. Rose Barracks, Apo, AE 09112 | 2015-08-19 |
| 1982089330 | Claudia Smith | Licensed Practical Nurse | Usa Meddac Bavaria, Cmr 411, Bldg 700, Rose Barracks, Apo, AE 09112 | 2015-07-28 |
| 1225413750 | Chase M Wootton | Dentist | Usa Meddac Bavaria, Unit 28038, Apo, AE 09112 | 2015-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194654 | Megan Mccann | Social Worker | Hq Meddacb, Unit 28038 Bld 700, Apo, AE 09112 | 2020-11-06 |
| 1699375360 | Erin Rosa Moore-preston | Radiology | Us Army Medical Activity- Bavaria, Unit 28038, Apo, AE 09112 | 2020-10-30 |
| 1811597578 | Desirae Leann Chitishvili | Nurse's Aide | Us Army Medical Activity-bavaria Unit 28038, Attn: Mceu-bav-cre, Apo, AE 09112 | 2020-10-30 |
| 1891301198 | Michelle Lea Raddatz | Registered Nurse | Us Army Medical Activity-bavaria, Unit 28038 Attn: Mceu-bav-cre, Apo, AE 09112 | 2020-09-22 |
| 1750938965 | Steven Douglas Troxtell | Counselor | Vilseck Behavioral Health Clinic Bldg 260, Apo, AE 09112 | 2019-08-22 |
| 1174012959 | Jessica Ann Morley | Physician Assistant | Meddacb Cmr 411, Building 700, Apo, AE 09112 | 2018-05-07 |
| 1952806457 | Erin Resweber | Pharmacist | Us Army Medical Activity - Bavaria, Unit 28038, Attn: Mceu-bav-cre, Apo, AE 09112 | 2018-03-27 |
| 1710403654 | Dustin Young | Physician Assistant | Rose Barracks Bldg 260, Apo, AE 09112 | 2017-08-22 |
| 1013439181 | Cheryl L Ramirez | Dental Hygienist | Gebaeude 250 Building 250, Rose Barracks Dental Clinic, Apo, AE 09112 | 2017-07-11 |
| 1275054652 | Paul Mark Allred | Family Medicine | Unit 28038 Bld 700, Apo, AE 09112 | 2017-07-06 |
| Find all providers in zip 09112 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326495581 | Trina Primm | Registered Nurse | Meddac Japan, Unit 45011, Apo, AP 96343-5011 | 2016-05-18 |
| 1104210103 | Elaine Thompson | Registered Nurse | Unit 28614 Box 6537, Apo, AE 09177-8614 | 2015-03-27 |
| 1215321302 | Joseph Debonis | Registered Nurse | Unit 28747 Box 6537, Apo, AE 09177-8747 | 2015-03-26 |
| 1598188526 | Kimberly Ann Yerby | Registered Nurse | Psc 704 Box 2072, Apo, AP 96338-0001 | 2014-01-27 |
| 1790107407 | Tina Marie Dorner | Registered Nurse | Cmr 415 Box 3436, Apo, AE 09114-0035 | 2014-01-15 |
| 1235579046 | William Bosompem | Registered Nurse | Cmr 459, Box 19908, Apo, AE 09139 | 2013-06-26 |
| 1700130036 | Lakeyshia Fields | Registered Nurse | Baach, 121st Csh/usameddac-k, Unit # 15244, Apo, AP 96205 | 2012-11-08 |
| 1578889481 | Stephen C Lester | Registered Nurse | Usahc Sft, Unit 25850, Box 7, Apo, AE 09033 | 2010-04-16 |
| 1508188855 | Aunola Abiodun Adekoya | Registered Nurse | Cmr 411, Bldg 700, Rose Barracks, Usa Meddac Bavaria, Apo, AE 09112 | 2010-02-26 |
| 1023260098 | Gary Lee Larson | Registered Nurse | Unit 45013, Usag-j, Box 3257, Apo, AP 96338-5013 | 2008-10-21 |
| Find all providers in APO | ||||
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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.