VADA ANN CULPEPPER (NPI# 1972688497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972688497 |
Entity Type | Individual |
Full Name | VADA ANN CULPEPPER |
Credential | PA-C |
Practice Address |
2131 S Mobberly Ave Longview TX 75602-3563 |
Mailing Address |
Po Box 4207 Longview TX 75606-4207 |
Practice Telephone | 9033155750 |
Mailing Telephone | 9033155750 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2010-07-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA04457 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2131 S MOBBERLY AVE |
City | LONGVIEW |
State | TX |
Zip Code | 75602-3563 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740288430 | Jeffrey William Sewell | Legal Medicine | 2131 S Mobberly Ave, Longview, TX 75602-3563 | 2005-07-07 |
1669872560 | East Texas Border Health Clinic | Clinic/Center | 2131 S Mobberly Ave, Longview, TX 75602-3563 | 2014-08-27 |
1023426665 | Longview Wellness Center, Inc | Clinic/Center | 2131 S Mobberly Ave, Longview, TX 75602 | 2014-07-28 |
1982954566 | Julia Ann Russell | Nurse Practitioner | 2131 S Mobberly Ave, Longview, TX 75602-3563 | 2012-09-11 |
1033401559 | Paul L. Burch | Physician Assistant | 2131 S Mobberly Ave, Longview, TX 75602-3563 | 2011-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083150569 | Mcet-longview | Clinic/Center | 505 North Sixth Street, Longview, TX 75602 | 2017-01-09 |
1962561597 | Robert Lee Harper | Dentist | 1002 So M L King Jr Blvd, Longview, TX 75602 | 2006-12-08 |
1033202700 | Hervey & Bethard Inc. | Durable Medical Equipment & Medical Supplies | 1900 S. High St., Longview, TX 75602 | 2006-10-02 |
1063748796 | Jeffery Michael Stowers | Pharmacist | 1900 S High St, Longview, TX 75602 | 2009-10-31 |
1326541368 | Tonie Elaine Bryant | Licensed Vocational Nurse | 1006 Flanagan Dr, Longview, TX 75602-1013 | 2018-03-15 |
1285145839 | Maria Tran | Specialist/Technologist | 16 Covington Dr, Longview, TX 75602-1071 | 2017-10-21 |
1639635444 | G and T Young At Heart | Counselor | 1012 E Cotton St, Longview, TX 75602-1322 | 2019-02-17 |
1982020038 | Julie A Dollison | Perfusionist | 301 S Club Dr, Longview, TX 75602-1511 | 2014-03-13 |
1881009231 | Brandi Mccracken | Specialist/Technologist, Other | 301 S Club Dr, Longview, TX 75602-1511 | 2014-06-24 |
1578982948 | Community Perfusion Services LLC | Perfusionist | 301 S Club Dr, Longview, TX 75602-1511 | 2014-04-14 |
Find all providers in zip 75602 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
1386642734 | Kristi Nealy | Physician Assistant | 701 N 6th St, Longview, TX 75601-6608 | 2005-07-11 |
1184156812 | Eric Pascual | Physician Assistant | 921 14th Avenue, Longview, WA 98632 | 2017-03-31 |
1801128715 | Matthew John Pyrch | Physician Assistant | 1706 Washington Way, Longview, WA 98632-2952 | 2010-02-02 |
1538490297 | Kimberly Anne Wyatt | Physician Assistant | 707 Hollybrook Dr, Longview, TX 75605-2410 | 2010-01-20 |
1639407109 | Tad W. Westdale | Physician Assistant | 1718 E Kessler Blvd, Longview, WA 98632-1842 | 2009-11-22 |
1639327307 | Cynthie Michelle Kiefer | Physician Assistant | 1152 Douglas St, Longview, WA 98632-2452 | 2008-09-05 |
1609917160 | Jason Scott Graeme | Physician Assistant | 1615 Delaware St, Longview, WA 98632-2367 | 2007-02-09 |
1306958707 | Brian Edward Mahon | Physician Assistant | 1230 7th Ave, Longview, WA 98632-3166 | 2006-08-31 |
1740392273 | Catherine Anne Mahon | Physician Assistant | 1230 7th Ave, Longview, WA 98632-3166 | 2006-08-31 |
Find all providers in LONGVIEW |
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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.