ALEXA RAENAE ANTRIM (NPI# 1023647872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023647872 |
| Entity Type | Individual |
| Full Name | ALEXA RAENAE ANTRIM |
| Credential | PA |
| Practice Address |
3700 Washington Ave Evansville IN 47714-0541 |
| Mailing Address |
10311 Admiral Dr Evansville IN 47725-8191 |
| Practice Telephone | 8124854500 |
| Mailing Telephone | 7654769634 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3700 WASHINGTON AVE |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714-0541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509115 | Teresa M. Brown | Obstetrics & Gynecology | 3700 Washington Ave, Ste 2200, Evansville, IN 47714-0541 | 2005-06-22 |
| 1003417064 | Kelli Robertson | Dietitian, Registered | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-11-05 |
| 1700409323 | Madeline Eisenhut | Pharmacist | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-05-19 |
| 1104452077 | Swetha Chenna | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-23 |
| 1902432883 | Jacob Konrad Weinzapfel | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-23 |
| 1235765272 | Troy Manz | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-22 |
| 1740816784 | Christopher C Shrack | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-22 |
| 1245866185 | Neil Patrick Corbett | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-22 |
| 1225664253 | Kengo Zaven Soghoyan | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-21 |
| 1427684547 | Michael I Carson | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
| 1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
| 1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
| 1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
| Find all providers in zip 47714 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619502457 | Lauren Juric | Physician Assistant | 125 Chestnut St Apt C, Evansville, IN 47713-1047 | 2020-03-11 |
| 1861961138 | Deaconess Clinic, Inc | Physician Assistant | 350 W Columbia St Ste 440, Evansville, IN 47710-1782 | 2018-11-16 |
| 1316312069 | Hilary Lorraine Eickhoff | Physician Assistant | 10248 Kristopher Ct., Evansville, IN 47712-5830 | 2015-12-07 |
| 1114969813 | Stephanie L Natyshok | Physician Assistant | 1212 Professional Blvd, Suite B, Evansville, IN 47714-8002 | 2006-06-10 |
| 1174573497 | Glenn J Kruser | Physician Assistant | 10 N Water St, Evansville, WI 53536-1152 | 2006-05-10 |
| 1750387387 | Amber D Lutz | Physician Assistant | 1202 W Buena Vista Rd., Suite #100, Evansville, IN 47710-5185 | 2005-06-28 |
| 1255334884 | Deena Marie Beck | Physician Assistant | 520 Mary St, Suite 340, Evansville, IN 47710-1677 | 2005-05-27 |
| 1255942934 | Michael R. Zerby | Physician Assistant | 100 E Walnut St, Evansville, IN 47713-1960 | 2020-08-14 |
| 1285245167 | Meagan A Finch | Physician Assistant | 4506 1st Ave, Evansville, IN 47710-3624 | 2020-08-13 |
| 1609487065 | Marressa Ruth Henderson | Physician Assistant | 1101 Professional Blvd, Evansville, IN 47714-8016 | 2020-08-10 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47714 |
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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.