LORA BANKS (NPI# 1144621053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144621053 |
| Entity Type | Individual |
| Full Name | LORA BANKS |
| Credential | PA-C |
| Practice Address |
2105 E South Blvd Montgomery AL 36116-2409 |
| Mailing Address |
14050 Nw 14th St Ste 190 Sunrise FL 33323-2851 |
| Practice Telephone | 3342136255 |
| Mailing Telephone | 8004243672 |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | TA1776 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2105 E SOUTH BLVD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36116-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902858640 | Alton Rance Wiggins | Nurse Anesthetist, Certified Registered | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2006-05-17 |
| 1023617016 | Latoshia Donald | Registered Nurse | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-10-20 |
| 1710592589 | Iyiad Alabdul Razzak | Student in an Organized Health Care Education/Training Program | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-09-09 |
| 1487277513 | Stacy Hoffman Glass | Nurse Practitioner | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-05-23 |
| 1548881378 | Deidra Easley | Pharmacist | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-05-04 |
| 1700405545 | Nouran Sabbagh | Student in an Organized Health Care Education/Training Program | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-04-12 |
| 1083233936 | Maria Soledad Rivera | Student in an Organized Health Care Education/Training Program | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-04-10 |
| 1356980072 | Melanie Lowe Hyte | Pharmacist | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2019-12-27 |
| 1083272181 | Amanda Lee Reed | Nurse Practitioner | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2019-06-03 |
| 1730647918 | Josiah M Matthew Yance | Registered Nurse | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2019-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
| 1336635697 | Briana Lynn Adair | Speech-Language Pathologist | 2185 Normandie Rd., Montgomery, AL 36116 | 2018-07-10 |
| 1790201770 | Rinka Ravi Pahwani | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Road, Suite 100, Montgomery, AL 36116 | 2017-08-21 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1891153284 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8035 Vaughn Road, Montgomery, AL 36116 | 2016-02-01 |
| 1871917583 | E Dental | Dentist | 6956 Vaughn Rd, Montgomery, AL 36116 | 2014-02-17 |
| 1033545199 | Jennings Professional Services LLC | Home Health | 2921 Martin Lane, Montgomery, AL 36116 | 2013-09-20 |
| 1750721973 | Joseph Alan Taylor | Counselor | 8104 Seaton Place, Montgomery, AL 36116 | 2013-07-02 |
| Find all providers in zip 36116 | ||||
| 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 |
|---|---|---|---|---|
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1154803179 | Ashley Goad | Physician Assistant | 269 Lakeside Hills Dr, Montgomery, TX 77316-6895 | 2018-09-06 |
| 1831550003 | Ruchi Patel | Physician Assistant | 2060 Berryhill Road, Montgomery, AL 36117 | 2016-03-15 |
| 1346600939 | Patrick Tyler Pair | Physician Assistant | 440 Taylor Rd Ste 3380, Montgomery, AL 36117-3587 | 2016-02-25 |
| 1720403066 | Suzanne Cullers | Physician Assistant | 18059 Highway 105 W Ste 120, Montgomery, TX 77356-5001 | 2014-02-24 |
| 1790110690 | Lisa Diane Vatani | Physician Assistant | 59 La Costa Dr, Montgomery, TX 77356-5352 | 2013-09-10 |
| 1447594296 | Kristina Nancy Hajek | Physician Assistant | 1851 Douglas Road, Montgomery, IL 60538 | 2012-11-17 |
| 1235488289 | Kristin L Sponaugle | Physician Assistant | 1898 Mulberry St, Montgomery, AL 36106-1526 | 2012-09-06 |
| 1457626111 | Jeremy Romine | Physician Assistant | 3101 Tine Ave, Montgomery, AL 36108-2309 | 2012-03-14 |
| 1184680431 | Trudie Dianne Seirafi | Physician Assistant | 4250 Carmichael Ct N, Montgomery, AL 36106-2874 | 2006-04-25 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36116 |
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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.