MS. DEBORAH ANNE PETTEWAY (NPI# 1184885733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184885733 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH ANNE PETTEWAY |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
1 Scripps Drive Suite 202 Sacramento CA 95825 |
| Practice Telephone | 9169271114 |
| Mailing Telephone | 9169271114 |
| Mailing Fax Number | 9169273244 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA15091 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 SCRIPPS DRIVE SUITE 202 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| 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 |
|---|---|---|---|---|
| 1689271587 | Vera Pavlovna Kondrashov | Physician Assistant | 1860 Howe Ave Ste 455, Sacramento, CA 95825-1086 | 2020-10-04 |
| 1861017691 | Kathryn Anne Pashalides | Physician Assistant | 1400 57th St, Sacramento, CA 95819-4205 | 2020-06-08 |
| 1396369567 | Isabelle Shapiro | Physician Assistant | 1411 U St, Sacramento, CA 95818-1416 | 2020-06-03 |
| 1487276382 | Ndaya Briana Kalambay | Physician Assistant | 3910 Auburn Blvd Apt 68, Sacramento, CA 95821-2130 | 2020-05-13 |
| 1053942888 | Eduardo Sevilla | Physician Assistant | 8129 Polo Crosse Ave, Sacramento, CA 95829-6546 | 2020-01-30 |
| 1316582695 | Lauren Hunter | Physician Assistant | 6600 Bruceville Rd Rm 1h5, Sacramento, CA 95823-4671 | 2019-11-11 |
| 1942841176 | Kimia Ighani | Physician Assistant | 3429 2nd Ave, Sacramento, CA 95817-2802 | 2019-09-29 |
| 1386290195 | Anthony Menacho | Physician Assistant | 2472 Larkspur Ln Apt 363, Sacramento, CA 95825-4153 | 2019-08-16 |
| 1891341178 | Ebtesam Gerges | Physician Assistant | 4411 4th Ave Apt B, Sacramento, CA 95817-3059 | 2019-08-13 |
| 1295392488 | Shea L Smith | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-05-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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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.