EDRA BURRIS (NPI# 1215546791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215546791 |
Entity Type | Individual |
Full Name | EDRA BURRIS |
Credential | PA-C |
Practice Address |
1606 N 7th St Terre Haute IN 47804-2706 |
Mailing Address |
6135 N Globe St Westland MI 48185-8116 |
Practice Telephone | 8122387000 |
Mailing Telephone | 7349042696 |
Enumeration Date | 2020-07-30 |
Last Update Date | 2020-07-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 243U00000X | Radiology Practitioner Assistant | 5601009573 | MI | Technologists, Technicians & Other Technical Service Providers |
Street Address |
1606 N 7TH ST |
City | TERRE HAUTE |
State | IN |
Zip Code | 47804-2706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336142587 | Mary A. Flynn | Specialist | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2005-05-23 |
1851906622 | Patrick James Yoakum | Pharmacist | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2020-09-09 |
1174132708 | Cep America - Neurology PC | Psychiatry & Neurology | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2020-07-29 |
1114543352 | Megan Gale Engelman | Nurse Anesthetist, Certified Registered | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2020-06-23 |
1518588706 | Chelsea Kizer | Nurse Practitioner | 1606 N 7th St, Terre Haute, IN 47804-2780 | 2020-04-29 |
1992334254 | Brock D Walker | Nurse Anesthetist, Certified Registered | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2020-04-07 |
1528691433 | Brooke Michelle Llewellyn | Nurse Practitioner | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2020-02-19 |
1922647205 | Jeanna Tabrizi | Nurse Practitioner | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2020-01-03 |
1174171920 | Nicole Hranchook | Physical Therapist | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2019-08-26 |
1780237198 | Lori A Carpenter | Nurse Practitioner | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2019-07-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568971885 | Tiffany Marshall | Physical Therapist | North At Uap Bone & Joint Center, Lower Level 1725 North 5th Street, Terre Haute, IN 47804 | 2017-09-29 |
1336565423 | Deondra Allison Cottrill | Physical Therapy Assistant | 1725 N. 5th Street, Union Hospital Therapy Services, Terre Haute, IN 47804 | 2014-03-13 |
1043635170 | Patricia Klos | Physical Therapy Assistant | 1606 Nth 7th Street, Terre Haute, IN 47804 | 2014-02-26 |
1043565476 | Debra Denehie Hills | Registered Nurse | 620 8th Avenue, Terre Haute, IN 47804 | 2012-07-23 |
1841503257 | Meredeth Su Gray | Dentist | 1608 Lafayette Avenue, Terre Haute, IN 47804 | 2010-07-15 |
1083946628 | John Barton, Lpt | Health Maintenance Organization | 1818 N 3rd Street, Terre Haute, IN 47804 | 2010-02-08 |
1750584009 | Kool Smiles In-3, PC | Dentist | 1800 Fort Harrison Rd, Terra Haute, IN 47804 | 2007-06-06 |
1619006988 | Union Hospital Inc | Student in an Organized Health Care Education/Training Program | 1513 N 6 1-2 Street, Terre Haute, IN 47804 | 2007-03-05 |
1730243080 | John Lee Nichols | Dentist | 1246 Maple Ave, Terre Haute, IN 47804 | 2006-12-21 |
1093894057 | Isaac N Mitre | Obstetrics & Gynecology | 1623 N 4th Street, Terre Haute, IN 47804 | 2006-11-02 |
Find all providers in zip 47804 |
Taxonomy Code | 243U00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiology Practitioner Assistant |
A Radiology Practitioner Assistant (RPA) is a health professional certified as a registered radiographer with the American Registry of Radiologic Technologists (ARRT) and, in addition, is credentialed to provide primary radiology health care with radiologist supervision. Radiology Practitioner Assistants are qualified by graduation from an educational program recognized by the Board of Directors of athe Certification Board for Radiology Practitioner Assistants (CBRPA) and certified by the CBRPA. Within the Radiologist/RPA relationship, Radiology Practitioner Assistants exercise autonomy in decision making in the role of a primary caregiver with regard to patient assessment, patient management and in providing a broad range of radiology diagnostic and interventional services. The clinical role of the Radiology Practitioner Assistant includes primary and specialty care in radiology practice settings in rural and urban areas. |
Notes: Source: Certification Board of Radiology Practitioner Assistants [7/1/2008: new] Additional Resources: www.cbrpa.org |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164895736 | Heather Parker | Radiology Practitioner Assistant | 85 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2015-11-04 |
1982269544 | Katie R Guntle | Radiology Practitioner Assistant | 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 | 2019-05-08 |
1447724919 | Patrick M Mcguire | Radiology Practitioner Assistant | 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 | 2019-01-17 |
1447724018 | Rebecca D Flowers | Radiology Practitioner Assistant | 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 | 2019-01-17 |
1104390673 | Caitlin R Spall | Radiology Practitioner Assistant | 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256-3980 | 2019-01-17 |
1679072565 | Cindy Petree | Radiology Practitioner Assistant | 7340 Shadeland Sta Ste 200, Indianapolis, IN 46256 | 2018-02-06 |
1003281262 | Joshua Mcalister | Radiology Practitioner Assistant | 714 N Senate Ave Ste 100, Indianapolis, IN 46202-3297 | 2015-12-14 |
1891186763 | Michael D Bortone | Radiology Practitioner Assistant | 714 N Senate Ave, Suite 100, Indianapolis, IN 46202-3763 | 2015-02-12 |
1801293048 | Heather Craigen | Radiology Practitioner Assistant | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2014-12-03 |
1912290149 | Edna M Gonzalez | Radiology Practitioner Assistant | 8865 W 400 N, #115, Michigan City, IN 46360-9222 | 2011-05-20 |
Find all providers with the same taxonomy |
City | TERRE HAUTE |
Zip Code | 47804 |
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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.