TERRICK HARRILD (NPI# 1285003970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285003970 |
| Entity Type | Individual |
| Full Name | TERRICK HARRILD |
| Credential | PA |
| Practice Address |
75 Yellow Creek Rd Suite 102 Evanston WY 82930-5235 |
| Mailing Address |
1515 N 400 E Suite 104 North Logan UT 84341-7561 |
| Practice Telephone | 3077898290 |
| Practice Fax Number | 3077898975 |
| Mailing Telephone | 4357576061 |
| Mailing Fax Number | 4359948362 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2016-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | P-1294 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
75 YELLOW CREEK RD SUITE 102 |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-5235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005347 | Michael Dean Adams | Family Medicine | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 | 2005-06-30 |
| 1235495771 | Bear Lake Community Health Centers | Clinic/Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 | 2012-04-10 |
| 1063794816 | Ronald Janeiro Dolan | Counselor | 75 Yellow Creek Rd, Suite 105, Evanston, WY 82930-5235 | 2011-09-16 |
| 1356621213 | Adrienne Southard | Nurse's Aide | 75 Yellow Creek Rd, 105, Evanston, WY 82930-5235 | 2011-08-24 |
| 1619257540 | Coreena J Bradley | Licensed Practical Nurse | 75 Yellow Creek Rd, Ste 105, Evanston, WY 82930-5235 | 2011-08-23 |
| 1346548088 | Alma D Coleman | Case Manager/Care Coordinator | 75 Yellow Creek Rd, Ste 105, Evanston, WY 82930-5235 | 2011-03-04 |
| 1235437989 | Renee C Walker | Nurse's Aide | 75 Yellow Creek Rd, Ste 105, Evanston, WY 82930-5235 | 2011-03-04 |
| 1205013455 | Michael D. Adams, M.d., P.C. | Family Medicine | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 | 2008-01-29 |
| 1023177375 | Uinta Urgent Care | Nurse Practitioner | 75 Yellow Creek Rd, Suite 202, Evanston, WY 82930 | 2006-12-06 |
| 1174563241 | Kimberly Anne Begalla | Nurse Practitioner | 75 Yellow Creek Rd, Suite 202, Evanston, WY 82930-5235 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| 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 |
|---|---|---|---|---|
| 1811523988 | Audrey Callahan | Physician Assistant | 2650 Ridge Ave Rm G9036, Evanston, IL 60201-1700 | 2020-03-20 |
| 1457986366 | Sabrina Santana | Physician Assistant | 2533 Jackson Ave Apt 2e, Evanston, IL 60201-2356 | 2020-03-11 |
| 1467950154 | Kaylun Grandy | Physician Assistant | 1952 Harrison Drive, Evanston, WY 82930-3241 | 2018-01-27 |
| 1679769913 | Derek G Hoopes | Physician Assistant | 170 Arrowhead Dr Ste 3, Evanston, WY 82930-9307 | 2007-09-20 |
| 1083656979 | Jennifer E Miller | Physician Assistant | 1704 Maple Ave Ste 100, Evanston, IL 60201-3134 | 2006-06-12 |
| 1790307387 | Brett Dixon | Physician Assistant | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-05-18 |
| 1942838586 | Denisa Yzeiraj | Physician Assistant | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-03-30 |
| 1427684281 | Christopher Smreczak | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-03-12 |
| 1215586821 | Ashley Tucker | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2019-09-06 |
| 1013565423 | Alexis Carroll | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2019-08-28 |
| Find all providers in EVANSTON | ||||
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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.