MRS. VICKI L MAXWELL (NPI# 1487760757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487760757 |
| Entity Type | Individual |
| Full Name | MRS. VICKI L MAXWELL |
| Credential | PA |
| Practice Address |
1901 S 1st St Temple TX 76504-7451 |
| Mailing Address |
3002 Creasey Dr Temple TX 76501-1418 |
| Practice Telephone | 2547430204 |
| Practice Fax Number | 2547430540 |
| Mailing Telephone | 2547735387 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1901 S 1ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-7451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332858 | Lindsey Theda | Dentist | 1901 S 1st St, Temple, TX 76504-7451 | 2020-09-28 |
| 1003441890 | Ethan Suh | Dentist | 1901 S 1st St, Temple, TX 76504-7451 | 2020-03-11 |
| 1598309759 | Kayla A Bunn | Registered Nurse | 1901 S 1st St, Temple, TX 76504-7451 | 2019-10-31 |
| 1720630478 | Samrat Shrestha | Pharmacist | 1901 S 1st St, Temple, TX 76504-7451 | 2019-07-12 |
| 1396203725 | Latasha T Merkerson-miller | Counselor | 1901 S 1st St, Temple, TX 76504-7451 | 2019-03-05 |
| 1205305075 | Paul Lanciault | Orthotist | 1901 S 1st St, Temple, TX 76504-7451 | 2018-11-21 |
| 1790278497 | Shaylise Ellis | Nurse Practitioner | 1901 S 1st St, Temple, TX 76504-7451 | 2018-06-07 |
| 1558874131 | Kellyn Marie Czajkowski | Dietitian, Registered | 1901 S 1st St, Temple, TX 76504-7451 | 2017-11-06 |
| 1124553805 | Stephanie Carter | Nurse Practitioner | 1901 S 1st St, Temple, TX 76504-7451 | 2017-05-01 |
| 1578013835 | Steven Braun | Pharmacist | 1901 S 1st St, Temple, TX 76504-7451 | 2016-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| Find all providers in zip 76504 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285778381 | David Herman White | Physician Assistant | 2604 Taylors Ridge Road, Temple, TX 76502-8834 | 2007-02-20 |
| 1902942576 | Sarah Ruth Mansour | Physician Assistant | 2401 S. 31st St., Temple, TX 76508 | 2007-01-30 |
| 1801371414 | Chad Krumpholz | Physician Assistant | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2018-09-28 |
| 1568912350 | Meredith Rae Amenell | Physician Assistant | 2401 S 31st St, Temple, TX 76508-4211 | 2016-10-05 |
| 1932584919 | Maria Sloane Pardinek | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2015-07-20 |
| 1831599042 | Joshua Scott Marin | Physician Assistant | 1605 S 31st St, Temple, TX 76508-0001 | 2014-08-26 |
| 1841569886 | Brian A. Emadi | Physician Assistant | 2401 S 31st St, Temple, TX 76508-1703 | 2011-12-20 |
| 1982999587 | Mary Pepper | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2011-06-13 |
| 1972801652 | Joel David Travnicek | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2011-03-04 |
| 1780914416 | Blaine Spencer French | Physician Assistant | 2401 South 31st Street, Credentialing Services Dept. of Medical Staff Services, Temple, TX 76503-0002 | 2009-12-31 |
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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.