BREANNA LARAE DAMRON (NPI# 1568077808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568077808 |
| Entity Type | Individual |
| Full Name | BREANNA LARAE DAMRON |
| Credential | PA-C |
| Practice Address |
1128 Ramey Ave Worthington KY 41183-9229 |
| Practice Telephone | 6065475595 |
| Mailing Telephone | 6065475595 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1128 RAMEY AVE |
| City | WORTHINGTON |
| State | KY |
| Zip Code | 41183-9229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457673253 | Greenup County Health Department | Public Health or Welfare | 800 Center Ave, Worthington, KY 41183-9336 | 2010-02-19 |
| 1154700425 | Robin Mcbrayer | Licensed Practical Nurse | 316 1st Ave, Worthington, KY 41183-9453 | 2015-05-20 |
| 1649729906 | Terran Aquila Evans | Occupational Therapist | 1492 S Calumet Dr, Worthington, KY 41183-9615 | 2016-09-28 |
| 1497367593 | Amy Mckenzie | Nurse Practitioner | 1544 Elmhurst Dr, Worthington, KY 41183-9616 | 2020-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235580 | Andrea Temeka Hill | Case Manager/Care Coordinator | Boundless Behavioral Health, Worthington, OH 43085-3183 | 2020-11-03 |
| 1740880608 | Sandra Lynn Woods | Technician | 1478 Buck Trail Ln, Worthington, OH 43085-4757 | 2020-10-29 |
| 1144827197 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 1151 Ryans Rd Ste 100, Worthington, MN 56187-1769 | 2020-10-02 |
| 1629684113 | Alan Murphy | Case Manager/Care Coordinator | 445 East Dublin Granville, Building G, Worthington, OH 43085-3183 | 2020-09-20 |
| 1881200400 | Sandra Osei | Contractor | 499 Alta View Village Ct, Worthington, OH 43085-5900 | 2020-09-18 |
| 1275146029 | Jennifer Lynn Eganhouse | Psychologist | 187 Wilson Dr, Worthington, OH 43085-4040 | 2020-08-30 |
| 1497367593 | Amy Mckenzie | Nurse Practitioner | 1544 Elmhurst Dr, Worthington, KY 41183-9616 | 2020-08-19 |
| 1558971606 | Ohana Home Health LLC | Home Health | 5701 N High St Ste 106, Worthington, OH 43085-3960 | 2020-08-04 |
| 1285243733 | Grant R. Sorensen, Dds | Dentist | 1029 3rd Ave Ste 1, Worthington, MN 56187-2399 | 2020-07-29 |
| 1538778147 | Patrice Ann Palmer | Social Worker | 5701 N High St Ste 304, Worthington, OH 43085-3960 | 2020-07-29 |
| Find all providers in WORTHINGTON | ||||
| 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 |
|---|---|---|---|---|
| 1518590058 | William James Rodney Nelson | Physician Assistant | 1680 Diagonal Rd, Worthington, MN 56187-1008 | 2020-02-12 |
| 1932755402 | Alettie Jane Lewis | Physician Assistant | 1680 Diagonal Rd, Worthington, MN 56187-1008 | 2019-08-12 |
| 1104371897 | Katie Talbott | Physician Assistant | 1680 Diagonal Rd, Worthington, MN 56187-1008 | 2016-08-23 |
| 1083071609 | Austin James Arnett | Physician Assistant | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085-2217 | 2016-01-27 |
| 1043687627 | Lisa Rae Milbrandt | Physician Assistant | 1680 Diagonal Rd, Worthington, MN 56187-1008 | 2015-08-30 |
| 1629356191 | Amanda L Maggart | Physician Assistant | 350 W Wilson Bridge Rd Ste 100, Worthington, OH 43085-2590 | 2011-08-01 |
| 1922240282 | Laura Elizabeth Sell Rupert | Physician Assistant | 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085-2217 | 2009-04-01 |
| 1649431297 | Tasha L Dodd | Physician Assistant | 1482 Butler Rd, Worthington, PA 16262-3914 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225591 | Alexis Garrett | Physician Assistant | 16993 Green Crest Ln, Louisville, KY 40245-3217 | 2020-11-03 |
| 1215535257 | Melissa Lee Amos | Physician Assistant | 3543 Providence Trace Dr, Melbourne, KY 41059-9203 | 2020-10-12 |
| 1780282095 | Alison Deanne Power | Physician Assistant | 3209 Keithshire Way, Lexington, KY 40503-3481 | 2020-10-09 |
| 1225635691 | Mark Douglas Crawford II | Physician Assistant | 1288 Wyan Rd, London, KY 40744-9052 | 2020-10-07 |
| 1114524188 | Dustin Scott Ammerman | Physician Assistant | 682 Reed Rd, London, KY 40741-8662 | 2020-10-02 |
| 1588270110 | Reid Van Bussum | Physician Assistant | 913 Fiddler Creek Way, Lexington, KY 40515-6460 | 2020-09-18 |
| 1477168169 | Eleshia Stephenie Sumner | Physician Assistant | 252 Sargent Rd, Pine Knot, KY 42635 | 2020-09-10 |
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1902417389 | Kassandra Nicole Neltner | Physician Assistant | 2720 Marlo Way, Lakeside Park, KY 41017-2149 | 2020-08-11 |
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | WORTHINGTON |
| Zip Code | 41183 |
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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.