ERRYN C PROVENCHER (NPI# 1568828432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568828432 |
| Entity Type | Individual |
| Full Name | ERRYN C PROVENCHER |
| Credential | PA-C |
| Practice Address |
1010 Kennedy Dr Ste 401 Key West FL 33040-4134 |
| Practice Telephone | 3052935015 |
| Practice Fax Number | 3052935016 |
| Mailing Telephone | 3052935015 |
| Mailing Fax Number | 3052935016 |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9112417 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | LICENSE | 2610 | 01 |
| Street Address |
1010 KENNEDY DR STE 401 |
| City | KEY WEST |
| State | FL |
| Zip Code | 33040-4134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477667129 | Key West Chiropractic Inc. | Chiropractor | 1010 Kennedy Dr Ste 401, Key West, FL 33040-4134 | 2006-08-19 |
| 1922496827 | Ryan Barnett | Chiropractor | 1010 Kennedy Dr Ste 401, Key West, FL 33040-4134 | 2014-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
| 1811461262 | Housing Authority of The Key West | Assisted Living Facility | 1664 Dunlap Drive, Key West, FL 33040 | 2019-01-18 |
| 1154833077 | Katrina Karr Pfander | Speech-Language Pathologist | 24 Jade Dr., Unit 6, Key West, FL 33040 | 2017-11-01 |
| 1356866529 | Kelli Stolar | Case Manager/Care Coordinator | 1205 Fourth Street, Key West, FL 33040 | 2017-08-09 |
| 1861931065 | Kathy Snyder | Case Manager/Care Coordinator | 1205 Fourth St, Key West, FL 33040 | 2017-02-21 |
| 1649722984 | Schanae Cunningham | Social Worker | 1502 Salmon Court, Key West, FL 33040 | 2016-11-03 |
| 1700286127 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 5610 Overseas Highway, Stock Island, FL 33040 | 2014-09-04 |
| 1255747945 | Paul A Tate Jr. | Emergency Medicine | Naval Branch Health Clinic Key West, 1300 Douglas Cir, Key West, FL 33040 | 2014-07-02 |
| 1851644629 | Erin Sheehan | Registered Nurse | 1200 Kennedy Dr Fl 2, Key West, FL 33040 | 2012-10-18 |
| 1861743197 | Sarah Miranda Cox | Social Worker | 1217 White St Ste 201, Key West, FL 33040 | 2012-09-26 |
| Find all providers in zip 33040 | ||||
| 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 |
|---|---|---|---|---|
| 1104300573 | Meghan Kennedy Hall | Physician Assistant | 1111 12th St Ste 207, Key West, FL 33040-3007 | 2018-09-20 |
| 1144642315 | Robert Kane | Physician Assistant | 1111 12th St Ste 201, Key West, FL 33040-4087 | 2014-01-07 |
| 1477884203 | Kelly Christine Balestra | Physician Assistant | 1010 Kennedy Dr Ste 304, Key West, FL 33040-4133 | 2010-01-18 |
| 1871751388 | Laura Kyer | Physician Assistant | 1105 Leon St, Horace O'bryant Middle School, Key West, FL 33040-3541 | 2008-05-30 |
| 1023051018 | Cindy W Logue | Physician Assistant | 2100 Flagler Ave, Key West, FL 33040 | 2006-06-14 |
| 1144738170 | Adrianne French | Physician Assistant | 5900 College Rd, Key West, FL 33040-4342 | 2018-01-11 |
| 1003366592 | Melissa Ann Wynne | Physician Assistant | 3706 N Roosevelt Blvd, Suite G, Key West, FL 33040-4566 | 2016-10-07 |
| 1922447291 | Amanda J Kops | Physician Assistant | 925 Toppino Dr, Key West, FL 33040 | 2013-06-20 |
| 1114201951 | Jennifer Marie Whaley | Physician Assistant | 5900 College Rd, Key West, FL 33040-4342 | 2011-09-28 |
| 1770733735 | Jeffrey S Buckser | Physician Assistant | 100 Trumbo Rd, Medical Clinic, Key West, FL 33040-6655 | 2008-09-26 |
| Find all providers in KEY WEST | ||||
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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.