MRS. MEREDITH RAE AMENELL


Address: 2401 S 31st St, Temple, TX 76508-4211
Phone: 2547242111

MRS. MEREDITH RAE AMENELL (NPI# 1568912350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568912350
Entity Type Individual
Full Name MRS. MEREDITH RAE AMENELL
Credential PA-C
Practice Address 2401 S 31st St
Temple
TX 76508-4211
Mailing Address Po Box 844658
Dallas
TX 75284-4658
Practice Telephone 2547242111
Mailing Telephone 2547242111
Enumeration Date 2016-10-05
Last Update Date 2020-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical 		TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
409 W Adams Ave, Temple, TX 765014211 2547423700 2547423776
2401 S 31st St, Temple, TX 765084211 2547242111

Office Location

Street Address 2401 S 31ST ST
City TEMPLE
State TX
Zip Code 76508-4211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487650651 Kathleen G Halka Internal Medicine 2401 S 31st St, Temple, TX 76508 2005-06-22
1720689060 Christy Evans Pharmacist 2401 S 31st St, Temple, TX 76508-0001 2020-11-03
1588264683 Giuseppe Tavilla Surgery 2401 S 31st St, Temple, TX 76508-0001 2020-10-28
1942809884 Crystal Das Student in an Organized Health Care Education/Training Program 2401 S 31st St, Temple, TX 76508-0001 2020-10-21
1730795766 Joshua R Ledezma Nurse Practitioner 2401 S 31st St, Temple, TX 76508-0001 2020-09-15
1437762069 Caroline Stanley Nurse Practitioner 2401 S 31st St, Temple, TX 76508-0001 2020-08-24
1841809191 Deanette James Registered Nurse 2401 S 31st St, Temple, TX 76508-0001 2020-07-23
1285259309 Amanda Lea Johnson Nurse Practitioner 2401 S 31st St, Temple, TX 76508-0001 2020-06-15
1013539758 Brittany Ellis Physical Therapist 2401 S 31st St, Temple, TX 76508-0001 2020-05-15
1114549508 Matthew Marvin Galland Pharmacist 2401 S 31st St, Temple, TX 76508-0001 2020-05-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619596491 Samuel Adrian Matthys Student in an Organized Health Care Education/Training Program 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 2020-04-13
1700414968 Darshan Patel Student in an Organized Health Care Education/Training Program 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 2020-03-31
1992332134 Kiersi Harmon Student in an Organized Health Care Education/Training Program 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 2020-03-26
1053948851 Christian Beltran Student in an Organized Health Care Education/Training Program 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 2020-03-24
1790311850 Chinyere Ashley Onyirimba Student in an Organized Health Care Education/Training Program Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 2020-03-19
1578022398 Kedric Glenn Student in an Organized Health Care Education/Training Program 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 2019-03-19
1518426592 Muhammad Imran Bhatti Student in an Organized Health Care Education/Training Program Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 2019-03-18
1780143883 Nathaniel Clayton Palmer Student in an Organized Health Care Education/Training Program 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 2019-03-18
1235620741 Fahmida Musharof Student in an Organized Health Care Education/Training Program 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 2018-05-21
1275038325 Robert Casey Alan Finch Student in an Organized Health Care Education/Training Program 2401 S 31st St, Ms-ck-300, Temple, TX 76508 2018-03-29
Find all providers in zip 76508

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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
1043547706 Christina Patel Physician Assistant 1605 S 31st St, Temple, TX 76508-0001 2009-11-17
Find all providers in TEMPLE

Competitor

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City TEMPLE
Zip Code 76508

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Dataset Information

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.

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