AUDREY MAYNOR (NPI# 1609301241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609301241 |
| Entity Type | Individual |
| Full Name | AUDREY MAYNOR |
| Practice Address |
770 10th St Arcata CA 95521-6210 |
| Practice Telephone | 7078268610 |
| Mailing Telephone | 7078268610 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 54374 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629388038 | Audrey Rae Maynor | Psychiatric Residential Treatment Facility | 150 Glenwood Ln, Birmingham, AL 35242-5700 | 2010-10-19 |
| Street Address |
770 10TH ST |
| City | ARCATA |
| State | CA |
| Zip Code | 95521-6210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316987852 | Alden Posner Zwerling | Family Medicine | 770 10th St, Arcata, CA 95521-6210 | 2006-06-06 |
| 1366000663 | Quinn Miller | Registered Nurse | 770 10th St, Arcata, CA 95521-6210 | 2019-05-31 |
| 1598231201 | Cynthia L. Holmes | Registered Nurse | 770 10th St, Arcata, CA 95521-6210 | 2018-10-19 |
| 1346747318 | Maryah Anne Ferreira | Registered Nurse | 770 10th St, Arcata, CA 95521-6210 | 2018-04-06 |
| 1801336334 | Amelia Gonzalez | Registered Nurse | 770 10th St, Arcata, CA 95521-6210 | 2017-03-02 |
| 1316497803 | Debbie Leanne Runyon | Registered Nurse | 770 10th St, Arcata, CA 95521-6210 | 2016-10-07 |
| 1952774077 | Phaedra Carlsen | Registered Nurse | 770 10th St, Arcata, CA 95521-6210 | 2015-11-11 |
| 1457722951 | Jessica Cooper | Registered Nurse | 770 10th St, Arcata, CA 95521-6210 | 2015-10-09 |
| 1588048813 | Patrick Johnson | Registered Nurse | 770 10th St, Arcata, CA 95521-6210 | 2015-07-16 |
| 1114308871 | Stephanie Johnson | Social Worker | 770 10th St, Arcata, CA 95521-6210 | 2015-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553736 | Mcc Medical, LLC | Durable Medical Equipment & Medical Supplies | Mcc Medical, LLC, 1565 J Street, Arcata, CA 95521 | 2019-08-16 |
| 1376008599 | Nathan Klier | Behavior Technician | 901 Ost, Arcata, CA 95521 | 2019-02-01 |
| 1740753995 | Maria Sophia Stathos | Behavior Technician | 901 0 Street, Suite C, Arcata, CA 95521 | 2019-01-09 |
| 1639674146 | Choong Yuk Kim | Psychologist | 381 Bayside Rd Ste B, Arcata, CA 95521 | 2018-03-27 |
| 1194089805 | Gary Wilson Barsuaskas | Nurse Practitioner | 4677 Valley West Blvd., Arcata, CA 95521 | 2012-06-27 |
| 1265708424 | Alison Marie Palacios | Family Medicine | 3798 Janes Rd. Suite 10, Arcata, CA 95521 | 2012-03-31 |
| 1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
| 1518241264 | Brian D. Lieberman | Psychologist | 730 Bayside Rd, Apt A, Arcata, CA 95521 | 2011-09-29 |
| 1427369412 | John S Yamas | Acupuncturist | 1460 G. Street, Arcata, CA 95521 | 2010-06-24 |
| 1669619391 | Kevin John Mcalerney | Massage Therapist | 770 11th Street, Lost Coast Healing Arts, Arcata, CA 95521 | 2009-01-16 |
| Find all providers in zip 95521 | ||||
| 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 |
|---|---|---|---|---|
| 1487698494 | Maria Aquene Spetzler | Physician Assistant | 785 18th St, Arcata, CA 95521-5683 | 2006-06-16 |
| 1346608890 | Generation Medical Services, A Med Corp | Physician Assistant | 3800 Janes Rd, Arcata, CA 95521-4742 | 2016-01-29 |
| 1295159440 | Heather Kyte | Physician Assistant | 1600 Weeot Way, Arcata, CA 95521-4734 | 2014-02-08 |
| 1235370156 | Edward Henry Parker | Physician Assistant | 4715 Valley East Blvd, Suite 3, Arcata, CA 95521-3584 | 2009-03-23 |
| 1144469081 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 3800 Janes Rd, Arcata, CA 95521-4742 | 2009-02-17 |
| 1184863029 | Pac Bay Emergency Physicians, A Medical Corporation | Physician Assistant | 3800 Janes Rd, Arcata, CA 95521-4742 | 2009-02-17 |
| 1174619787 | Susan Jane Riesel | Physician Assistant | 770 10th Street, Arcata, CA 95521 | 2006-10-04 |
| 1346335700 | Deborah Spiegel Sweitzer | Physician Assistant | 785 18th St, Arcata, CA 95521-5683 | 2006-10-03 |
| 1427092816 | Sean Thomas Egan | Physician Assistant | 3800 Janes Rd, Arcata, CA 95521-4742 | 2006-06-15 |
| 1699716548 | Celine Theresa Pele | Physician Assistant | 3800 Janes Rd, Arcata, CA 95521-4742 | 2006-06-10 |
| Find all providers in ARCATA | ||||
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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.