BRENDA AVERY (NPI# 1619953809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619953809 |
| Entity Type | Individual |
| Full Name | BRENDA AVERY |
| Credential | PA |
| Practice Address |
1133 College Ave Bldg E Suite 140 Manhattan KS 66502-2770 |
| Mailing Address |
1228 Westloop Pl Cfnb #147 Manhattan KS 66502-2840 |
| Practice Telephone | 7855392500 |
| Practice Fax Number | 7855392225 |
| Mailing Telephone | 8142378627 |
| Mailing Fax Number | 8142380083 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2015-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
100917 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS OF KANSAS | 042107 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699983346 | Brenda Avery | Licensed Practical Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2007-05-18 |
| Street Address |
1133 COLLEGE AVE BLDG E SUITE 140 |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66502-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899240 | Rosanne C Kreller | Nurse Practitioner | 1133 College Ave, Ste E230, Manhattan, KS 66502-2795 | 2005-05-31 |
| 1922615806 | Christina Guhr | Nurse Practitioner | 1133 College Ave, Manhattan, KS 66502-2770 | 2020-09-25 |
| 1417439977 | Kelli Renae Pettijohn | Physical Therapy Assistant | 1133 College Ave, Manhattan, KS 66502-2770 | 2018-08-31 |
| 1063907376 | Prism Diagnostics, LLC | Clinical Medical Laboratory | 1133 College Ave, Building C, Suite 145, Manhattan, KS 66502-2751 | 2018-06-28 |
| 1396266060 | Stacey L Marti | Physical Therapist | 1133 College Ave, Manhattan, KS 66502-2770 | 2017-07-03 |
| 1457891244 | Gilberto Magallanes | Occupational Therapy Assistant | 1133 College Ave, A213, Manhattan, KS 66502-2770 | 2017-02-28 |
| 1750826632 | Rachel Marie Irwin | Behavior Technician | 1133 College Ave, A213, Manhattan, KS 66503 | 2016-12-30 |
| 1255875852 | Dental Associates of Manhattan LLC | Dentist | 1133 College Ave, Suite D202, Manhattan, KS 66502-2770 | 2016-12-15 |
| 1457802613 | Laura Simons | Behavioral Analyst | 1133 College Ave, Manhattan, KS 66502-2770 | 2016-10-21 |
| 1528517901 | No Stone Unturned Foundation | Clinic/Center | 1133 College Ave, Suite A213, Manhattan, KS 66502-2770 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232217 | Rebecca Anne Cherry | Marriage & Family Therapist | 1506 Browning Avenue, Suite 107, Manhattan, KS 66502 | 2020-07-15 |
| 1992334361 | Lorin C Kelly | Counselor | 201 South 4th Street, Suite C5, Manhattan, KS 66502 | 2020-04-07 |
| 1306487947 | Emily Trausch | Specialist/Technologist | 18 Ahearn Fieldhouse, Manhattan, KS 66502 | 2019-10-04 |
| 1730741018 | Jessica Caroline Kostroske | Speech-Language Pathologist | 2031 Poyntz Avenue, Manhattan, KS 66502 | 2019-07-08 |
| 1962968420 | Sarah C Siders | Social Worker | 1506 Browning Avenue #107, Manhattan, KS 66502 | 2019-02-20 |
| 1215408331 | Sara E Gotchey | Registered Nurse | 2100 Claflin Rd, Manhattan, KS 66502 | 2018-12-16 |
| 1306315601 | Gail Elizabeth Webster | Midwife, Lay | 2106 Timber Creek Dr, Manhattan, KS 66502 | 2018-11-15 |
| 1972021525 | Patience Ivy | Student in an Organized Health Care Education/Training Program | 1615 Denison Ave, Apt 211, Manhattan, KS 66502 | 2017-09-05 |
| 1578086252 | Alexa Jean Sharr | Physician Assistant | 1404 Beechwood Ter Ste C and D, Manhattan, KS 66502 | 2017-07-25 |
| 1790226702 | Mackenzie Getz | Student in an Organized Health Care Education/Training Program | 2465 Vaughn Dr, Manhattan, KS 66502 | 2017-03-10 |
| Find all providers in zip 66502 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710290515 | Linda Niyazov | Physician Assistant | 1st Avenue 16street, Beth Israel Medical Center, Manhattan, NY 10003 | 2010-07-21 |
| 1225162589 | Manhattan Medical Services | Physician Assistant | 207 S 6th St, Manhattan, MT 59741 | 2007-03-16 |
| 1790782100 | Sarah E. Scott | Physician Assistant | 1105 Sunset Ave, Manhattan, KS 66502-3739 | 2005-06-30 |
| 1851608418 | Lindsay M Ruder | Physician Assistant | 200 Research Dr, Manhattan, KS 66503-3049 | 2010-09-02 |
| 1679728380 | Elizabeth Kelley Wegner-busch | Physician Assistant | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2008-11-21 |
| 1497908388 | Brandon Seef | Physician Assistant | 540 W North St, Suites 206/207, Manhattan, IL 60442-8201 | 2008-10-23 |
| 1730270398 | Beth Hartenstein Tolentino | Physician Assistant | 1823 College Ave, Manhattan, KS 66502-3381 | 2006-09-27 |
| 1265533384 | Tricia D Gill | Physician Assistant | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2006-09-25 |
| 1598869992 | Erin E. Thornton | Physician Assistant | 1640 Charles Pl, Suite 103, Manhattan, KS 66502-0428 | 2006-09-07 |
| 1790729630 | Robert J Starnes | Physician Assistant | 1213 Hylton Heights Rd, Suite 101, Manhattan, KS 66502-2810 | 2006-06-15 |
| Find all providers in MANHATTAN | ||||
Please comment or provide details below to improve the information on BRENDA AVERY.
| 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.