MRS. TATJANA LARISSA ACKER (NPI# 1821161696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821161696 |
Entity Type | Individual |
Full Name | MRS. TATJANA LARISSA ACKER |
Credential | PA |
Practice Address |
9000 Bailey Cove Rd Se Huntsville AL 35802-4002 |
Mailing Address |
Po Box 2705 Huntsville AL 35804-2705 |
Practice Telephone | 2564284900 |
Practice Fax Number | 2564284912 |
Mailing Telephone | 2568016048 |
Mailing Fax Number | 2568016218 |
Enumeration Date | 2006-11-17 |
Last Update Date | 2017-01-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA.501 | AL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 163234 | 05 | |
AL | BCBS | 51151378 | 01 |
AL | BCBS | 51151377 | 01 |
Street Address |
9000 BAILEY COVE RD SE |
City | HUNTSVILLE |
State | AL |
Zip Code | 35802-4002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023104320 | Julia Ann Fowler | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2006-10-05 |
1689159212 | Brandi Rene Harbin | Nurse Practitioner | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2018-09-28 |
1811383128 | Delmy Yamileth Caton | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2015-04-13 |
1598050544 | Jason Kelly | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2011-06-17 |
1235434077 | Healthcare Authority of The City of Huntsville | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2011-01-25 |
1477797025 | Jennifer Baldridge Sholes | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2009-04-27 |
1427211549 | Harold Andrew Williams | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2008-07-09 |
1851565113 | Bailey Cove Family Physicians | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2008-04-17 |
1881809523 | Joan W Williamson | Nurse Practitioner | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2007-05-14 |
1487738894 | Robert Bruce Marlow | Family Medicine | 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 | 2006-10-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
Find all providers in zip 35802 |
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 |
---|---|---|---|---|
1578170189 | Emily Klae Carnes | Physician Assistant | 102 Breezy Pointe Ln, Huntsville, AL 35811-4604 | 2020-09-28 |
1144880774 | Anna Summerford | Physician Assistant | 7738b Madison Blvd, Huntsville, AL 35806-3659 | 2019-06-17 |
1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
1891154894 | Nicolaus D Ruehl | Physician Assistant | 1963 Memorial Pkwy Sw Ste 24, Huntsville, AL 35801-5035 | 2016-02-18 |
1992194294 | Jacob Downey Dobbs | Physician Assistant | 13310 S Village Square Rd Se, Huntsville, AL 35803-3813 | 2015-01-09 |
1639575939 | Joseph Curry | Physician Assistant | 21 Fm 247 Rd, Huntsville, TX 77320-8701 | 2014-11-13 |
1164705513 | Besstina Lyles | Physician Assistant | 2227 Drake Ave Sw Ste 26, Huntsville, AL 35805-5146 | 2011-09-22 |
1174833107 | Whitaker Medical | Physician Assistant | 525 Madison St Se, Suite 203, Huntsville, AL 35801-4268 | 2010-10-08 |
1548308679 | Claudia Elisabetta Agnew | Physician Assistant | 3601 Cci Dr., Huntsville, AL 35805 | 2007-02-01 |
1730273673 | Mindy Smith Wilson | Physician Assistant | 1404 Toney Dr Se, Huntsville, AL 35802-1231 | 2006-10-03 |
Find all providers in HUNTSVILLE |
City | HUNTSVILLE |
Zip Code | 35802 |
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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.