ANDREW BEDNAREK (NPI# 1831684349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831684349 |
| Entity Type | Individual |
| Full Name | ANDREW BEDNAREK |
| Practice Address |
1510 S. Vine Street Tyler TX 75771 |
| Mailing Address |
1510 S Vine Ave Tyler TX 75701-2826 |
| Practice Telephone | 9033121988 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10024 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1510 S. VINE STREET |
| City | TYLER |
| State | TX |
| Zip Code | 75771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915017 | Stephanie Michelle Christian | Licensed Vocational Nurse | 1376 Bridle Path Lane, Hideaway, TX 75771 | 2019-08-01 |
| 1891287579 | Lindale Smiles | Dentist | 120 E Centennial Boulevard, Suite 302, Lindale, TX 75771 | 2018-05-30 |
| 1801396643 | Barbara Sue Warren | Registered Nurse | 15498 County Road 4140, Lindale, TX 75771 | 2018-02-19 |
| 1568900876 | Kathryn D. Ketter Dba Snider Adult Foster Care | Custodial Care Facility | 16337 Esther Rd, Lindale, TX 75771 | 2017-02-07 |
| 1932556578 | Zenith Hospice Care Inc | Hospice Care, Community Based | 700 N Main Street, Lindale, TX 75771 | 2016-05-23 |
| 1548424898 | Jack Wallace Rice | Family Medicine | 20044 Fm 16 W, Lindale, TX 75771 | 2008-07-16 |
| 1487776514 | Lindale Isd | Local Education Agency (LEA) | 402 West North St, Lindale, TX 75771 | 2007-04-06 |
| 1881745537 | B Clay Keith Dds Pa | Dentist | 410 Eagle Spirit Drive, Lindale, TX 75771 | 2007-01-16 |
| 1992873715 | Champagne Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N. Main Street, Lindale, TX 75771 | 2006-12-01 |
| 1508937913 | Bonita Keeling | Physical Therapist | 2808 S Main St Ste C, Lindale, TX 75771 | 2006-11-10 |
| Find all providers in zip 75771 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642798 | Erin Cameron | Counselor | 120 W 5th St Ste 105, Tyler, TX 75701-4053 | 2020-05-29 |
| 1376162354 | Noel M Slagle | Counselor | 114 Jordan Plaza Blvd, Tyler, TX 75704-2056 | 2020-04-10 |
| 1982256665 | Amy Lynn Chapmond | Counselor | 114 Jordan Plaza Blvd Ste 302306, Tyler, TX 75704-2056 | 2019-07-12 |
| 1063070209 | Susan Michele Whitaker | Counselor | The Beginning, 114 Jordan Plaza Blvd Suite 302, Tyler, TX 75704 | 2019-06-03 |
| 1477111995 | Alma Bluesummers | Counselor | 114 Jordan Plaza Blvd Ste 302, Tyler, TX 75704-2056 | 2019-05-30 |
| 1669937041 | Bonnie Ann Blattman Beaulieu | Counselor | 3400 Nne Loop 323 Trlr 34, Tyler, TX 75708-5607 | 2019-02-09 |
| 1821577628 | Jahn Quattlebaum | Counselor | 6200 Wilshire Dr, Tyler, TX 75703-4159 | 2018-08-13 |
| 1811482581 | Robert M Parnell | Counselor | 1510 S Vine Ave, Tyler, TX 75701-2826 | 2018-06-26 |
| 1902309487 | Tina Renae Huseth | Counselor | 11849 County Road 461, Tyler, TX 75706-4823 | 2018-03-12 |
| 1538510409 | David S Haley | Counselor | 3800 Paluxy Dr Ste 137, Tyler, TX 75703-1652 | 2016-06-22 |
| Find all providers in TYLER | ||||
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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.