KAYLIE ALEXANDRA TEMPORAL (NPI# 1861896300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861896300 |
| Entity Type | Individual |
| Full Name | KAYLIE ALEXANDRA TEMPORAL |
| Other Name | KAYLIE ALEXANDRA ELDORE |
| Credential | PA |
| Practice Address |
824 Southpark Cir Athens TX 75752-6943 |
| Practice Telephone | 9036757376 |
| Practice Fax Number | 9036774234 |
| Mailing Telephone | 9036757376 |
| Mailing Fax Number | 9036774234 |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2015-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA09471 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
824 SOUTHPARK CIR |
| City | ATHENS |
| State | TX |
| Zip Code | 75752-6943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912985235 | Vandana Char | Pediatrics | 824 Southpark Cir, Athens, TX 75752-6943 | 2006-01-06 |
| 1578921110 | Dana Kennedy | Nurse Practitioner | 824 Southpark Cir, Athens, TX 75752-6943 | 2016-02-09 |
| 1538581186 | Stephaie Harber | Nurse Practitioner | 824 Southpark Cir, Athens, TX 75752-6943 | 2014-01-16 |
| 1235383167 | Melissa Ann Garrett | Nurse Practitioner | 824 Southpark Cir, Athens, TX 75752-6943 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730190851 | Glenna Miller White | Counselor | 74070 F M 317, Athens, TX 75752 | 2006-08-11 |
| 1821064742 | Andrews Center | Counselor | 6901 S. Hwy 19, Athens, TX 75752 | 2006-02-28 |
| 1134120256 | Mark L Eldore | Obstetrics & Gynecology | 824 Southpark Circle, Athens, TX 75752 | 2005-08-10 |
| 1720534449 | Nurture Community Healthcare Center | Skilled Nursing Facility | 110 Waverly Way, Athens, TX 75752 | 2016-09-01 |
| 1831107028 | Mark L Eldore Md Pllc | Nurse Practitioner | 824 Southpark Circle, Athens, TX 75752 | 2006-08-03 |
| 1629044557 | Timothy Furlong | Psychiatry & Neurology | 6901 S. Hwy 19, Athens, TX 75752 | 2006-02-28 |
| 1003281999 | South Van Zandt Volunteer Fire Department, Inc | Emergency Medical Technician, Basic | 26306 State Highway 19 N, Athens, TX 75752-3704 | 2015-12-03 |
| 1780608323 | Andrwes Center/ Athens Place | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4875 Fm 2709, Athens, TX 75752-3807 | 2006-07-27 |
| 1063481380 | Kathy Wakefield | Counselor | 6091 State Highway 19 N, Athens, TX 75752-3983 | 2006-03-17 |
| 1770947186 | Joshua Cahan Felts | Specialist | 5900 County Road 3704, Athens, TX 75752-5045 | 2016-04-12 |
| Find all providers in zip 75752 | ||||
| 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 |
|---|---|---|---|---|
| 1386261162 | Kayla Elizabeth Moore | Physician Assistant | 1477 Cotton Hollow Rd, Athens, PA 18810-7769 | 2020-06-29 |
| 1053934844 | William Aaron Retterbush | Physician Assistant | 250 W Broad St Apt 624, Athens, GA 30601-4817 | 2020-05-27 |
| 1689219552 | Katie Rhea Collins | Physician Assistant | 2400 Denso Dr, Athens, TN 37303-7835 | 2019-11-14 |
| 1538535984 | Tina Beatty | Physician Assistant | 146 Parks Hall, Athens, OH 45701-1359 | 2015-08-19 |
| 1811325673 | Janna Leigh Baker | Physician Assistant | 1000 Hawthorne Ave Ste T, Athens, GA 30606-2168 | 2013-10-14 |
| 1639457716 | Kara Renee Whyte | Physician Assistant | 242 King Ave, Medical Services Building, 2nd Floor, Athens, GA 30606-3506 | 2011-07-24 |
| 1336367671 | Robert Kevin Chin | Physician Assistant | 711 Cook Dr Ste 100, Athens, TN 37303-3499 | 2007-04-23 |
| 1578789731 | Natasha Nicola Barker | Physician Assistant | 401 Vermillion Street, Athens, WV 24712 | 2007-04-17 |
| 1124184742 | Mara Renee Franklin | Physician Assistant | 1450 Barnett Shoals Rd Ste B, Athens, GA 30605-2748 | 2006-12-28 |
| 1750313854 | Emergency Professionals of Ohio, Inc. | Physician Assistant | 55 Hospital Drive, Athens, OH 45701-2345 | 2006-07-07 |
| Find all providers in ATHENS | ||||
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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.