ALEXA CALLISON-BURCH (NPI# 1912472630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912472630 |
| Entity Type | Individual |
| Full Name | ALEXA CALLISON-BURCH |
| Credential | PA-C |
| Practice Address |
14 Great Plains Rd Arapahoe WY 82510 |
| Mailing Address |
350 Cliff St Lander WY 82520-3334 |
| Practice Telephone | 3078569281 |
| Mailing Telephone | 3074383008 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1479 S 300 E, Salt Lake City, UT 841151538 | 3074383008 |
| Street Address |
14 GREAT PLAINS RD |
| City | ARAPAHOE |
| State | WY |
| Zip Code | 82510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337549 | David James Langford | Optometrist | 14 Great Plains Rd, Arapahoe, WY 82510 | 2005-06-22 |
| 1306307962 | Yvonne Hope Lopez-bargeron | Nurse Practitioner | 14 Great Plains Rd, Arapahoe, WY 82510 | 2019-03-27 |
| 1679029474 | Corina Teves | Spec/Tech, Pathology | 14 Great Plains Rd, Arapahoe, WY 82510 | 2016-08-31 |
| 1285006379 | Wind River Family & Community Health Care | Case Manager/Care Coordinator | 14 Great Plains Rd, Arapahoe, WY 82501-8250 | 2015-10-28 |
| 1689089161 | Cori Mcadams | Counselor | 14 Great Plains Rd, Arapahoe, WY 82501 | 2014-06-24 |
| 1700124617 | Gilda Mark | Nurse Practitioner | 14 Great Plains Rd, Arapahoe, WY 82510 | 2013-01-28 |
| 1164773750 | Angela Grace Denke | Pharmacist | 14 Great Plains Rd, Arapahoe, WY 82510 | 2012-09-24 |
| 1508187790 | Amy J Hatcher | Pediatrics | 14 Great Plains Rd, Arapahoe, WY 82510 | 2010-06-22 |
| 1750549895 | Freda Blackburn | Registered Nurse | 14 Great Plains Rd, Arapahoe, WY 82510 | 2008-05-27 |
| 1669643763 | Bernice Ann Miller | Registered Nurse | 14 Great Plains Rd, Arapahoe, WY 82510 | 2008-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396307955 | Destinee Autumn Jara | Community Health Worker | #24 Great Plains Rd., Arapahoe, WY 82510 | 2019-07-03 |
| 1376004663 | Wind River Family & Community Health Care | Clinic/Center | 10266 Hwy 789, Arapahoe, WY 82510 | 2019-03-28 |
| 1043747181 | Caroline Lamar Pihl | Family Medicine | 14 Great Plains Road Wind River Family & Community Heal, Arapahoe, WY 82510 | 2017-05-19 |
| 1427402239 | Emily Delorme | Community Health Worker | 24 Great Plains Road, Arapahoe, WY 82510 | 2016-04-18 |
| 1780038984 | Evelyn Jimenez | Case Manager/Care Coordinator | #24 Great Plains Road, Arapahoe, WY 82510 | 2016-04-14 |
| 1972965523 | Crystal P Brown | Case Manager/Care Coordinator | 24 Great Plains Rd, Arapahoe, WY 82510 | 2016-03-23 |
| 1902213093 | White Buffalo Recovery Center | Clinic/Center | #22 Great Plains Rd, Arapahoe, WY 82510 | 2014-07-21 |
| 1326454067 | Rachael Munoz | Counselor | 24 Great Plains Rd., Arapahoe, WY 82510 | 2014-07-02 |
| 1174938666 | Jane Dewey | Case Manager/Care Coordinator | 22 Great Plains Rd, Arapaho, WY 82510 | 2014-06-24 |
| 1477893253 | Mindy Rae Pomeroy | Spec/Tech, Pathology | 14 Great Plains Rd., Arapaho, WY 82510 | 2013-02-15 |
| Find all providers in zip 82510 | ||||
| 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 |
|---|---|---|---|---|
| 1598364051 | Breiana Pedersen | Physician Assistant | 705 Robbies View Dr, Lander, WY 82520-3951 | 2020-10-25 |
| 1821695339 | Breanna Alisia Young | Physician Assistant | 521 Shoshoni Trl, Glenrock, WY 82637-5217 | 2020-10-07 |
| 1083187199 | Chelsea Eddington | Physician Assistant | 620 Granite Peak Dr Apt 307, Casper, WY 82609-4551 | 2019-01-10 |
| 1174006928 | Robert Walter Carpenter | Physician Assistant | 1208 Hilltop Dr Ste 203, Rock Springs, WY 82901-5859 | 2018-09-07 |
| 1821595224 | Abby Rogers | Physician Assistant | 1331 Prairie Ave Ste 2, Cheyenne, WY 82009-4867 | 2018-04-11 |
| 1467950154 | Kaylun Grandy | Physician Assistant | 1952 Harrison Drive, Evanston, WY 82930-3241 | 2018-01-27 |
| 1336657527 | Lauren Andrews | Physician Assistant | 4140a Laramie St, Cheyenne, WY 82001-1969 | 2018-01-22 |
| 1326591058 | Gale Dahlager Crozier | Physician Assistant | 1 Interloop Rd, Jackson Lake Lodge, Moran, WY 83013 | 2016-07-29 |
| 1255724258 | Jason L Ray | Physician Assistant | 103 W. 3rd St., Marbleton, WY 83113 | 2015-03-15 |
| 1679972798 | Jeffrey Brown | Physician Assistant | 925 Birch St, Glenrock, WY 82637-0786 | 2014-08-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALEXA CALLISON-BURCH.
| 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.