MRS. STEDVEN LIEBEN KAI FELICIANO (NPI# 1982911046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982911046 |
| Entity Type | Individual |
| Full Name | MRS. STEDVEN LIEBEN KAI FELICIANO |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
52d Medical Group Unit 3690 Apo AE 09126 |
| Practice Telephone | 0004528260 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 307 Boatner Road, Eglin Afb, FL 32542 | 8508838600 |
| Street Address |
52D MEDICAL GROUP UNIT 3690 |
| City | APO |
| State | AE |
| Zip Code | 09126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518016146 | David Robert Englert | Psychologist | 52d Medical Group, Unit 3865, Apo, AE 09126-3865 | 2007-01-10 |
| 1871951475 | Kelley Jean Beck | Nurse Practitioner | 52d Medical Group, Unit 3690, Apo, AE 09126-3690 | 2016-02-10 |
| 1629455480 | Christian Edward Banasky | Pharmacist | 52d Medical Group, Unit 3690, Apo, AE 09126-3690 | 2015-04-30 |
| 1700131174 | Sarah Elizabeth Martin | Social Worker | 52d Medical Group, Unit 3690, Apo, AE 09126-3690 | 2012-07-20 |
| 1962784686 | Benjamin H Carter | Psychologist | 52d Medical Group, Unit 3690, Apo, AE 09123-3690 | 2011-09-20 |
| 1710290184 | Kelly Lynn Wilson | Speech-Language Pathologist | 52d Medical Group, Unit 3690, Apo, AE 09126-3690 | 2010-07-14 |
| 1588842843 | Shane M Martin | Pharmacist | 52d Medical Group, Unit 3865, Apo, AE 09126-3865 | 2008-02-07 |
| 1336261676 | Jacqueline L Astrero | Physical Therapist | 52d Medical Group, Unit 3690, Apo, AE 09126-3690 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699039990 | Massimiliano Tuveri | Transplant Surgery | Via Delle Rondini 15, Cagliari, CA 09126 | 2012-07-02 |
| 1225326200 | Rachel K Langley | Family Medicine | 52 Medical Group, Unit 3690, Apo, AE 09126 | 2011-07-12 |
| 1548593932 | Morgan Bergman | Counselor | 52 Mdos/sgow, Unit 3690, Apo, AE 09126 | 2009-09-16 |
| 1518192327 | Terry Lynn Johnson | Military Health Care Provider | Spangdahlem Ab, 52 Mdos Unit 3865, Apo, AE 09126 | 2009-05-22 |
| 1649404906 | Matthew James Warters | Military Health Care Provider | 52 Amds Sgpf, Spangdahlem Air Base, RHEINLAND PFALZ 09126 | 2009-05-14 |
| 1619141686 | Donna Marie Burrowes | Counselor | 52 Mdg Unit 3690, Apo, AE 09126 | 2008-04-21 |
| 1962619296 | Katie M Ragan | Psychologist | 52 Mdos/sgot, Unit 3690, Apo, AE 09126 | 2007-05-17 |
| 1043426463 | Sylvia Jean Ringen | Social Worker | Psc 9 Unit 3690, 52 Mdos/sgohf, Apo, AE 09126 | 2007-05-15 |
| 1225189319 | Andrea L Loudermilk-shull | Speech-Language Pathologist | 52 Mdos/sgov, Unit 3690, Apo, AE 09126 | 2007-01-15 |
| 1013083005 | David Max Jones | Dentist | 52 Ds/cc, Unit 3866, Apo, AE 09126 | 2006-11-28 |
| Find all providers in zip 09126 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700253 | Udaya Dahal | Military Health Care Provider | Grafenwoehr, De Tower Barracks, Usag-b, Apo, AE 09114 | 2020-05-06 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1538795679 | Tanner Sean Harvey | Military Health Care Provider | 1mrb Bas, Apo, AA 92010 | 2020-03-20 |
| 1124686472 | Oscar Christian | Military Health Care Provider | Hospital: Wh3s9a 549 Hc/baach, Unit 15245, Apo, AP 96271 | 2019-06-02 |
| 1932687340 | Jennifer Marie Sisson | Military Health Care Provider | 4-2 Arb, Apo, AP 96271 | 2018-07-30 |
| 1962921049 | Heidi Grondahl | Military Health Care Provider | Building 2, Del Din Clinic, Apo, AE 09606 | 2017-09-11 |
| 1922546654 | Alexandria Fraleigh Jaksha | Military Health Care Provider | Blg 8740 Unit 23809, Cmr 405, Bx 52, Apo, AE 09034 | 2017-02-01 |
| 1447702154 | Jerry C Mallory Jr. | Military Health Care Provider | 4018 Bayard 44121, Apo, AA 44121 | 2016-10-28 |
| 1306226121 | Clinton Rebello | Military Health Care Provider | Mcguire Afb, Apo, AA 08610 | 2015-06-06 |
| 1255661005 | Thomas J Drummond | Military Health Care Provider | Hhc 3-4 Inf, Cmr 405 Box #5427, Apo, AE 09034 | 2009-12-29 |
| Find all providers in APO | ||||
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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.