National Provider Identifier (NPI)
JBSA LACKLAND


Jurisdiction: Medicare & Medicaid
Source: Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)

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.

JBSA LACKLAND · 1100 WILFORD HALL LOOP · Search Result

NPI Name Taxonomy Address Enumeration
1457664468 Amy Nichole Boudin Audiologist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2010-07-19
1447563820 Jessica A Carpenter Occupational Therapist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2010-07-14
1831401272 Mandy Lynn Mcluckie Physician Assistant 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2010-07-13
1447562616 Ryan Clarke Gottfredson Pediatrics 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2010-07-05
1912219148 Angela Marie Coomes Dentist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2010-07-02
1114238953 Mohsen Barmada Podiatrist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2010-06-26
1639498157 Nancy Juliette Vacca Family Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2010-05-24
1518286285 David Martin Barrera Family Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2010-05-20
1063738540 Aaron Caldwell Physician Assistant 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2010-04-09
1750606067 Sean Patrick Meagher Pediatrics 1100 Wilford Hall Loop Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2010-03-30
1710201488 Andrya Marie Mammen Pharmacist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2010-03-24
1275857146 Cathy Day Boggs Pediatrics 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2010-03-22
1770806010 Andrew Wayne Lewis Ophthalmology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2010-03-01
1578895744 Shannon Patrick Buck Dermatology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2010-02-12
1093045726 Ned Crofts Counselor 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2009-12-31
1356678056 Rahem Ravon Lay Social Worker 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2009-11-17
1720315237 Cesar Iglesias Physician Assistant 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2009-11-05
1528392214 Christopher Benjamin Chappell Social Worker 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2009-09-28
1407189244 Richard Phu Bui Podiatrist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2009-09-11
1336379718 Jamie M Woodson Physician Assistant 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2009-07-21
1649408485 Anthony Andrew Cochet Jr. Internal Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2009-07-01
1003044991 Preston S Duffin 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2009-06-30
1073740833 Brandon William Mcnally Dermatology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2009-06-18
1942437934 Katherine Marie Ivey-vackar Surgery 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2009-06-17
1144457524 Kelly Galina Elterman Anesthesiology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2009-06-12
1154557874 Wyeth Lee Hoopes Dentist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2009-06-09
1801022595 Diane Caranta Obstetrics & Gynecology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2009-06-08
1497998504 Carl Edward Bemis Physician Assistant 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2009-04-20
1679714802 Sharon Monica Quigley Nurse Practitioner 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2009-03-18
1164668166 Emily Grieser Psychologist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2008-12-21
1659526663 Olga Davidson Nurse Practitioner 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2008-11-19
1174775936 Natalie Marie Roy Psychologist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2008-10-10
1831348747 Stanley Jarman Kimball Preventive Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2008-09-16
1023274305 Kathryn Simpson Pediatrics 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2008-08-05
1407019656 Dawn E Kessler-walker Psychologist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2008-07-08
1437311891 Christopher M Edens Dermatology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2008-06-26
1669632311 Brandy Erin Ransom Lybeck Internal Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2008-06-16
1346411279 Jason Mcdeed Burk Pharmacist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2008-03-19
1265602262 Stephanie Marie Smith Social Worker 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2008-03-05
1164690756 Daniel Anthony Jacobson Clinical Neuropsychologist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2008-02-15
1679757173 Gerald Wayne Talcott Psychologist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2007-12-20
1700068699 Tamara Steinwand Physician Assistant 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2007-12-03
1588844880 Timothy Edward Rogers Psychologist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2007-11-05
1972792174 Daniel Robert Hatcher Acupuncturist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2007-10-24
1962697326 Vinita Vijay Nair Pediatrics 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2007-09-10
1497959746 Brett W. Davies Ophthalmology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2007-06-12
1982816963 Daniel Anthony Steigelman Allergy & Immunology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2007-05-04
1083839757 Kristine Pierce Ophthalmology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2007-04-16
1386869105 Christopher Albert Coop Internal Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2007-04-16
1598806762 Bruce Wayne Callahan Physician Assistant 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2007-02-09
1851440531 Kevin J. Creedon Nurse Practitioner 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2007-01-10
1992853741 Michael Andrew Forgione Jr. Internal Medicine 1100 Wilford Hall Loop Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-5638 2007-01-08
1710034582 Michael Earl Frey Preventive Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2007-01-04
1801952015 Michael J Rutter Physician Assistant 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-12-29
1982765046 David Paul Armstrong Family Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-12-13
1184785883 Andrew Arvisu Cruz Social Worker 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-12-13
1316005317 Robert Royden York Jr. Family Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-12-04
1093885246 Robert M Kruger Internal Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-11-08
1326117870 Diego L Vega Optometrist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-11-07
1942388517 Erik Kent Weitzel Otolaryngology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-11-01
1184700254 Charles Brock Miller Internal Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-10-31
1780767079 Eric Goosman Nurse Anesthetist, Certified Registered 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-10-23
1528149358 Tibebu Mekonnen Tsegga Dentist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-10-18
1205916053 Jared Christopher Kelstrom Ophthalmology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-10-16
1467540096 Timothy John Bonjour Personal Emergency Response Attendant 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-10-10
1104917574 Beatrice Carrasco Arrambide Nurse Practitioner 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-09-28
1083710438 Jelena Seibold Dentist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-09-15
1023126505 Ceasar Anthony Valle Pediatrics 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-08-26
1578575569 Marie Paulette Colasanti Social Worker 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-08-12
1740291277 Victor C. Chang Family Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-08-10
1407863533 John F Freiler Allergy & Immunology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-08-02
1942216742 Hai M Tien Radiology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-08-01
1790707404 Wendy Jane Lee Nurse Practitioner 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-07-24
1497774319 Sarady Tan Family Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-07-19
1154340768 Theodus M. Roach Social Worker 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-07-18
1649205147 Debra Sjohn Secrest Occupational Therapist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-07-12
1669407441 Deborah Marlene Egger Physician Assistant 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-07-11
1407888068 Julia Christine Jackson Psychiatry & Neurology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-07-06
1013959956 Cassandra Lanette Douglas Pharmacist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-06-12
1831137173 Carlos Robert Esquivel Otolaryngology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-06-02
1982656914 Kelli Lyn Mueller Social Worker 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-05-17
1225088834 Joseph Bryan Kirkman Physical Therapist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-05-12
1609825850 Charles F Defreest Dentist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-05-08
1962469239 Shawna Arlene Zierke Social Worker 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-04-28
1235192097 Yvette E Stephenson Nurse Practitioner 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-04-11
1528020369 Rodney M Jorstad Pharmacist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-04-05
1528029113 James Robert Retzlaff Social Worker 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-03-31
1437119195 Joseph Marshall Bartle II Physician Assistant 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-03-27
1164482956 Jamie Dale Cornett Optometrist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-03-24
1548229941 Mitzi Deeneen Thomas-lawson Social Worker 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-03-23
1831158575 Rebecca Smiley Blackwell Pediatrics 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-03-21
1982673604 Lisa Carlette Mitchell Military Health Care Provider 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-03-15
1477522118 Lisa M. Hoyt Social Worker 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-03-15
1225005499 Mark Allan Oliver Social Worker 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-03-07
1952378143 Jeb S. Pickard Internal Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-03-07
1396710182 Kraig Stephen Vandewalle Dentist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-02-23
1588638423 John Jeffrey Degoes Internal Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-02-16
1891769097 Monica Michelle Lovasz Psychiatry & Neurology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-02-14
1235100934 Jenelle M. Hughes Nurse Practitioner 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-01-30
1750352852 James Murray Francis Internal Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-01-28