LASTNAME,FIRSTNAME,MIDNAME,BUSNAME,GENERAL,SPECIALTY,UPIN,NPI,DOB,ADDRESS,CITY,STATE,ZIP,EXCLTYPE,EXCLDATE,REINDATE,WAIVERDATE,WVRSTATE
"ALEKSANDROV","DANIEL","DENIZOV","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19841019","2905 INCA ST, #3058","DENVER","CO","80202","1128b4","20240718","20250813","00000000",""
"AMOS","AARON","","","INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION","","0000000000","19861117","4832 EAGLES WATCH LANE","INDIANAPOLIS","IN","46254","1128a1","20190620","20250812","00000000",""
"BERKIL","KRISTIE","JO","","NURSING PROFESSION","NURSE/NURSES AIDE","","0000000000","19590630","12500 DOE MILL RD, APT 980","FOREST RANCH","CA","95942","1128b4","20000920","20250812","00000000",""
"CALDWELL","LORRAINE","E","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19620613","2762 EATON ROAD","EATON","NY","13334","1128a2","20170720","20250814","00000000",""
"CAMILLI-QUINLAN","RIHANNA","C","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19760817","4428 CEDAR ST","EUREKA","CA","95503","1128b4","20200720","20250812","00000000",""
"CARPENTER","BRIAN","BRADFORD","","IND- LIC HC SERV PRO","PODIATRY","","1154386647","19660904","270 PRIVATE ROAD 3362","PARADISE","TX","76073","1128a3","20250720","20250720","00000000",""
"CIANCIOLO","AMANDA","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1649630039","19870502","1364 QUAIL HOLLOW DRIVE","SIERRA VISTA","AZ","85635","1128b4","20250520","20250814","00000000",""
"DYER","LISA","MICHELLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1871883447","19700722","6836 ALGON AVE, APT 1","PHILADELPHIA","PA","19111","1128b4","20240220","20250814","00000000",""
"FRENCH","STEFEN","ANTONI","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19870217","519 SOUTH JARDOT RD, #306","STILLWATER","OK","74074","1128b4","20160218","20250804","00000000",""
"FULCHIERO","SAMANTHA","TAYLOR","","EMPLOYEE - PRIVATE S","COUNSELING CENTER","","0000000000","19880903","1028 3RD AVE","DUNCANSVILLE","PA","16635","1128a1","20140120","20250804","00000000",""
"GOINS","DANECHA","RENEE","","IND- LIC HC SERV PRO","HEALTH CARE AIDE","","0000000000","19921124","2419 LYNDALE AVE NORTH","MINNEAPOLIS","MN","55411","1128a1","20190520","20250813","00000000",""
"HAMEED","NAJAH","RENEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19801204","6286 JEFF STREET","SAN DIEGO","CA","92115","1128b4","20200520","20250804","00000000",""
"HATFIELD","ANGEL","","","PHARMACY","TECHNICIAN","","0000000000","19730102","44 CIRCLE DR","SPRINGFIELD","IL","62703","1128b4","20060119","20250804","00000000",""
"HOLLAND","CAROL","RENEE","","SKILLED NURSING FAC","NURSE/NURSES AIDE","","0000000000","19690809","3224 DEL RD","OKLAHOMA CITY","OK","73115","1128a2","19970129","20250804","00000000",""
"JORDAN","MATTHEW","JOHN","","IND- LIC HC SERV PRO","PHYSICIAN ASSISTANT","","1194070516","19810515","470 HEMPSTEAD AVE","MALVERNE","NY","11565","1128a1","20200618","20250804","00000000",""
"KARASON","MICHAEL","C","","IND- LIC HC SERV PRO","PODIATRY","U63655","1023042512","19681003","10810 PALMS BLVD, APT 401","LOS ANGELES","CA","90034","1128a1","20131219","20250804","00000000",""
"KING","MATTIE","LOU","","NURSING PROFESSION","NURSE/NURSES AIDE","","0000000000","19660302","1226 CR 107","NEW ALBANY","MS","38652","1128a2","19930803","20250804","00000000",""
"LANKIN","RADISLAV","","","INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION","","0000000000","19761019","125 OCEANA DRIVE EAST, APT 6C","BROOKLYN","NY","11235","1128a3","20100617","20250804","00000000",""
"LEGHU","NTENYI","THEOPHER","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19740404","111 EMERALD RIDGE DR","BEAR","DE","19701","1128b4","20250619","20250812","00000000",""
"LUDWIG","DAVID","EDWARD JR","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19781211","818 EAST FREEMAN PL, UNIT 2","TUCSON","AZ","85719","1128b4","20171120","20250807","00000000",""
"MATTHEWS","THOMASINA","","","ADULT HOME","EMPLOYEE","","0000000000","19810121","1310 JERUIS SQUARE","BELCAMP","MD","21017","1128a2","20050720","20250804","00000000",""
"MCCREE","DEBORAH","PITTMAN","","EMPLOYEE - ST/LOC/TR","STATE GOV'T","","0000000000","19701012","15628 BELMONT DRIVE","BILOXI","MS","39532","1128a2","20190120","20250805","00000000",""
"MUYONGA","GAIUS","FOMANTUM","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19850408","6611 WINDY HILLS LANE","KATY","TX","77493","1128b4","20240919","20250804","00000000",""
"PARKHURST","JOANNE","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1720263957","19690212","50 GREEN ROAD","MEXICO","NY","13114","1128a2","20160120","20250812","00000000",""
"PEAVY","SHAQUELA","D","","IND- LIC HC SERV PRO","HEALTH CARE AIDE","","1225387475","19900921","387 COCOA CT","KISSIMMEE","FL","34758","1128a1","20190620","20250806","00000000",""
"PECSON","ARNEL","LLAMAS","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19680715","4731 ANDREA WAY","UNION CITY","CA","94587","1128b4","20141020","20250804","00000000",""
"PEPPER","STEPHANIE","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19930810","10912 CARLTON FIELDS DR","RIVERVIEW","FL","33579","1128b4","20220620","20250804","00000000",""
"SAAVEDRA","EUGENE","G","","CHIROPRACTIC PRACT","CHIROPRACTIC","","0000000000","19521006","3301 W 54TH AVE","LITTLETON","CO","80221","1128b14","19980520","20250806","00000000",""
"SMITH","RONNIE","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19641107","8028 SOUTH CENTRAL AVE, #1006","PHOENIX","AZ","85042","1128b4","20150920","20250814","00000000",""
"SWEARINGEN","SCOTT","","","INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION","","0000000000","19720824","1938 11TH STREET, SW","AKRON","OH","44314","1128a1","20200618","20250814","00000000",""
"TUCCI","SUSAN","ELIZABETH","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19681110","226 DIEKAMP LN","SAINT CHARLES","MO","63303","1128b4","20140320","20250804","00000000",""