LASTNAME,FIRSTNAME,MIDNAME,BUSNAME,GENERAL,SPECIALTY,UPIN,NPI,DOB,ADDRESS,CITY,STATE,ZIP,EXCLTYPE,EXCLDATE,REINDATE,WAIVERDATE,WVRSTATE
"ADAMS","MALEIA","SHEA","","NURSING PROFESSION","NURSE/NURSES AIDE","","0000000000","19761217","3565 LINVILLE ST","WALKERTOWN","NC","27051","1128b4","20090618","20251124","00000000",""
"BENNETT","MARLON","","","IND- LIC HC SERV PRO","HEALTH CARE AIDE","","0000000000","19771111","P O BOX 48672","TAMPA","FL","33646","1128a2","20140619","20251119","00000000",""
"BISHOP","BRANDI","NICOLE","","NURSING PROFESSION","NURSE/NURSES AIDE","","0000000000","19750920","3420 FLAGLER AVE","KEY WEST","FL","33040","1128a4","20080619","20251117","00000000",""
"BOWMAN","DANYELLE","MARIE","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19870826","3113 FABLE ST","MERAUX","LA","70075","1128a1","20150420","20251124","00000000",""
"BROWN","SATIN","SHAMKIA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19870423","2550 TULANE AVE, 106","DAYTONA BEACH","FL","32118","1128a3","20200720","20251117","00000000",""
"CARTER","MEAGAN","LEIGH","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19801113","207 E LADIGA ST","PIEDMONT","AL","36272","1128b4","20210720","20251119","00000000",""
"CLARK","MARY","KRISTEN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19840221","16220 ROAD 505","PHILADELPHIA","MS","39350","1128b4","20210819","20251125","00000000",""
"COLEMAN","SARA","ESTELLA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19781031","1982 NW 90TH ST","CLIVE","IA","50325","1128a4","20201119","20251125","00000000",""
"FAEQ","NASMAH","BASIM","","INDIVIDUAL (UNAFFILI","NO KNOWN AFFILIATION","","0000000000","19831222","12352 SW SABIN STREET","BEAVERTON","OR","97008","1128a1","20160519","20251119","00000000",""
"FOX","ALLISON","CASE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1780026948","19790610","3320 LANDMARK DRIVE","MORRISTOWN","TN","37814","1128b4","20240919","20251119","00000000",""
"GALLEGO","RAYNALDO","","","DME COMPANY","BUSINESS MANAGER","","0000000000","19520516","6709 COLUMBIA WAY, APT 329","LANCASTER","CA","93536","1128a1","20040720","20251119","00000000",""
"HAMMOND","SHAWN","LARRY","","IND- LIC HC SERV PRO","PHARMACY TECHNICIAN","","0000000000","19840712","1403 N 380 W","PROVO","UT","84604","1128b4","20130919","20251119","00000000",""
"HAWRYLAK","JERRY","","","INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER","","0000000000","19531005","6205 CANYON TRAIL","FORT WORTH","TX","76135","1128a3","20250619","20250619","00000000",""
"JACKSON","CLARENCE","CHOKI","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19870317","3724 MALLARD DR","OKLAHOMA CITY","OK","73115","1128b4","20240919","20251119","00000000",""
"LANE-ROBINSON","GENETTA","","","IND- LIC HC SERV PRO","HEALTH CARE AIDE","","0000000000","19771203","1774 CARGILL DR, FLR 1","SAINT LOUIS","MO","63136","1128a1","20171120","20251125","00000000",""
"LIEBLE","ANNA","DANIELLE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19930104","9730 SW 198TH CIR","DUNNELLON","FL","34432","1128b4","20221120","20251125","00000000",""
"LITUCO","CECILIO","GOMEZ","","IND- LIC HC SERV PRO","THERAPIST","","0000000000","19690219","1228 EQUATOR AVE","NORTH LAS VEGAS","NV","89032","1128b4","20070719","20251119","00000000",""
"LOWE","EMILY","PENNY","","IND- LIC HC SERV PRO","LICENSED PRACTITIONE","","0000000000","19830506","18542 N JAMESON DR","MARICOPA","AZ","85138","1128a3","20181120","20251119","00000000",""
"LUKEHART","CHERYL","L","","IND- LIC HC SERV PRO","HEALTH CARE AIDE","","0000000000","19720506","325 HOUSEL CRAFT RD","CORTLAND","OH","44410","1128a1","20130120","20251125","00000000",""
"MATYASOVSZKY","ELEANOR","","","NURSING PROFESSION","NURSE/NURSES AIDE","","0000000000","19600831","83 B ROBERT TREAT DR","MILFORD","CT","06460","1128b4","19990218","20251106","00000000",""
"MITCHELL","TIFFANY","BROOKE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19860712","90 NICHOLSON BLVD","HARLAN","KY","40831","1128b4","20140720","20251119","00000000",""
"MOODY","TYANA","KIARA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19910116","206 OAKHURST BLVD, APT 107","EL DORADO","AR","71730","1128b4","20160320","20251119","00000000",""
"MURRAY","ELENA","MADELEINE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19930429","134 HATHAWAY ST","WAREHAM","MA","02571","1128b4","20180419","20251124","00000000",""
"OLSON","JANELL","","","EMPLOYEE - PRIVATE S","CLINIC","","0000000000","19691231","9384 SIENNA CANYON ST","LAS VEGAS","NV","89123","1128b3","20221120","20251125","00000000",""
"PARKER","CAPRESHA","ANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19780814","1003 HARRISON DR","MINOT","ND","58703","1128b4","20171019","20251125","00000000",""
"PFEIFER","QUEEN","ESTHER","","HOME HEALTH AGENCY","HEALTH CARE AIDE","","0000000000","19751113","33484 GAINSBORO CT","ROMULUS","MI","48174","1128a3","20070419","20251125","00000000",""
"PICK","DOUGLAS","M","","IND- LIC HC SERV PRO","PHARMACIST","","1669461505","19591103","17417 VALLEY DRIVE","OMAHA","NE","68130","1128a3","20190718","20251125","00000000",""
"PIOTTI","SHELBY","","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19721107","124 SEBRING ROAD","NEWFIELD","NY","14867","1128a1","20181220","20251117","00000000",""
"ROARK","ELIZABETH","RENAY","","EMPLOYEE - PRIVATE S","ASSISTED LIVING FACI","","0000000000","19861006","211 NE AZELEA DR","CORVALLIS","OR","97330","1128a3","20190320","20251125","00000000",""
"ROGERS","WANDELL","RAY","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1366692055","19521211","12045 HOMEPORT DRIVE","MAUREPAS","LA","70449","BRCH CIA","20200812","20251125","00000000",""
"ROSELLINI","WILLIAM","","","EMPLOYEE-GOVERNMENT","NIH","","0000000000","19790711","425 CARR 693 ST 1 PMB 220","DORADO","PR","00646","1128b7","20201013","20251125","00000000",""
"SCOTT","TAVONJIA","HILLS","","INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY","","0000000000","19701228","412 FOS AVE","HARVEY","LA","70058","1128a1","20191120","20251117","00000000",""
"SIMON","TANYA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19740605","189 FAWN CV","HERNANDO","MS","38632","1128b4","20241219","20251125","00000000",""
"SINGH","ANKITA","","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1265870935","19820620","2589 S PINNACLE DRIVE","CHANDLER","AZ","85286","1128a1","20241120","20241120","00000000",""
"SMITH","KIRSTEN","ANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19971009","508 AVONDALE ROAD, NE","PALM BAY","FL","32907","1128b4","20240118","20251119","00000000",""
"SMITH","REGINALD","EUGENE","","INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER","","0000000000","19600627","1919 HAMPDEN RD","FLINT","MI","00000","1128a1","20151119","20251125","00000000",""
"SOBTZAK","TERESE","LYNN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19590601","17600 14TH AVE N, APT 113","MINNEAPOLIS","MN","55447","1128b4","20220920","20251119","00000000",""
"STRONG-FIELDS","MICHELLE","A","","MEDICAL PRACTICE, MD","FAMILY PRACTICE","","0000000000","19560817","32 NORTH 50TH ST","PHILADELPHIA","PA","19139","1128b14","20030623","20251125","00000000",""
"SZYPLIK","JASMINE","DARRA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19810629","502 WEST 10TH ST, APT 5","ERIE","PA","16502","1128b4","20171019","20251124","00000000",""
"WILSON","GINGER","LEANNE","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19681010","17311 E US HWY 40, LOT B 84","INDEPENDENCE","MO","64055","1128a1","20160818","20251125","00000000",""
"WISKER","SCOTT","THOMAS","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19620827","3909 W BAY TO BAY BLVD","TAMPA","FL","33629","1128b4","20200319","20251119","00000000",""
"ZIEGLER","GENE","CHARLES","","SKILLED NURSING FAC","NURSE/NURSES AIDE","","0000000000","19670115","1537 N ANNE AVE","EAST WENATCHEE","WA","98802","1128a2","19961209","20251119","00000000",""