KELLY ANN LATIMER (NPI# 1013491315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013491315 |
| Entity Type | Individual |
| Full Name | KELLY ANN LATIMER |
| Credential | MSW STUDENT |
| Practice Address |
630 Bercut Dr Sacramento CA 95811-0110 |
| Practice Telephone | 9164413819 |
| Practice Fax Number | 9164416377 |
| Mailing Telephone | 9164413819 |
| Mailing Fax Number | 9164416377 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2019-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144292822 | Kelly Maya Latimer | Family Medicine | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2006-02-06 |
| Street Address |
630 BERCUT DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95811-0110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811012784 | Carol Ann Legnitto | Counselor | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2007-03-20 |
| 1477185692 | Sabrina Claire Bruce | Case Manager/Care Coordinator | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2020-02-05 |
| 1508407479 | Alexander Christopher Porter | Case Manager/Care Coordinator | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2019-10-02 |
| 1982255022 | Venessa Elizabeth Goodman | Student in an Organized Health Care Education/Training Program | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2019-09-20 |
| 1851941017 | Bradley Bergan | Licensed Vocational Nurse | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2019-09-18 |
| 1164996500 | Javier Pimentel Jr. | Case Manager/Care Coordinator | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2019-01-18 |
| 1891270682 | Brendan Chandar | Case Manager/Care Coordinator | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2018-09-27 |
| 1982197505 | Victoria Elena Lane | Student in an Organized Health Care Education/Training Program | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2018-06-08 |
| 1841714128 | Isela Sahagun | Counselor | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2017-07-28 |
| 1700323706 | Lakondra Vitatoe | Counselor | 630 Bercut Dr, Sacramento, CA 95811-0110 | 2017-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891190 | Teresa Sy | Behavior Technician | 610 Bercut Dr. Suite B, Sacramento, CA 95811 | 2018-12-03 |
| 1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
| 1669956801 | Andrea Martinez | Counselor | 600 Bercut Dr., Sacramento, CA 95811 | 2018-09-24 |
| 1174000855 | Clinicians Connect Care Home Health & Hospice Services | Home Health | 716 19th Street, Suite 200, Sacramento, CA 95811 | 2018-07-25 |
| 1992202345 | Benjamin James Leibold | Behavior Technician | 610 Bercut Drive, Suite B, Sacramento, CA 95811 | 2018-04-11 |
| 1669979233 | Aja Jones | Counselor | 401 S Street, Sacramento, CA 95811 | 2018-04-10 |
| 1821511916 | Lucas John Monaco | Counselor | 1400 North 'a' Street, Bldg A, Sacramento, CA 95811 | 2017-07-20 |
| 1275089963 | Sergio Vicuna, D.d.s., Inc | Dentist | 1804 19th St, Suite 100, Sacramento, CA 95811 | 2016-09-01 |
| 1386057495 | Chelsea Turner | Counselor | 600 Bercut Drive, Sacramento, CA 95811 | 2014-06-05 |
| 1427473636 | Sidney Caldwell | Counselor | 401 S Street Sacramento, Sacramento, CA 95811 | 2014-02-25 |
| Find all providers in zip 95811 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
| 1043824337 | Adonis R Johnson | Counselor | 2500 Marconi Ave, Sacramento, CA 95821-4853 | 2020-09-03 |
| 1528676160 | Hope Lynn Mulligan | Counselor | 2750 Sutterville Rd # Cottage1, Sacramento, CA 95820-1024 | 2020-07-20 |
| 1235756891 | Guneet Kaur | Counselor | 8247 E Stockton Blvd # 4, Sacramento, CA 95828-8200 | 2020-06-30 |
| 1073132635 | Gage Michael Smith | Counselor | 7055 Woodrick Way, Sacramento, CA 95842-2246 | 2020-04-14 |
| 1952935876 | Crystal S Nicholas | Counselor | 845 Fulton Ave Apt 1051, Sacramento, CA 95825-6434 | 2020-02-29 |
| 1255975827 | Molly Ritter | Counselor | 650 Bercut Dr Ste C, Sacramento, CA 95811-0100 | 2019-11-06 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1821642265 | Courtney Nelson | Counselor | 7818 Bardu Ln, Sacramento, CA 95829 | 2019-07-24 |
| 1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95811 |
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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.