MECHELLE RENEE PEREA-RYAN (NPI# 1023255841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023255841 |
| Entity Type | Individual |
| Full Name | MECHELLE RENEE PEREA-RYAN |
| Other Name | MECHELLE RENEE PEREA |
| Credential | FNP |
| Practice Address |
1717 Las Vegas St Modesto CA 95358-5500 |
| Mailing Address |
737 W Childs Ave Merced CA 95341-6805 |
| Practice Telephone | 2095764200 |
| Practice Fax Number | 2095565064 |
| Mailing Telephone | 2093831848 |
| Mailing Fax Number | 2093831296 |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2011-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN445148 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP9455 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | NP9455 | 01 |
| Street Address |
1717 LAS VEGAS ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95358-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942283148 | Alfonso Hernandez | Marriage & Family Therapist | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2005-11-22 |
| 1932741139 | Virginia Inthavong | Nurse Practitioner | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2019-10-09 |
| 1245748805 | Yoojin Suh | Nurse Practitioner | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2018-01-17 |
| 1134570864 | Ravindar Kaur | Nurse Practitioner | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2016-06-23 |
| 1942612742 | Rozita Akhbari | Pediatrics | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2014-05-28 |
| 1578814216 | Gabriela Teresita Rodriguez | Social Worker | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2012-09-20 |
| 1740460658 | Jennifer Elizondo | Family Medicine | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2007-11-07 |
| 1033322870 | Golden Valley Health Centers | Social Worker | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2007-05-08 |
| 1942413786 | Golden Valley Health Centers | Family Medicine | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2007-05-08 |
| 1851504690 | Golden Valley Health Centers | Family Medicine | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902321805 | Cecilia Yolanda Guajardo | Counselor | 2524 Finney Road, Ceres, CA 95358 | 2017-08-11 |
| 1205203049 | Olga Olivia Castillo | Case Manager/Care Coordinator | 1620 Cummings Rd, Modesto, CA 95358 | 2015-08-27 |
| 1174942270 | Rajneel Singh | Case Manager/Care Coordinator | 1524 Radcliffe Ave, Modesto, CA 95358 | 2014-04-16 |
| 1447486139 | Karl David Meabrod | Counselor | 190 E. Hackett Rd., Modesto, CA 95358 | 2009-06-08 |
| 1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
| 1134250400 | Shelley Marie Southern | Marriage & Family Therapist | 1620 Cummins Drive, Modesto, CA 95358 | 2007-03-08 |
| 1538297973 | County of Stanislaus | Community/Behavioral Health | 251 East Hackett Road, Modesto, CA 95358 | 2007-02-28 |
| 1407347248 | Jamie Lauren Mcgillis | Counselor | 1620 Cummins Dr, Modesto, CA 95358 | 2018-05-29 |
| 1508250135 | Michelle Eldridge | Case Manager/Care Coordinator | 1620 Cummins Drive, Modesto, CA 95358 | 2015-03-20 |
| 1083747604 | Juan Carlos Teran Jr. | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358 | 2007-03-13 |
| Find all providers in zip 95358 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227797 | Beverly M Hodges Advanced Practice Registered Nursing Inc | Nurse Practitioner | 814 14th St Ste E, Modesto, CA 95354-1028 | 2020-08-24 |
| 1417575747 | Jyotishna Narayan | Nurse Practitioner | 1801 H St Ste C, Modesto, CA 95354-1221 | 2020-07-13 |
| 1134746019 | Michael They | Nurse Practitioner | 802 14th St Ste N, Modesto, CA 95354-1029 | 2020-06-26 |
| 1528604543 | Kristy Leann Fullard | Nurse Practitioner | 2012 Kendall Ave, Modesto, CA 95355-3280 | 2019-11-25 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1699288993 | Advance Nursing Practice Medical Group Inc | Nurse Practitioner | 1409 Lecourbe Ct, Modesto, CA 95356-8905 | 2017-11-08 |
| 1154830842 | Maria Christina Romasanta Quintana | Nurse Practitioner | 2416 La Playa Ln, Modesto, CA 95355-7952 | 2017-09-25 |
| 1538690607 | Myla Urbano | Nurse Practitioner | 2800 Floyd Ave Apt 27, Modesto, CA 95355-9464 | 2017-03-21 |
| 1467808758 | Prakriti Prashanta Janz-navarro | Nurse Practitioner | 1524 Mchenry Ave Ste 135, Modesto, CA 95350-4569 | 2016-05-05 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in MODESTO | ||||
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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.