CHELSEA PROVENZANO (NPI# 1033631700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033631700 |
| Entity Type | Individual |
| Full Name | CHELSEA PROVENZANO |
| Credential | MSN, FNP- C |
| Practice Address |
8851 Center Dr Ste 408 La Mesa CA 91942-3076 |
| Mailing Address |
13627 Sunset View Rd Poway CA 92064-5051 |
| Practice Telephone | 6195831174 |
| Practice Fax Number | 6195834609 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95006939 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615681 | Chelsea Provenzano | Occupational Therapist | 475 Northern Blvd Ste 19, Great Neck, NY 11021-4802 | 2020-09-28 |
| Street Address |
8851 CENTER DR STE 408 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144870411 | Victoria Harvey | Nurse Practitioner | 8881 Fletcher Pkwy Ste 336, La Mesa, CA 91942-6100 | 2019-09-18 |
| 1639721822 | Manisha Gupta | Nurse Practitioner | 5140 Baltimore Dr Apt 342, La Mesa, CA 91942-0616 | 2019-07-09 |
| 1750889861 | Kasey Higgins | Nurse Practitioner | 10862 Calle Verde # S93, La Mesa, CA 91941 | 2018-01-24 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| 1053735019 | Cristina Tobon-chung | Nurse Practitioner | 4579 Maple Ave, Suite 1, La Mesa, CA 91941-3154 | 2014-02-12 |
| 1376176339 | Roda Pacheco Shamel | Nurse Practitioner | 8881 Fletcher Pkwy, La Mesa, CA 91942-3134 | 2020-02-18 |
| 1598235764 | Christine Ngoc Han | Nurse Practitioner | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2018-11-30 |
| 1538695333 | Aracely Palagud Flores | Nurse Practitioner | 4579 Maple Ave Ste 1, La Mesa, CA 91941-3154 | 2017-05-11 |
| 1033562723 | Hoda Melissa Kashikar | Nurse Practitioner | 8881 Fletcher Pkwy, Suite 360, La Mesa, CA 91942 | 2016-07-18 |
| 1578928321 | Thanhtruc Hoang Phan | Nurse Practitioner | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2015-12-22 |
| Find all providers in LA MESA | ||||
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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.