MRS. LAURIE S. HANNAN-REAGAN (NPI# 1043752710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043752710 |
Entity Type | Individual |
Full Name | MRS. LAURIE S. HANNAN-REAGAN |
Credential | FNP-C |
Practice Address |
67780 E Palm Canyon Dr Cathedral City CA 92234-5441 |
Practice Telephone | 7607731680 |
Mailing Telephone | 7607731680 |
Enumeration Date | 2016-11-13 |
Last Update Date | 2017-01-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95005463 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
67780 E PALM CANYON DR |
City | CATHEDRAL CITY |
State | CA |
Zip Code | 92234-5441 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043215130 | Robert B Waterbor | Internal Medicine | 67780 E Palm Canyon Dr, Cathedral City, CA 92234-5441 | 2005-06-16 |
1891164307 | Michael Del Rosario | Internal Medicine | 67780 E Palm Canyon Dr, Cathedral City, CA 92234 | 2015-09-15 |
1942684840 | Raul Mercado Garcia | Internal Medicine | 67780 E Palm Canyon Dr, Cathedral City, CA 92234-5441 | 2015-07-10 |
1215327119 | Monique Mester-robertson | Nurse Practitioner | 67780 E Palm Canyon Dr, Ste. 100, Cathedral City, CA 92234-5441 | 2015-01-29 |
1285858712 | Emergency Physicians Medical Group, Inc | Family Medicine | 67780 E Palm Canyon Dr, Cathedral City, CA 92234-5441 | 2007-04-13 |
1205920691 | William I Christensen | Internal Medicine | 67780 E Palm Canyon Dr, Cathedral City, CA 92234-5441 | 2006-10-03 |
1992819247 | Jonathan G Bechard | Internal Medicine | 67780 E Palm Canyon Dr, Cathedral City, CA 92234-5441 | 2006-08-17 |
1679593859 | Roy Talbot Young | Internal Medicine | 67780 E Palm Canyon Dr, Cathedral City, CA 92234 | 2006-07-20 |
1649204595 | James S Manion, Md, Inc | Clinic/Center | 67780 E Palm Canyon Dr, Cathedral City, CA 92234-5441 | 2006-07-10 |
1336190172 | Kristopher A Keene | Physician Assistant | 67780 E Palm Canyon Dr, Cathedral City, CA 92234-5441 | 2006-05-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215559661 | Susan Lim | Pharmacist | 68018 Vista Chino, Cathedral City, CA 92234 | 2020-05-08 |
1306479936 | Aragon Medical Transport Inc. | Non-emergency Medical Transport (VAN) | 33775 Wishing Well Trl # 92234, Cathedral City, CA 92234 | 2020-02-21 |
1770973984 | K C Loo Dds A Dental Corp | Dentist | 68487 E. Palm Canyon Dr Bldg #1, Cathedral City, CA 92234 | 2015-01-26 |
1124426614 | Catherine Rodriguez | Counselor | 68100 Ramon Road, Cathedral City, CA 92234 | 2014-12-15 |
1760889323 | Serenity Congregate Care | Skilled Nursing Facility | 31730 Avenida Del Padre, Cathedral City, CA 92234 | 2014-11-25 |
1043622202 | Ruben Mendez Dds A Professional Corporation | Dentist | 68100 Ramon Rd., A 4, Cathedral City, CA 92234 | 2014-05-22 |
1801224670 | Stepping Stones Community Church of The Desert | Voluntary or Charitable | 216 Via Genova, Cathedral City, CA 92234 | 2013-10-14 |
1841576337 | Cristina Rene Jester | Case Manager/Care Coordinator | 68425 Perez Road, Suite 11, Cathedral City, CA 92234 | 2011-10-27 |
1356649438 | Kimberly Coppage | Case Manager/Care Coordinator | 68-625 Perez Rd, 11-a, Cathedral City, CA 92234 | 2011-03-14 |
1376703355 | Michael Day | Chiropractor | 465 Coyote, Cathedral City, CA 92234 | 2008-06-12 |
Find all providers in zip 92234 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730701863 | Karen Roland | Nurse Practitioner | 34151 Date Palm Dr Ste E, Cathedral City, CA 92234-6831 | 2020-05-12 |
1932671229 | Jocelyn Rodriguez | Nurse Practitioner | 68626 Everwood Ct, Cathedral City, CA 92234-4871 | 2018-12-26 |
1629582465 | Michelle Ramos | Nurse Practitioner | 69175 Ramon Rd # A, Cathedral City, CA 92234-3344 | 2017-11-30 |
1659614857 | Carolyn Seals | Nurse Practitioner | 68955 Minerva Rd, Cathedral City, CA 92234-3873 | 2013-04-05 |
1801134523 | Diana Olivia Zingg | Nurse Practitioner | 68420 Encinitas Rd, Cathedral City, CA 92234-5626 | 2013-01-30 |
1427091628 | Patric Schine | Nurse Practitioner | 68555 Ramon Rd # 103-104, Cathedral City, CA 92234-3310 | 2006-06-14 |
1215304860 | Reynaldo Hacinas | Nurse Practitioner | 69175 Ramon Rd Ste A, Cathedral City, CA 92234-3344 | 2015-08-31 |
1215327119 | Monique Mester-robertson | Nurse Practitioner | 67780 E Palm Canyon Dr, Ste. 100, Cathedral City, CA 92234-5441 | 2015-01-29 |
1669886172 | Charita Marie Robinson | Nurse Practitioner | 69175 Ramon Rd Bldg A, Cathedral City, CA 92234-3344 | 2014-06-12 |
1487834669 | Abner Vilches | Nurse Practitioner | 69175 Ramon Rd, Suite A, Cathedral City, CA 92234-3344 | 2007-11-06 |
Find all providers in CATHEDRAL CITY |
City | CATHEDRAL CITY |
Zip Code | 92234 |
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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.