KELLI JEANNINE OTT (NPI# 1063038909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063038909 |
| Entity Type | Individual |
| Full Name | KELLI JEANNINE OTT |
| Practice Address |
609 5th St Modesto CA 95351-3316 |
| Practice Telephone | 2093410718 |
| Mailing Telephone | 2093410718 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740450436 | Kelli Rhea Ott | Social Worker | 527 Vanessa Dr, W Alexandria, OH 45381-9399 | 2008-03-10 |
| Street Address |
609 5TH ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95351-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790813582 | Janene Carol Honberger | Case Manager/Care Coordinator | 609 5th St, Modesto, CA 95351-3316 | 2007-03-01 |
| 1720695414 | Mary English | Technician/Technologist | 609 5th St, Modesto, CA 95351-3316 | 2020-09-26 |
| 1770100588 | Coty Huntley | Technician | 609 5th St, Modesto, CA 95351-3316 | 2020-06-26 |
| 1215553003 | Richard Vernon Search | Technician | 609 5th St, Modesto, CA 95351-3316 | 2020-06-17 |
| 1689201295 | Donnie Carter Jr. | Technician | 609 5th St, Modesto, CA 95351-3316 | 2020-03-24 |
| 1962039701 | Jody Becker | Technician | 609 5th St, Modesto, CA 95351-3316 | 2020-03-23 |
| 1073145140 | Cristian Brittney Mcclure | Technician, Other | 609 5th St, Modesto, CA 95351-3316 | 2020-02-06 |
| 1265075519 | Julia Ann Raistrick | Technician | 609 5th St, Modesto, CA 95351-3316 | 2019-10-18 |
| 1508409962 | Joel Wesley Culver | Technician | 609 5th St, Modesto, CA 95351-3316 | 2019-10-17 |
| 1467012385 | Diana Rivera | Technician | 609 5th St, Modesto, CA 95351-3316 | 2019-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
| 1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| 1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
| 1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
| 1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
| Find all providers in zip 95351 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801437843 | Zipporah Ann Mitchell | Technician | 2023 Donald St, Modesto, CA 95351-3405 | 2019-10-01 |
| 1396396263 | Michelle Deleon | Technician | 1522 Kingsland Ln, Modesto, CA 95356-0902 | 2019-09-23 |
| 1639725583 | Eni Sanonu | Technician | 2408 Kaslin Dr, Modesto, CA 95355-7905 | 2019-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487691 | Hine Maumalanga | Technician | 1094 Folsom Ave, Hayward, CA 94544-5704 | 2020-11-05 |
| 1649871765 | Charles Leroy Appleberry II | Technician | 1100 S Chester Ave, Compton, CA 90221-4312 | 2020-11-04 |
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1083212476 | Christina Elisabeth Brunn | Technician | 2818 Huxley Pl, Fremont, CA 94555-1416 | 2020-10-16 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1730795543 | Corina Rochelle Burch | Technician | 3706 Calavo Dr, Spring Valley, CA 91977-1903 | 2020-09-17 |
| 1033724729 | Cinta Latrece Moore | Technician | 12329 Creekview Dr Unit 37, San Diego, CA 92128-6624 | 2020-09-10 |
| 1598379398 | Trina Diane Brown | Technician | 115 W Zane St, Long Beach, CA 90805-6327 | 2020-08-31 |
| 1437760766 | Jeri Lyn Allen-smith | Technician | 9228 Allano Way, Santee, CA 92071-2202 | 2020-08-11 |
| 1750991667 | Natalie Mari Norman | Technician | 5013 Englewood Dr, San Jose, CA 95129-4232 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.