DR. KATHRYN NIELSEN-WINES (NPI# 1063503118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063503118 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN NIELSEN-WINES |
| Credential | D.C. |
| Practice Address |
1074 Beaumont Ave Beaumont CA 92223-1833 |
| Practice Telephone | 9518456456 |
| Practice Fax Number | 9518457485 |
| Mailing Telephone | 9518456456 |
| Mailing Fax Number | 9518457485 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 16014 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AMERICAN SPECIALTY HEALTH | 50215 | 01 |
| CA | BLUE SHIELD | DC0160140 | 01 |
| CA | ANTHEM | DC0160140 | 01 |
| CA | AETNA | 4398450 | 01 |
| Street Address |
1074 BEAUMONT AVE |
| City | BEAUMONT |
| State | CA |
| Zip Code | 92223-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760487268 | Gary D Wines | Chiropractor | 1074 Beaumont Ave, Beaumont, CA 92223-1833 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115376 | National Vision Inc | Optometrist | 1561 East 2nd Street, Suite 300, Beaumont, CA 92223 | 2020-08-18 |
| 1417566985 | Krystle Santana | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, Ca 9223, Beaumont, CA 92223 | 2020-07-30 |
| 1063045656 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 839 Highland Springs Parkway, Building C, Beaumont, CA 92223 | 2020-02-21 |
| 1730745969 | Paola Correa | Counselor | 24700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-05-13 |
| 1639662802 | Jeremy Ball | Optometrist | 1659 E 6th St Ste A, Beaumont, CA 92223 | 2018-06-12 |
| 1659894368 | Jennifer Vargas | Counselor | 136 E. 6th St., Beaumont, CA 92223 | 2017-07-25 |
| 1770931487 | Amy Appleby | Student in an Organized Health Care Education/Training Program | 1360 Coriander Ct, Beaumont, CA 92223 | 2016-06-03 |
| 1427410364 | Jacob Garcia | Licensed Vocational Nurse | 38686 Florence Ave, Beaumont, CA 92223 | 2016-03-21 |
| 1396121588 | Anastasia B Flores | Counselor | 14700 Manzanita Park Rd., Beaumont, CA 92223 | 2015-08-11 |
| 1326424227 | Cindy Quyen Huynh | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223 | 2015-08-03 |
| Find all providers in zip 92223 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457734345 | David J Rowell | Chiropractor | 701 Highland Springs Ave Ste 8, Beaumont, CA 92223-2551 | 2015-07-09 |
| 1851734750 | Brittany Marie Guillory | Chiropractor | 7060 Phelan Blvd Suite 101, Beaumont, TX 77706 | 2013-04-10 |
| 1588902886 | Greentree Health | Chiropractor | 87 Ih 10 N Ste 100, Beaumont, TX 77707-2542 | 2013-01-21 |
| 1366763187 | Tiffany April Coronado | Chiropractor | 6356 Phelan Blvd, Beaumont, TX 77706-6150 | 2010-06-16 |
| 1124344387 | Sean Michael Roden | Chiropractor | 2750 Interstate 10 E Ste 200, Beaumont, TX 77703-4979 | 2010-04-13 |
| 1093049850 | N&n Pain & Injury Clinic, Pa | Chiropractor | 7985 Phelan Blvd, Beaumont, TX 77706-5720 | 2009-09-28 |
| 1013155043 | James Joseph Leblanc | Chiropractor | 1595 Cornerstone Ct, Suite A, Beaumont, TX 77706-3899 | 2009-01-29 |
| 1215128889 | Phillip K. Leblanc | Chiropractor | 1595 Cornerstone Ct Ste A, Beaumont, TX 77706-3899 | 2007-08-07 |
| 1740480698 | Dark & Kaibel, D.c.'s | Chiropractor | 851 E. 6th Street, Suite B-1, Beaumont, CA 92223-2217 | 2007-07-19 |
| 1639370117 | Beaumont Chiropractic | Chiropractor | 890 Beaumont Ave, Beaumont, CA 92223-5937 | 2007-05-30 |
| Find all providers in BEAUMONT | ||||
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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.