MISS ELIZABETH A WINDREM (NPI# 1063745032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063745032 |
| Entity Type | Individual |
| Full Name | MISS ELIZABETH A WINDREM |
| Practice Address |
3707 Sunset Ln Antioch CA 94509-6101 |
| Practice Telephone | 9255220124 |
| Mailing Telephone | 9255220124 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3707 SUNSET LN |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326052572 | William Lumba Quismorio | General Practice | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2006-07-27 |
| 1598390973 | Brittney Leigh Smith | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2020-03-06 |
| 1922631803 | Katlin Colleen Sullivan | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2020-02-19 |
| 1902378268 | Juana Robinson | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2018-12-27 |
| 1588130116 | Cain Sands | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2018-10-22 |
| 1932602471 | Darrell Joe Goodbeer | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2018-03-12 |
| 1235648510 | Randy Reyes I | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2017-09-29 |
| 1427597236 | Angelina Baldocchi I | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2017-02-14 |
| 1801344882 | Rebecca Graham | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2016-09-19 |
| 1659829802 | Danielle Hebner | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2016-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902422843 | Muddasir Mohammed | Student in an Organized Health Care Education/Training Program | 1212 Saxony Lake Dr, Antioch, TN 37013-3793 | 2020-06-16 |
| 1205462819 | Derek Curt Knapp | Student in an Organized Health Care Education/Training Program | 4900 Canada Valley Rd Apt 165, Antioch, CA 94531-9003 | 2020-03-14 |
| 1326526211 | Shaza Basbar Dafalla | Student in an Organized Health Care Education/Training Program | 362 Dover Glen Dr, Antioch, TN 37013-1825 | 2018-08-01 |
| 1376035246 | Ernesto Luis Enrique | Student in an Organized Health Care Education/Training Program | 4707 Hunter Peak Ct, Antioch, CA 94531-8312 | 2018-06-05 |
| 1730632183 | Deidra Flanagan | Student in an Organized Health Care Education/Training Program | 3856 Osprey Dr, Antioch, CA 94509-6473 | 2016-08-02 |
| 1790135531 | Mariah Shepherd | Student in an Organized Health Care Education/Training Program | 1 Hickory Club Dr, Apt 2321, Antioch, TN 37013-6123 | 2016-06-13 |
| 1376943548 | Steven Gunther | Student in an Organized Health Care Education/Training Program | 52 E 16th St Apt 6, Antioch, CA 94509-2460 | 2014-08-25 |
| 1609151653 | Melinda Suzanne Carchidi | Student in an Organized Health Care Education/Training Program | 4204 Rocky Point Dr, Antioch, CA 94509-6960 | 2011-10-20 |
| 1639458706 | John Fayez Shenoda | Student in an Organized Health Care Education/Training Program | 4128 Pleasant Colony Dr, Antioch, TN 37013-5476 | 2011-08-08 |
| 1902428964 | Jocelyn Schneider | Student in an Organized Health Care Education/Training Program | 2335 Country Hills Dr, Antioch, CA 94509-7319 | 2020-05-13 |
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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.