SUZETTE ALEXIAS CARRILLO (NPI# 1083190482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083190482 |
| Entity Type | Individual |
| Full Name | SUZETTE ALEXIAS CARRILLO |
| Practice Address |
290 Ioof Ave Gilroy CA 95020 |
| Mailing Address |
290 Ioof Ave Gilroy CA 95020-5204 |
| Practice Telephone | 4088462100 |
| Mailing Telephone | 4088462100 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | 00858413 | CA | Nursing Service Related Providers |
| N | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| Street Address |
290 IOOF AVE |
| City | GILROY |
| State | CA |
| Zip Code | 95020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164597753 | Domingo Gomez Jr. | Case Manager/Care Coordinator | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2006-11-21 |
| 1275132268 | Patricia Del Carmen Amaya | Licensed Vocational Nurse | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-10-20 |
| 1427655505 | Alyse Freitas | Counselor | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-10-02 |
| 1295342632 | Shalane Lee | Counselor | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-09-29 |
| 1942816814 | Rachel Marie Anderson | Case Manager/Care Coordinator | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-09-16 |
| 1689288052 | Alexis Acevedo | Counselor | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-09-03 |
| 1508470089 | Kathryn Elizabeth Wampler | Counselor | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-09-02 |
| 1023622719 | Justin Janda | Counselor | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-09-01 |
| 1609487602 | Justin Azevedo | Marriage & Family Therapist | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-08-12 |
| 1740890995 | Andrea Natali Lopez | Technician | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158105 | Benjamin Liupaogo | Case Manager/Care Coordinator | Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 | 2020-09-09 |
| 1205457330 | Ethel Rostran | Counselor | 290 I00f Ave., Gilroy, CA 95020 | 2020-04-29 |
| 1407498868 | Mehak Saini | Behavior Technician | 9360 Noname Uno, Gilroy, CA 95020 | 2019-10-16 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1932752490 | Eamon F. Burke | Counselor | Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 | 2019-07-23 |
| 1578116232 | Jose Enrique Cruz | Behavior Technician | 9360 Noname Uno #130, Gilroy, CA 95020 | 2019-07-22 |
| 1558925560 | Mauricio Hazael Procopio | Behavioral Analyst | 9360 Noname Uno Suite 130, Gilroy, CA 95020 | 2019-04-24 |
| 1689138893 | Gabriela Mendoza | Behavioral Analyst | 9395 Kern Ave, Gilroy, CA 95020 | 2019-01-22 |
| 1972082782 | Andrea Gloria Blanton | Social Worker | Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 | 2018-08-13 |
| 1407334626 | Katrina Davina Aguilera | Case Manager/Care Coordinator | 290 Loof Ave., Gilroy, CA 95020 | 2018-07-31 |
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| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103244 | Josette Hebert | Nurse's Aide | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2018-08-09 |
| 1740357391 | Anita Ramirez | Nurse's Aide | 290 I O O F Ave, Gilroy, CA 95020-5204 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676127 | Pauline Monillas | Nurse's Aide | 22962 Caminito Rio, Laguna Hills, CA 92653-1124 | 2020-10-16 |
| 1619582327 | Karen M Quevedo | Nurse's Aide | 831 Orchid Ct Apt C, Upland, CA 91786-3739 | 2020-09-10 |
| 1982216370 | Joy Baltazar Penafiel | Nurse's Aide | 5218 E Hanbury St, Long Beach, CA 90808-1846 | 2020-08-18 |
| 1790306223 | Deseree Kimalee Armstead | Nurse's Aide | 3753 Mission Ave Ste A-1, Oceanside, CA 92058-1471 | 2020-05-06 |
| 1710508627 | Mike Adams Bryant | Nurse's Aide | 2910 S Archibald Ave Ste A421, Ontario, CA 91761-7323 | 2020-05-01 |
| 1902448442 | Emily Lugo | Nurse's Aide | 3300 Truxtun Ave Fl 1, Bakersfield, CA 93301-3137 | 2019-10-16 |
| 1114568284 | Jeremias Morales Buted | Nurse's Aide | 1 Berni Ct Apt 5, Millbrae, CA 94030-1438 | 2019-09-30 |
| 1578114757 | Donyelle Miller | Nurse's Aide | 3819 Vineyard Ave Apt 74, Pleasanton, CA 94566-6743 | 2019-09-27 |
| 1477104958 | Luis Puente Zepeda | Nurse's Aide | 1883 Shamrock Ave, Santa Clara, CA 95051-2419 | 2019-09-25 |
| 1508429184 | Bjz LLC | Nurse's Aide | 42240 Green Way Ste A, Palm Desert, CA 92211-5183 | 2019-04-18 |
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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.