TINA C MCCREARY (NPI# 1083768881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083768881 |
| Entity Type | Individual |
| Full Name | TINA C MCCREARY |
| Practice Address |
1511 19th Street Oceano CA 93445 |
| Mailing Address |
Po Box 1118 Templeton CA 93465-1118 |
| Practice Telephone | 8054734242 |
| Mailing Telephone | 8052380975 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
1511 19TH STREET |
| City | OCEANO |
| State | CA |
| Zip Code | 93445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679976104 | County of San Luis Obispo | Community/Behavioral Health | 1511 19th St, Oceano, CA 93445 | 2014-09-29 |
| 1952611477 | Sierra Rae Overton | Counselor | 1743 Rochelle Way, Oceano, CA 93445 | 2010-10-18 |
| 1285772277 | Rebecca P Duffy | Marriage & Family Therapist | 1511 19th St., Oceano, CA 93445 | 2007-02-02 |
| 1215188289 | Laura Ann Raynor | Marriage & Family Therapist | 1511 19th St., Oceano, CA 93445 | 2008-10-08 |
| 1851651749 | Kristyn Lauren Moore | Registered Nurse | 2700 Cienaga St Spc 55, Oceano, CA 93445-8975 | 2012-05-24 |
| 1225021777 | Ethan Roy Etnyre | Family Medicine | 2120 Cienaga St, Oceano, CA 93445-9016 | 2005-08-30 |
| 1780204388 | Maribel Ramirez | Dental Hygienist | 2120 Cienaga St, Oceano, CA 93445-9016 | 2020-04-23 |
| 1336459387 | Nubia Daguia | Nurse Practitioner | 2120 Cienaga St, Oceano, CA 93445-9016 | 2010-10-08 |
| 1790800381 | Lisa Cynthia Jimenez | Social Worker | 2120 Cienaga St, Oceano, CA 93445-9016 | 2007-03-20 |
| 1497748958 | Karen S Mikuni | Family Medicine | 2120 Cienaga St, Oceano, CA 93445-9016 | 2005-08-30 |
| Find all providers in zip 93445 | ||||
| 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 |
|---|---|---|---|---|
| 1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
| 1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
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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.