MRS. KATHY MITTLEIDER (NPI# 1083832794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083832794 |
| Entity Type | Individual |
| Full Name | MRS. KATHY MITTLEIDER |
| Credential | RN |
| Practice Address |
330 Campus Dr Annex Hanford CA 93230-4375 |
| Practice Telephone | 5595823211 |
| Practice Fax Number | 5595828388 |
| Mailing Telephone | 5595823211 |
| Mailing Fax Number | 5595828388 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
197129 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN LICENSE | 197129 | 01 |
| Street Address |
330 CAMPUS DR ANNEX |
| City | HANFORD |
| State | CA |
| Zip Code | 93230-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457305377 | Michelle E Conway | Nurse Practitioner | 330 Campus Dr, Hanford, CA 93230-4375 | 2006-05-22 |
| 1194355891 | Salina Ramirez | Registered Nurse | 330 Campus Dr, Hanford, CA 93230-4375 | 2020-01-22 |
| 1235618299 | Wellness for Life | Clinic/Center | 330 Campus Dr, Hanford, CA 93230-4375 | 2018-08-10 |
| 1750893913 | Joanne Cube | Registered Nurse | 330 Campus Dr, Hanford, CA 93230-4375 | 2017-10-27 |
| 1669902607 | Ashley Greene | Registered Nurse | 330 Campus Dr, Hanford, CA 93230-4375 | 2017-06-13 |
| 1356891501 | Tami M Terrazas | Registered Nurse | 330 Campus Dr, Hanford, CA 93230-4375 | 2016-10-12 |
| 1023474020 | Amanda Glass | Registered Nurse | 330 Campus Dr, Hanford, CA 93230-4375 | 2016-01-06 |
| 1598197444 | Kings County Department of Public Health | Public Health or Welfare | 330 Campus Dr, Hanford, CA 93230-4375 | 2013-08-02 |
| 1306285853 | Heather Belle Jablonski | Registered Nurse | 330 Campus Dr, Hanford, CA 93230-4375 | 2013-06-18 |
| 1578822797 | King County Health Dept | Clinical Medical Laboratory | 330 Campus Dr, Hanford, CA 93230-4375 | 2012-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
| 1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
| 1730795667 | Mercedes Zaragoza | Behavior Technician | 520 1ab, W. Lacey Blvd., Hanford, CA 93230 | 2020-09-16 |
| 1659989077 | Anmarie Torres | Behavior Technician | 520 1a&b W Lacey Blvd, Hanford, CA 93230 | 2020-07-22 |
| 1326506965 | Natalie Rodriguez Mejia | Marriage & Family Therapist | 1393 Bailey Drive St, Hanford, CA 93230 | 2019-03-02 |
| 1972094597 | Mariah Michelle Davila | Licensed Psychiatric Technician | 1529 W Sidonia St, Hanford, CA 93230 | 2018-05-21 |
| 1871011072 | Amanda Leann Perez | Counselor | 629 N. Irwin Street, Hanford, CA 93230 | 2017-09-07 |
| 1336667906 | Nicole Reyne Mcgowan | Case Manager/Care Coordinator | 700 N. Irwin Street, Hanford, CA 93230 | 2017-09-05 |
| 1932643251 | Diana Tran Nguyen | Midwife | 1122 N Harris St Ste 104, Hanford, CA 93230 | 2016-12-05 |
| 1770032997 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2395 E. Lacey Blvd, Hanford, CA 93230 | 2016-09-29 |
| Find all providers in zip 93230 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770190803 | Ma Adelver Quinitio Martin | Registered Nurse | 5912 Lomond Dr, San Diego, CA 92120-4541 | 2020-09-23 |
| 1285243444 | Tracy Travina Bennett | Registered Nurse | 10762 Wilson Ave, Alta Loma, CA 91737-2436 | 2020-07-23 |
| 1487262879 | Sally C Okeke | Registered Nurse | 15607 Lakewood Blvd Ste A, Paramount, CA 90723-4691 | 2020-07-21 |
| 1700494762 | Authorized Home Health Care Inc. | Registered Nurse | 12410 Burbank Blvd Ste 200, Valley Village, CA 91607-4732 | 2020-07-16 |
| 1306464003 | Gloria Quillope | Registered Nurse | 1061 E Bradley Ave, El Cajon, CA 92021-1232 | 2020-07-08 |
| 1164048682 | Marilyn A Wiedemann | Registered Nurse | 12089 Meriden Ln, San Diego, CA 92128-4339 | 2020-06-20 |
| 1760007991 | Petrina J Beugre | Registered Nurse | 110 Cedar Pointe Loop Apt 1004, San Ramon, CA 94583-4198 | 2020-06-12 |
| 1881216703 | Tabitha Shannon | Registered Nurse | 8910 Westhill Rd, Lakeside, CA 92040-3617 | 2020-05-13 |
| 1093335887 | Terrevia La Shawn Buck | Registered Nurse | 1423 W 66th St, Los Angeles, CA 90047-2011 | 2020-04-21 |
| 1770103574 | Latonda Knox | Registered Nurse | 288 W Terrace St, Altadena, CA 91001-4706 | 2020-04-21 |
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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.