CAROL A SACKEY (NPI# 1093020935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093020935 |
| Entity Type | Individual |
| Full Name | CAROL A SACKEY |
| Credential | NP |
| Practice Address |
525 Roberts Ln Bakersfield CA 93308-4799 |
| Practice Telephone | 6613927850 |
| Practice Fax Number | 6612152349 |
| Mailing Telephone | 6613927850 |
| Mailing Fax Number | 6612152349 |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2013-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 670057 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20004 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
525 ROBERTS LN |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93308-4799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255335956 | Nagy Sadek Awadalla | Family Medicine | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2005-06-09 |
| 1235773680 | Susan Patricia Peretto | Registered Nurse | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2019-10-29 |
| 1144755034 | Brandy Oliver | Registered Nurse | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2017-04-27 |
| 1497003750 | Hyun-joo Keri Park | Physician Assistant | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2012-08-16 |
| 1265755359 | Art of Serenity | Clinic/Center | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2010-03-04 |
| 1063684413 | Omni Family Health | Clinical Medical Laboratory | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2008-03-26 |
| 1508044330 | Omni Family Health | Clinical Medical Laboratory | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2008-02-04 |
| 1568681690 | Omni Family Health | Clinic/Center | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2007-04-25 |
| 1548335920 | Neloufa R Merrill | Pediatrics | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2006-11-21 |
| 1700804556 | Omni Family Health | Clinical Medical Laboratory | 525 Roberts Ln, Bakersfield, CA 93308-4799 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553435 | Advanced Recovery, LLC | Substance Abuse Rehabilitation Facility | 3801 Buck Owens Boulevard, Ste 105, Bakersfield, CA 93308 | 2020-03-18 |
| 1699321562 | Francisco Marquez Fuentes | Case Manager/Care Coordinator | 1197 Industry Farm Lane, Bakesfield, CA 93308 | 2019-08-15 |
| 1114571916 | Kern Health Systems | Exclusive Provider Organization | 2900 Buck Owens Blvd., Bakersfield, CA 93308 | 2019-07-30 |
| 1104396787 | Premier Associates Group, Inc. | Social Worker | 3512 Coffee Road Suite B, Bakersfield, CA 93308 | 2018-11-27 |
| 1295249191 | A&p Treatment Center, LLC | Surgery | 7910 Downing Avenue Suite 100, Bakersfield, CA 93308 | 2017-11-30 |
| 1558873448 | Nare Sahakyan | Pharmacist | 2620 N Chester Ave, Bakersfield, CA 93308 | 2017-10-31 |
| 1104352111 | Meghan Saphiloff | Nurse Practitioner | 3008 Sillect Ave Ste 210, Bakersfield, CA 93308 | 2017-05-11 |
| 1962938134 | Lauren Colella-emery | Licensed Vocational Nurse | 17695 Industrial Parkway, Bakersfield, CA 93308 | 2017-05-10 |
| 1437607926 | Bakersfieldidence Opco, LLC | Skilled Nursing Facility | 5151 Knudsen Dr., Bakersfield, CA 93308 | 2016-09-14 |
| 1578974150 | Patricia Denise Mcdermott | Licensed Vocational Nurse | 17695 Indrustrial Farm Road, Bakersfield, CA 93308 | 2014-05-16 |
| Find all providers in zip 93308 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456835 | Erin Marie Eddy | Nurse Practitioner | 10104 Glenn St, Bakersfield, CA 93312-2763 | 2020-08-10 |
| 1306454640 | Amandeep Dhillon | Nurse Practitioner | 14909 Brockbank Ave, Bakersfield, CA 93314-4307 | 2020-07-22 |
| 1962022160 | Laura Ellen Levingston | Nurse Practitioner | 2108 Dean Ave, Bakersfield, CA 93312-2728 | 2020-04-17 |
| 1386278927 | Durish Ann Adan Dorotheo | Nurse Practitioner | 8307 Brimhall Rd Ste 1702, Bakersfield, CA 93312-4343 | 2020-02-22 |
| 1336772615 | April Elizabeth Cooper | Nurse Practitioner | 1500 Haggin Oaks Blvd Ste 100, Bakersfield, CA 93311-1333 | 2020-02-14 |
| 1831739226 | Christine Crisostomo | Nurse Practitioner | 500 Windsor Park Dr, Bakersfield, CA 93311-3586 | 2020-01-14 |
| 1215586870 | Marissa Perez Hernandez | Nurse Practitioner | 4000 Physicians Blvd Ste 211, Bakersfield, CA 93301-1284 | 2019-09-06 |
| 1053969212 | Oliver Ranin | Nurse Practitioner | 9709 Swansboro Way, Bakersfield, CA 93314-8081 | 2019-08-30 |
| 1871155481 | Kathlene Mateo Hilario | Nurse Practitioner | 5055 California Ave Ste 340, Bakersfield, CA 93309-1993 | 2019-07-03 |
| 1538729074 | Dipali Desai | Nurse Practitioner | 11719 Christmas Rose Dr, Bakersfield, CA 93311-2187 | 2019-06-17 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93308 |
Please comment or provide details below to improve the information on CAROL A SACKEY.
| 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.