THERESA DAVIS-BATES (NPI# 1104367135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104367135 |
| Entity Type | Individual |
| Full Name | THERESA DAVIS-BATES |
| Credential | FNP |
| Practice Address |
141 W Foothill Blvd Upland CA 91786-8705 |
| Mailing Address |
12900 Park Plaza Dr Ste 150 Cerritos CA 90703-9329 |
| Practice Telephone | 5623676151 |
| Mailing Telephone | 5629774674 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95006327 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
141 W FOOTHILL BLVD |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-8705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932153582 | Terence P. Rhone | Internal Medicine | 141 W Foothill Blvd, Upland, CA 91786-8705 | 2006-05-19 |
| 1780225391 | Kimberly Wen Fung | Nurse Practitioner | 141 W Foothill Blvd, Upland, CA 91786-8705 | 2019-10-04 |
| 1912342783 | Paul Bixenstine | Internal Medicine | 141 W Foothill Blvd, Upland, CA 91786-8705 | 2013-05-06 |
| 1376640714 | Johnny Jaehwan Choi | Internal Medicine | 141 W Foothill Blvd, Upland, CA 91786-8705 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699241265 | Alexander Knipper | Nurse Practitioner | 1334 N Benson Ave # 3, Upland, CA 91786-2168 | 2018-10-22 |
| 1528559697 | Anne E Campbell | Nurse Practitioner | 1809 S Main Street, Upland, IN 46989 | 2018-05-24 |
| 1003195827 | Stephanie J Rasmussen | Nurse Practitioner | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2011-08-10 |
| 1366749418 | Christina Davidyock | Nurse Practitioner | 1 Medical Center Blvd, Upland, PA 19013 | 2011-02-24 |
| 1205158649 | Tonya M Santiago | Nurse Practitioner | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2010-02-26 |
| 1952635237 | Marjan Khaleghi | Nurse Practitioner | 974 W Foothill Blvd, Upland, CA 91786-3728 | 2009-09-20 |
| 1841425279 | Jody A Bouma | Nurse Practitioner | 1113 Alta Ave Ste 220, Upland, CA 91786-2803 | 2009-05-29 |
| 1366689762 | Yvonne Schwetz | Nurse Practitioner | 1113 Alta Ave Ste 220, Upland, CA 91786-2803 | 2009-01-07 |
| 1831346907 | Jeffrey Thomas Straley | Nurse Practitioner | 1100 San Bernardino Road, Suite 1100, Upland, CA 91786-4952 | 2008-08-20 |
| 1063689990 | Carla Canton Allen | Nurse Practitioner | 1100 San Bernardino Road, Suite 1100, Upland, CA 91786-4952 | 2008-05-09 |
| Find all providers in UPLAND | ||||
Please comment or provide details below to improve the information on THERESA DAVIS-BATES.
| 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.