SHIZU JENNIFER KAWAI (NPI# 1104908847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104908847 |
| Entity Type | Individual |
| Full Name | SHIZU JENNIFER KAWAI |
| Credential | N.P. |
| Practice Address |
2401 W Turner Rd Suite 450 Lodi CA 95242-2182 |
| Mailing Address |
Po Box 779 Stockton CA 95201-0779 |
| Practice Telephone | 2093701700 |
| Practice Fax Number | 2093701737 |
| Mailing Telephone | 2093732800 |
| Mailing Fax Number | 2093732873 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2012-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 15954 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2401 W TURNER RD SUITE 450 |
| City | LODI |
| State | CA |
| Zip Code | 95242-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003801739 | Woodbridge Pharmacy | Pharmacy | 2401 W Turner Rd, Suite 290, Lodi, CA 95242-2182 | 2005-09-19 |
| 1003247644 | Sharen N Cheathon | Physical Therapist | 2401 W Turner Rd, Suite 250, Lodi, CA 95242-2182 | 2013-12-09 |
| 1093050387 | Eliza R Downs | Physical Therapist | 2401 W Turner Rd, Suite 250, Lodi, CA 95242-2182 | 2012-11-28 |
| 1710269246 | Emily L Watts | Physical Therapist | 2401 W Turner Rd, Suite 250, Lodi, CA 95242-2182 | 2011-09-10 |
| 1114253101 | Rosemary Ann Brixie | Nurse Practitioner | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2009-10-26 |
| 1346409257 | Chris R. Swartwood | Physical Therapist | 2401 W Turner Rd, 250, Lodi, CA 95242-2182 | 2008-06-05 |
| 1801918743 | Community Medical Centers, Inc. | Clinic/Center | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2007-04-04 |
| 1710009659 | Community Medical Centers, Inc. | Clinic/Center | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2007-04-04 |
| 1194840652 | Tina S Watt | Chiropractor | 2401 W Turner Rd, #230, Lodi, CA 95242 | 2007-03-20 |
| 1053480780 | Marietta Abellera Sumaquial | Pediatrics | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| 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 |
|---|---|---|---|---|
| 1639584337 | Alberto Sarmiento | Nurse Practitioner | 69 Hamilton Ave, Lodi, NJ 07644-1407 | 2014-06-22 |
| 1437161643 | Sarah Mann | Nurse Practitioner | 1235 W Vine St # 20, Lodi, CA 95240-5109 | 2006-08-13 |
| 1902861669 | Patricia A Portz | Nurse Practitioner | N2372 Rausch Rd, Lodi, WI 53555-9751 | 2006-04-18 |
| 1578958450 | Clinic Services of California Medical Group Inc | Nurse Practitioner | 1235 W Vine St, Suite 20, Lodi, CA 95240-5144 | 2015-03-30 |
| 1982037040 | Ryan Elizabeth Vaccarezza | Nurse Practitioner | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2013-08-13 |
| 1184978264 | Nicole A Klonaris | Nurse Practitioner | 225 Elyria St, Lodi, OH 44254-1031 | 2012-10-29 |
| 1114253101 | Rosemary Ann Brixie | Nurse Practitioner | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2009-10-26 |
| 1881719284 | Karen M Meng | Nurse Practitioner | 160 Valley Dr, Lodi Medical Clinic, Lodi, WI 53555-1464 | 2007-03-21 |
| 1639237670 | Michelle M Martin | Nurse Practitioner | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2006-12-04 |
| 1487768362 | Heidi Yurong | Nurse Practitioner | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2006-08-18 |
| Find all providers in LODI | ||||
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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.