JOHANNA JETTON (NPI# 1114430105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114430105 |
| Entity Type | Individual |
| Full Name | JOHANNA JETTON |
| Practice Address |
22331 Mission Blvd Hayward CA 94541-3911 |
| Mailing Address |
3211 King St Berkeley CA 94703-2434 |
| Practice Telephone | 5104715907 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
95007955 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 33255 9th St, Union City, CA 945872137 | 5104715907 |
| Street Address |
22331 MISSION BLVD |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538259395 | Chiaven Phen | Dentist | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2006-10-13 |
| 1770197360 | Ana Salazar Martinez | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2020-09-01 |
| 1184236861 | Lauren Winokur Plate | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2020-08-23 |
| 1952942955 | Lauren L Anderson | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2019-10-01 |
| 1629639984 | Tamana Mehdavi | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2019-06-26 |
| 1417515412 | Nathan Ashley Wilkinson | Registered Nurse | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2019-06-04 |
| 1235697558 | Charlene Lumanlan | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2019-03-05 |
| 1205303260 | Jennifer Houser | Dietitian, Registered | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2018-10-29 |
| 1093296840 | Gabriela Maria Chica | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2018-08-28 |
| 1578042701 | Kallyn Rogers | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| Find all providers in zip 94541 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346301157 | Terese Jeanette Sharp | Nurse Practitioner | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548819964 | Myra Sepulveda | Nurse Practitioner | 1700 Lombard St Ste 110, Oxnard, CA 93030-8288 | 2019-09-09 |
| 1639641699 | Zahra Jeylani Nur | Nurse Practitioner | 15101 Spectrum, Irvine, CA 92618-3426 | 2018-12-31 |
| 1518486125 | Patty Montoya | Nurse Practitioner | 1026 Felder St, Gardena, CA 90248-3348 | 2017-09-14 |
| 1902357817 | Alexandria Ludlow | Nurse Practitioner | 350 John Muir Pkwy Ste 205, Brentwood, CA 94513-5193 | 2016-10-17 |
| 1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
| 1174999015 | Kristina Hagopian | Nurse Practitioner | 8920 Wilshire Blvd Ste 525, Beverly Hills, CA 90211-1968 | 2015-08-14 |
| 1639553076 | Pacific Women's Healthcare Associates | Nurse Practitioner | 500 Superior Ave Ste 310, Newport Beach, CA 92663-3609 | 2015-07-15 |
| 1548655921 | Trudi J Petersen | Nurse Practitioner | 1700 Shattuck Ave # 75, Berkeley, CA 94709-3402 | 2015-04-01 |
| 1932590775 | Samah Shahzya Kureshi | Nurse Practitioner | 2619 Vanderbilt Ln Unit B, Redondo Beach, CA 90278-3318 | 2015-02-16 |
| 1346645801 | Norma Nix | Nurse Practitioner | 22423 Chase St, West Hills, CA 91304-3321 | 2014-10-27 |
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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.