CORI WISEMAN (NPI# 1134374705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134374705 |
| Entity Type | Individual |
| Full Name | CORI WISEMAN |
| Credential | MSN |
| Practice Address |
2100 E Colorado Blvd Ste 1 Pasadena CA 91107 |
| Mailing Address |
3531 Honolulu Ave Glendale CA 91214-3221 |
| Practice Telephone | 6262299865 |
| Practice Fax Number | 6262299867 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 693452 | CA | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
18565 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2100 E COLORADO BLVD STE 1 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295836773 | Graciela Valdez-maguire | Nurse Practitioner | 2100 E Colorado Blvd Ste 1, Pasadena, CA 91107 | 2006-09-26 |
| 1992360036 | Angela Mae G Roman | Nurse Practitioner | 2100 E Colorado Blvd Ste 1, Pasadena, CA 91107-5860 | 2019-05-03 |
| 1871936245 | Allison E Gutierrez | Nurse Practitioner | 2100 E Colorado Blvd Ste 1, Pasadena, CA 91107 | 2013-04-16 |
| 1518253400 | Adrienne R Schlabach | Nurse Practitioner | 2100 E Colorado Blvd Ste 1, Pasadena, CA 91107 | 2011-06-20 |
| 1699066928 | Jessica Lau | Nurse Practitioner | 2100 E Colorado Blvd Ste 1, Pasadena, CA 91107 | 2011-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140341 | Brittney Hutto Sawyer | Nurse Practitioner | 6319 Fairmont Pkwy Ste 201, Pasadena, TX 77505-4239 | 2019-12-04 |
| 1740701572 | Rafael Begluyan | Nurse Practitioner | 950 Medford Rd, Pasadena, CA 91107-1913 | 2017-07-01 |
| 1407298292 | Adrienne Smith | Nurse Practitioner | 306 E California Blvd, Pasadena, CA 91106-3618 | 2013-07-23 |
| 1790011534 | Esther Chou | Nurse Practitioner | 430 Pembrook Dr, Pasadena, CA 91107-2223 | 2009-10-29 |
| 1316116932 | Jennifer Alice Birch | Nurse Practitioner | 630 S Raymond Ave Unit 301, Pasadena, CA 91105-3206 | 2008-02-28 |
| 1700853728 | Candace A. Elliott | Nurse Practitioner | 393 East Walnut Street, Pasadena, CA 91188 | 2006-03-08 |
| 1033721923 | Tim Nguyen | Nurse Practitioner | 959 E Walnut St Ste 120, Pasadena, CA 91106-5364 | 2020-08-20 |
| 1740834803 | Lejin M Varghese | Nurse Practitioner | 4000 Spencer Hwy, Pasadena, TX 77504-1202 | 2019-07-27 |
| 1396282711 | Kasalyn Thuvamontolrat | Nurse Practitioner | 625 S Fair Oaks Ave, Suite 325, Pasadena, CA 91105-2613 | 2017-01-23 |
| 1467844589 | Inna Ella Spivak | Nurse Practitioner | 100 W California Blvd, Pasadena, CA 91105-3010 | 2015-02-26 |
| Find all providers in PASADENA | ||||
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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.