CHRISTINA CABUENA OLDHAM (NPI# 1154833879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154833879 |
| Entity Type | Individual |
| Full Name | CHRISTINA CABUENA OLDHAM |
| Credential | PMH-NP |
| Practice Address |
1485 M 139 Benton Harbor MI 49022-5711 |
| Practice Telephone | 2699250585 |
| Practice Fax Number | 2699271326 |
| Mailing Telephone | 2699250585 |
| Mailing Fax Number | 2699271326 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704298009 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1485 M 139 |
| City | BENTON HARBOR |
| State | MI |
| Zip Code | 49022-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669434361 | Payton Gordon Brown | Psychiatry & Neurology | 1485 M 139, Benton Harbor, MI 49022-5711 | 2006-04-06 |
| 1013529650 | Amber Kay Fergison | Social Worker | 1485 M 139, Benton Harbor, MI 49022-5711 | 2020-08-17 |
| 1225651268 | Shannon M Packingham | Case Manager/Care Coordinator | 1485 M 139, Benton Harbor, MI 49022-5711 | 2020-05-26 |
| 1649804428 | Donald P Gillespie | Social Worker | 1485 M 139, Benton Harbor, MI 49022-5711 | 2020-03-02 |
| 1881239697 | Kimberly M Sparkmon | Social Worker | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-11-15 |
| 1386287845 | Mikayla Cd Davis | Case Manager/Care Coordinator | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-10-28 |
| 1427691666 | Marion Anita Smith | Case Manager/Care Coordinator | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-10-21 |
| 1972144277 | Raymond W Ervin | Counselor | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-10-08 |
| 1982252839 | Susann C Covert | Case Manager/Care Coordinator | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-09-03 |
| 1427610732 | Patricia A Taylor | Social Worker | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852438 | Heather A Harrison | Pharmacist | 1485 S M139, Benton Harbor, MI 49022 | 2017-10-17 |
| 1013426220 | Valerie Fulton | Chore Provider | 2457 Plaza Dr, Benton Harbor, MI 49022 | 2017-09-20 |
| 1124544101 | Felecia Howell | Social Worker | 1485 M139, Benton Harbor, MI 49022 | 2017-08-21 |
| 1548797848 | Lauren Elise Midkiff | Social Worker | 1485 M-139, Benton Harbor, MI 49022 | 2017-05-17 |
| 1780130419 | Jennifer Hoover | Pharmacist | 1701 M-139, Benton Harbor, MI 49022 | 2016-09-01 |
| 1841646395 | Josefina Pena-ogando | Counselor | 185 E Main St Ste 402, Benton Harbor, MI 49022 | 2016-05-13 |
| 1295116648 | Claudia Olivia Pozo | Counselor | 1458 M 139, Benton Harbor, MI 49022 | 2015-06-11 |
| 1063809515 | Patrick K Hanlin | Counselor | 800 M- 139, Benton Harbor, MI 49022 | 2015-04-22 |
| 1912280835 | Kimberly Anne Hardt | Pharmacist | 875 E.napier, Benton Harbor, MI 49022 | 2011-09-27 |
| 1407150279 | Ldbh, LLC | Clinic/Center | 338 8th Street, Benton Harbor, MI 49022 | 2011-01-07 |
| Find all providers in zip 49022 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295152015 | Lisa Makara | Nurse Practitioner | 1485 M 139, Benton Harbor, MI 49022-5711 | 2014-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
| 1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
| 1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
| Find all providers with the same taxonomy | ||||
| City | BENTON HARBOR |
| Zip Code | 49022 |
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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.