DR. THAIS SIEWERT (NPI# 1194348318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194348318 |
| Entity Type | Individual |
| Full Name | DR. THAIS SIEWERT |
| Other Name | THAIS NAN KIM |
| Credential | NP |
| Practice Address |
4685 Macarthur Ct Ste 340 Newport Beach CA 92660-1855 |
| Mailing Address |
1545 South Harbor Blvd Pmb 165 Fullerton CA 92832-8574 |
| Practice Telephone | 9494244544 |
| Mailing Telephone | 9494245444 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95014585 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4685 MACARTHUR CT STE 340 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659757391 | Erika Chantal Allen-andere | Social Worker | 4685 Macarthur Ct Ste 340, Newport Beach, CA 92660-1855 | 2015-08-05 |
| 1174098974 | Ladan Boustani | Psychologist | 4685 Macarthur Ct Ste 340, Newport Beach, CA 92660-1855 | 2018-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| 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 |
|---|---|---|---|---|
| 1316269525 | Jacqueline D. Bredehoft | Nurse Practitioner | 901 Dove St Ste 299, Newport Beach, CA 92660-3036 | 2010-02-16 |
| 1003444597 | Starly Alvarado | Nurse Practitioner | 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | 2020-03-30 |
| 1730659723 | Jeremy R Verhines Nursing Corporation | Nurse Practitioner | 3404 Via Lido Ste 2b, Newport Beach, CA 92663-3991 | 2018-12-03 |
| 1003302605 | Jeremy Ray Verhines | Nurse Practitioner | 3404 Via Lido Ste 2b, Newport Beach, CA 92663-3991 | 2018-07-06 |
| 1265978647 | Laura Osmanski | Nurse Practitioner | 3991 Macarthur Blvd, Newport Beach, CA 92660 | 2017-01-10 |
| 1942462536 | Shirley Furman | Nurse Practitioner | 1151 Dove St, #105, Newport Beach, CA 92660-2840 | 2008-06-26 |
| 1740351451 | Angela Waldron | Nurse Practitioner | 3991 Macarthur Blvd, Suite 200, Newport Beach, CA 92660-3009 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on DR. THAIS SIEWERT.
| 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.