XOCHILT JOSEFINA MORALES DE MARTINEZ (NPI# 1194880468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194880468 |
| Entity Type | Individual |
| Full Name | XOCHILT JOSEFINA MORALES DE MARTINEZ |
| Credential | MFTI |
| Practice Address |
991 Parallel Dr Lakeport CA 95453-5720 |
| Mailing Address |
947 N Oak St Ukiah CA 95482-3905 |
| Practice Telephone | 7072634338 |
| Mailing Telephone | 7074632984 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2009-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
44306 | CA | Behavioral Health & Social Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
335709 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
335709 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 363LP0808X | 05 |
| Street Address |
991 PARALLEL DR |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417018987 | Brock Ford Travis | Psychologist | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2006-12-12 |
| 1588029466 | Randall Cole | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2015-12-21 |
| 1932477346 | Robert A Montgomery | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2011-12-13 |
| 1427356443 | Thomas Leon Brown | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2011-03-01 |
| 1922304526 | Mary Lou Floyd | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2011-01-31 |
| 1740585819 | Jason Krishna Pofi | Licensed Vocational Nurse | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2011-01-20 |
| 1275838831 | Franklin Dewayne Tuttle Jr. | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2011-01-12 |
| 1336380955 | Carolina Rondas Pimenta | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2009-03-11 |
| 1689822991 | Mari Ellen Scholvinck | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2008-08-29 |
| 1427225119 | Lisa M Bermudez | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2008-05-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526847 | Easter Seals Bay Area | Early Intervention Provider Agency | 1950 Parallel Drive, Lakeport, CA 95453 | 2018-11-03 |
| 1285000810 | Lake County Tribal Health Consortium, Inc. | Clinic/Center | 14678 Lakeshore Boulevard, Clearlake, CA 95453 | 2015-08-18 |
| 1942558721 | Lorena A Watson | Nurse Practitioner | 5108 Hill Road East, Lakeport, CA 95453 | 2012-08-27 |
| 1992024657 | Jennifer Stolworthy Smith | Case Manager/Care Coordinator | 991 Parallel Dr. Ste. B, County of Lake, Mental Health, Lakeport, CA 95453 | 2010-05-20 |
| 1376720664 | June Arisa Masato | Marriage & Family Therapist | 1152 S. Main St, Lakeport, CA 95453 | 2008-01-29 |
| 1245417021 | Robert Ryan Taylor Sr. | Physical Therapist | 1285 S Main Street, Lakeport, CA 95453 | 2008-01-24 |
| 1760669618 | Joan Kammerer | Registered Nurse | 922 Bevins Court, Lakeport, CA 95453 | 2008-01-23 |
| 1881878353 | Mary Theresa Mcmillan | Marriage & Family Therapist | 75 Fourth Street, Lakeport, CA 95453 | 2007-12-19 |
| 1922288984 | Robert William Krause | Family Medicine | 755 Eleventh St, Lakeport, CA 95453 | 2007-11-07 |
| 1568683092 | Dan Sleeth | Marriage & Family Therapist | 991 Parallel Dr., Lakeport, CA 95453 | 2007-05-01 |
| Find all providers in zip 95453 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
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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.