ANDREW ROBERT HULTGREN (NPI# 1205323607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205323607 |
Entity Type | Individual |
Full Name | ANDREW ROBERT HULTGREN |
Credential | MS RN PMHNP-BC |
Practice Address |
2025 Soquel Ave Santa Cruz CA 95062-1323 |
Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
Practice Telephone | 8314584888 |
Enumeration Date | 2018-04-20 |
Last Update Date | 2020-10-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
95140460 | CA | Nursing Service Providers |
N | 363L00000X | Nurse Practitioner | 95012928 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95012928 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1501 Fruitvale Ave, Oakland, CA 946012322 | 5105356200 |
Street Address |
2025 SOQUEL AVE |
City | SANTA CRUZ |
State | CA |
Zip Code | 95062-1323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619970118 | Marin Muller | Specialist | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2005-05-27 |
1669932588 | Farzana Abed | Nurse Practitioner | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2019-03-25 |
1124593207 | Jennifer Pfeiffer | Nurse Practitioner | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2018-10-04 |
1184163396 | Emily Vandenberg | Nurse Practitioner | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2017-02-21 |
1720526635 | Joseph Farsakh | Physician Assistant | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2017-02-10 |
1891159984 | Qiuying Huang | Family Medicine | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2016-04-05 |
1700249679 | Thomas Edwin Quigg | Family Medicine | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2016-03-29 |
1972964278 | Dana James | Physician Assistant | 2025 Soquel Ave, Santa Cruz, CA 95062 | 2016-03-14 |
1518322866 | Kayce H Ryberg | Nurse Practitioner | 2025 Soquel Ave, 2nd Floor, Santa Cruz, CA 95062-1323 | 2015-12-30 |
1689048019 | Allison Chadwick | Physician Assistant | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2015-11-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
Find all providers in zip 95062 |
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 |
---|---|---|---|---|
1669975777 | Blythe Ballaao | Nurse Practitioner | 1400 Emeline Ave, Santa Cruz, CA 95060 | 2018-03-14 |
1235672502 | Kelsey Lynn Kloberdanz | Nurse Practitioner | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2016-11-18 |
1811013469 | Kathryn Johnson | Nurse Practitioner | 412 Cedar St, Suite C, Santa Cruz, CA 95060-4369 | 2007-03-22 |
1881736338 | Michael A O'connor | Nurse Practitioner | 2025 Soquel Ave, Santa Cruz, CA 95062 | 2007-02-13 |
1932120557 | James Ariss Reggio | Nurse Practitioner | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2006-07-21 |
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 | SANTA CRUZ |
Zip Code | 95062 |
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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.