DANIELLE MARIE PROCK (NPI# 1215563093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215563093 |
Entity Type | Individual |
Full Name | DANIELLE MARIE PROCK |
Practice Address |
911 E Tuolumne Rd Turlock CA 95382-1543 |
Mailing Address |
4414 White Rock Ave Denair CA 95316-9357 |
Practice Telephone | 2096684101 |
Mailing Telephone | 2096067097 |
Enumeration Date | 2020-03-12 |
Last Update Date | 2020-03-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95014183 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
911 E TUOLUMNE RD |
City | TURLOCK |
State | CA |
Zip Code | 95382-1543 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336147040 | Rafael R Soria | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2005-07-07 |
1730319906 | Alisha Nicole Pratt | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2009-07-21 |
1871734731 | Jenny M Lee Kim | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2009-03-23 |
1538298575 | Ronald Johanson, Thomas Wilson, James Maclaren Ptrs | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2007-03-05 |
1497844559 | Thomas Ian Wilson | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2006-10-12 |
1497844575 | James C Maclaren Jr. | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2006-10-12 |
1457440547 | Scott Charles Hennes | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2006-10-12 |
1033208145 | James Christopher Knapp | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2006-10-12 |
1417047572 | Richard K Freeman | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2006-10-12 |
1629170352 | James Lee Reape | Physician Assistant | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2006-09-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710546536 | S.h.desai, D.d.s. Dental Corporation | Dentist | 3960 Geer Rd, Turlock, CA 95382 | 2019-06-06 |
1063982403 | Sangho N/a Cho | Occupational Therapy Assistant | 3025 West Christoffersen Pkwy, Turlock, CA 95382 | 2018-11-28 |
1669957254 | Leah Griffith | Behavioral Analyst | 4252 Bardini Way, Turlock, CA 95382 | 2018-09-28 |
1508344417 | Aspiranet | Community/Behavioral Health | 1145 W Tuolumne Rd, Turlock, CA 95382 | 2018-08-02 |
1730618174 | Hannah Roach | Case Manager/Care Coordinator | 4650 N Olive Ave, Turlock, CA 95382 | 2017-06-08 |
1801332960 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2701 N. Berkeley Ave., Turlock, CA 95382 | 2017-01-13 |
1205209723 | Caremore Health Plan | Nurse Practitioner | 1000 Delbon Avenue, Suite 5, Turlock, CA 95382 | 2015-11-05 |
1942615836 | Michael Collins | Emergency Medical Technician, Basic | 1890 Trail Way, Turlock, CA 95382 | 2014-06-30 |
1720493042 | Brandi Purpura | Physical Therapy Assistant | 3800 Geer Rd #101, Turlock, CA 95382 | 2014-06-25 |
1255751582 | Erin Hannink | Physical Medicine & Rehabilitation | 3800 Geer Rd Suite 101, Turlock, CA 95382 | 2014-04-25 |
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Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043837479 | Susana Camacho | Nurse Practitioner | 396 W Springer Dr, Turlock, CA 95382-7321 | 2020-07-01 |
1821628892 | Belinda Stevens | Nurse Practitioner | 2565 Raleigh Ct, Turlock, CA 95382-7006 | 2020-01-18 |
1679137673 | Mandeep Sharma | Nurse Practitioner | 1772 E Springer Dr, Turlock, CA 95382-7431 | 2019-04-24 |
1376034009 | Arnaldo Vivanco | Nurse Practitioner | 1801 Colorado Ave Ste 160-170, Turlock, CA 95382-2706 | 2018-05-29 |
1205209723 | Caremore Health Plan | Nurse Practitioner | 1000 Delbon Avenue, Suite 5, Turlock, CA 95382 | 2015-11-05 |
1821418450 | Diane Katsma | Nurse Practitioner | 2761 E Marshall St, Turlock, CA 95380-4429 | 2014-04-22 |
1083242531 | Arnulfo Velasquez | Nurse Practitioner | 1801 Colorado Ave, Turlock, CA 95382-2706 | 2020-03-31 |
1063045011 | Sukhwinder Singh Bajwa | Nurse Practitioner | 1000 Delbon Ave, Turlock, CA 95382-2008 | 2020-02-18 |
1053871293 | Crystal Dionne Lake-akinnuoye | Nurse Practitioner | 1200 W Main St, Turlock, CA 95380-5107 | 2019-03-22 |
1649754367 | Vinai Pongbandith Decena | Nurse Practitioner | 1111 E Tuolumne Rd, Turlock, CA 95382-1541 | 2018-09-18 |
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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.