AMY BURTELOW (NPI# 1235686346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235686346 |
Entity Type | Individual |
Full Name | AMY BURTELOW |
Credential | LMP, OTS |
Practice Address |
425 Divisadero Street Suite 300 San Francisco CA 94117 |
Practice Telephone | 4155510975 |
Mailing Telephone | 4155510975 |
Enumeration Date | 2016-09-07 |
Last Update Date | 2018-09-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225700000X | Massage Therapist | 11039 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 225700000X | Massage Therapist | MA 60002467 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
425 DIVISADERO STREET SUITE 300 |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
1629358957 | Latille Lashonda Phillips | Counselor | 1140 Oak Street, San Francisco, CA 94117 | 2011-08-18 |
Find all providers in zip 94117 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114533353 | Christine Huynh | Student in an Organized Health Care Education/Training Program | 1499 5th Ave, San Francisco, CA 94122-3806 | 2020-09-22 |
1750995544 | Catherine Brisebois | Student in an Organized Health Care Education/Training Program | 2850 25th St, San Francisco, CA 94110-4262 | 2020-08-31 |
1598377517 | Yvonne Perez-sallaberry | Student in an Organized Health Care Education/Training Program | 819 27th Ave, San Francisco, CA 94121-3619 | 2020-08-20 |
1770195679 | Adam Brown | Student in an Organized Health Care Education/Training Program | 191 Frederick St Apt 2, San Francisco, CA 94117-4036 | 2020-08-20 |
1588276695 | Meredith Victoria Welch | Student in an Organized Health Care Education/Training Program | 376 3rd Ave Apt 3, San Francisco, CA 94118-1544 | 2020-08-19 |
1861003410 | Marie Elaine Cartier | Student in an Organized Health Care Education/Training Program | 1845 Hayes St, San Francisco, CA 94117-1219 | 2020-08-16 |
1245849199 | Jacqueline El-sokkary | Student in an Organized Health Care Education/Training Program | 1412 Funston Ave, San Francisco, CA 94122-3512 | 2020-07-27 |
1962011023 | Shaneeka Smith | Student in an Organized Health Care Education/Training Program | 875 Post St Apt 407a, San Francisco, CA 94109-6012 | 2020-07-24 |
1861010928 | Pardis Farhadian Lipkin | Student in an Organized Health Care Education/Training Program | 707 Parnassus Ave Fl 1, San Francisco, CA 94143-2210 | 2020-07-06 |
1306462171 | Curtis Michael Woodford | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave # Msbs321, San Francisco, CA 94143-2205 | 2020-06-17 |
Find all providers in SAN FRANCISCO |
City | SAN FRANCISCO |
Zip Code | 94117 |
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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.